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

Shoreditch 1936

[Report of the Medical Officer of Health for Shoreditch]

Published
1937
Pages
177
Tables
127

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127 tables in this report

  • Page 11
    SUMMARY. 1936.
  • Page 12
    EXTRACTS FROM VITAL STATISTICS FOR THE YEAR 1936.
    Total.M.F.Birth Rate.
  • Page 13
    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 nett Births.Number.Rate.
    12345678910111213
  • Page 14
    ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31st DECEMBER, 1936.
    DISTRICTS.Estimated Population 1936.ANNUAL RATE PER 1,000 PERSONS LIVING.Infants under 1 vear. Death rate p* r 1,000 Live Bijths.PERCENTAGE OF TOTAL DEA'l HS.
    BIRTHS.DEATHS DURING THE YEARSDEATHS DURING 1936 FROM
    Inquest Cases.Deaths in Public Institutions.Uncertified Causes of Death.
    I (cols 2-8)234.5679zo
    1933193419351936Principal Zymotic DiseaseSmallpoxMeasles.Scarlet FeverDiphtheriaWhooping Cough*Fever.fDiarrhcea Enteritis (under 2 years).ruberculous DiseaseViolence.
  • Page 15
    BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1936. (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 15
    The maternal mortality rates for Shoreditch, and England and Wales, are as follows :—
    Puerperal Sepsis.Other Causes.Total.
  • Page 17
    Number of persons resident in the Metropolitan Borough of Shoreditch, recorded as unemployed, at quarterly dates in the years 1928 to 1936:—
    Date.Men.Women.Juveniles.Total.
  • Page 18
    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 endedNumber of persons in receipt of domiciliary relief (excluding medical relief only).Number of persons in receipt of medical relief only.
  • Page 22
    The population in the various Wards of the Borough is estimated as follows:—
    Ward.Population.Area in acres*Density per acre.
  • Page 22
    BIRTHS. The numbers of live births registered in the Borough during the calendar year 1936 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 23
    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 23
    Still Births. The numbers of still births registered in the Borough during the calendar year 1936 are given in the following table:-
    Total (legitimate and illegitimate).Still births registered.Inward transfers.Outward transfers.Still births allocated to the Borough.
  • Page 24
    BIRTH RATES.
    Year.Population (Shoreditch)No. of Births (Shoreditch)Birth Rates (Shoreditch)Birth Rates (London)Birth Rates (England & Wales)
  • Page 25
    During recent years the corresponding figures were as follows:—
    Year.No. of marriages.Marriage rate.
    Shoreditch.London.
  • Page 26
    DEATH RATES.
    Year.Population (Shoreditch)Nett Deaths (Shoreditch)Death Rate (Shoreditch)Death Rate (London)Death Rate (England & Wales)
  • Page 27
    The distribution of the deaths and the death rates in the different wards is given below:—
    Ward.Males.FemalesTotal.Deaths per 1,000 population.Deaths of infants under 1 year per 1,000 births registered.
  • Page 28
    The following table shows the age-grouping of the deaths from all causes:—
    Age0-1-2-5-15-25-35-45-55-65-75-All ages.
  • Page 29
    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 Deaths.Special Hospitals:—No. of Deaths.
  • Page 30
    Altogether 804, or 73.5 per cent., of the people belonging to Shoreditch who died during the year died in public institutions. The corresponding figures for recent years were as follows:—
  • Page -
    Infantile Mortality in the Borough during the Year 1936.
    CAUSE OF DEATH.*AGES.*DEATHS IN EACH WARD.SEX.Total Deaths under 1 year.
    Under 1 day.1 day to 1 week.1-2 weeks.2-3 weeks.3-4 weeks.Total under 1 month1-3 months.3-6 months.6-9 months.9-12 months.Moorfields.Church.Hoxton.Wenlock.Whitmore.Kingsland.Haggerston.Acton.Male.Female.
    MFMFMFMFMFMFMFMF
  • Page 31
    Infantile Mortality.
    Year.Shoreditch Deaths under one year.Rate per 1,000 Births.
    Shoreditch.London.England and Wales.
  • Page 32
    For purposes of comparison the maternal mortality rates per 1,000 live births in England and Wales, London and Shoreditch, during the year 1936 and the six preceding years are given as follows:—
    Year.Shoreditch.London.England and Wales.
    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 32
    The deaths from cancer during the last six years per 1,000 persons living are given in the following comparative table:—
    Year.Shoreditch.London.England and Wales.
  • Page 33
    Deaths from Cancer in the Borough during Year 1936.
    AGES.SEX.WARDS.Total.
    0 to 15.15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and upwards.Male.Female.Moorfields.Church.Hoxton.Wenlock.Whitmore.Kingsland.Haggerston.Acton.
    MFMFMFMFMFMFMFMF
  • Page 34
    Vital Statistics for the Metropolitan Boroughs.
    Metropolitan Boroughs.Estimated Resident Population. (mid-1936).Birth rate.Death rate—Infantile Mortality per 1,000 births.Maternal Mortality.
    Crude.Adjusted.Rate per 1,000 live births.Rate per 1,000 live and still births.
    Puerperal Sepsis.Other causes.Total.Puerperal Sepsis.Other causes.Total.Puerperal Sepsis.Total.
  • Page 36 37
    The causes of deaths at all ages together with Ward distribution and particulars relating to the deaths in Public Institutions in the Borough are contained in the following table:—
    CAUSES OF DEATH. (The figures in italics refer to the list numbers in the short list of the International List of Causes of Death.)AGESDEATHS IN EACH WARD.SEX.St. Matthew's Hospital.St. Leonard's Hospital.Royal Chest Hospital.Infant Welfare Centre.Total deaths due to each cause.
    Under 1.1 to 2.2 to 5.5 to 10.10 to 15.15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and UpwardsMoorfields.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.
    MFMFMFMFMFMFMFMF
  • Page 40
    TABLE SHOWING CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR, 1936.
    NOTIFIABLE DISEASE.NUMBER OF CASES NOTIFIED.Cases removed to hospital.Per cent removed to hospital.Diagnosis revised subsequently.Deaths.
    1st Quarter2nd Quarter3rd Quarter4th QuarterTotalAGES.WARDS.
    Moorfields.Church.Hoxton.Wenlock.Whitmore.Kingsland.Haggerston.Acton.
    Under 1 year.1 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65
  • Page 41
    The following table shows the prevalence of smallpox in the country, London and Shoreditch during recent years:—
    YearCases Notified.
    Shoreditch.London.England & Wales.
  • Page 42
    VACCINATION OFFICERS' RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN 1935.
    Date.Registration sub-districts comprised in vaccination officers' district.Number of births returned in birth list sheets.N umber 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 1936.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 1936.
    Insusceptible of vaccination.Certificate of conscientious objection.
    1935.1234678910111213
  • Page 43
    Return showing the number of persons successfully vaccinated and re-vaccinated at the cost of the rates by the Medical Officers of Institutions and the Public Vaccinators during the year ended 30th September, 1936:-
    Name of the 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 43
    The number of cases and the attack rates in the Borough and wards are given in the subjoined table:— (See also table on page 14.)
    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 44
    Scarlet Fever.
    YearShoreditch.LondonEngland & Wales
    Cases notifiedCase rateDeathsDeath rateCase rateDeath rateCase rateDeath rate
  • Page 45
    The following table gives particulars regarding diphtheria for Shoreditch, London, and England and Wales for a period of years:—
    YearShoreditchLondonEngland & Wales
    Cases notifiedCase rateDeathsDeath rateCase rateDeath rateCase rateDeath rate
  • Page 46
    The number of cases, the deaths amongst males and females and the attack, death and case 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.AttackDeath.
  • Page 47
    A comparison between London and Shoreditch is contained in the following table:—
    Per 1,000 inhabitants.Deaths per 100 cases.
    Attack rate.Death rate.
  • Page 49
    The following table gives particulars of the cases which occurrcd during the year:-
    Cases.Vision unimpaired.Vision impaired.Died.
    Notified.Treated at home.In hospital.
  • Page 49
    The number of deaths from this disease in London and Shoreditch during recent years was as follows:—
    193119321933193419351936
  • Page 51
    The following table shows the numbers of deaths from measles in age groups for a period of years:-
    Year.Under 1.1 and under 2.2 and under 5.5 and under 10.10 and under 15.Total deaths.
  • Page 51
    A comparison of the death rates from measles for Shoreditch, London, and England and Wales is given below:—
    Year.Shoreditch.London. Death rate.England and Wales. Death rate.
    Deaths.Death rate.
  • Page 52
    Cases Notified under Regulations.
    Quarter 1936Under 11 and under 22 and under 33 and under 44 and under 5TotalCases removed
  • Page 52
    The ward distribution of the notified cases is given in the table below:—
    Ward.Number of cases.Total.
    Male.Female.
  • Page 52
    The following table gives the age distribution of the cases and the deaths:—
    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 53
    The following table shows the occurrence of the cases month by month:—
    Week ending.No. of actual cases.No. removed to hospital.Week ending.No. of actual cases.No. removed to hospital.
  • Page 54
    In this connection the following table furnished by the School Medical Officer regarding absentees and suspects reported by the school nurses to the Borough Medical Officer of Health shows the results of the work required by the scheme:—
    Home contacts.Other cases.Total.
  • Page 54
    The ages of death are given in the following table:—
    Under 1 year1-2 years.2-5 years.Total.
  • Page 55
    Whooping Cough.
    Year.Shoreditch.London. Death rate.England and Wales. Death rate.
    Deaths.Death rate.
  • Page 55
    The year 1936 was not an influenza year. Ten deaths occurred from this disease, which gives a death rate of 0.12. The following table gives comparative annual figures for mortality from influenza.
    Year.Shoreditch.London. Death rate.England and Wales. Death rate.
    Deaths.Death rate.
  • Page 56
    The following table gives the age distribution of the 10 persons who died from influenza during 1936:—
    Under 1 year.1— year.5— years.15— years.25-years.35— years.45— years.55-years.65— years.75— years.
  • Page 56
    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.
    1935.1930.1935.1936.1935.1936.1935.1936.1935.1936.1935.1936.1935.1936.
  • Page 57
    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 six years 1931-1936:-
    1931.1932.1933.1934.1935.1936.
  • Page 57
    The conclusion that must be drawn from these figures is that deaths which are certified as being due to diarrhœa and enteritis are not due to typical epidemic (summer) diarrhœa, 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 58
    The particulars of these exclusions from school are as follows:—
    Disease from which suffering or to which exposed.Number of exclusions from School.
  • Page 59
    In addition to the cases referred to in the table, the District Nurses paid a number of visits to otorrhœa cases as a result of the closing down of the otorrhœa clinic. These cases are referred to in another section of this Report ( see page 99).
    Disease.Under 5Visits.Disease.Over 5Visits.
  • Page 64
    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 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsTotal (all ages)
  • Page 64
    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 1936:—
    Age periods0 to l1 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsTotal (all ages)
  • Page 65
    The source of information in respect of these 35 cases is also given in tabular form:-
    SOURCE OF INFORMATION AS TO THE ABOVE-MENTIONED CASES.No. of Cases.
    Pulmonary.Non-pulmonary.
  • Page 65
    Further particulars regarding the notifications, with the reason for removal of cases from register, is given in the following table:— Notification Register.
    Number of cases of tuberculosis remaining on the Register at the 31st December, 1936Pulmonary.Non-pulmonary.Total Cases.
    Males.Females.Total.Males.Females.Total.
    56750610732171864031476
  • Page 66
    The distribution of the cases notified (primary notification) in the different wards is as follows:—
    Ward.Pulmonary.Non-pulmonary.Total.Rate per 1,000 population.
  • Page 67
    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 67
    Death Rates 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 68
    Table of year of notification of all deaths during 1930.
    Year of notification.Number of deaths in 1936.Total.Percentage of total deaths from tuberculosis.
    Male.Female.
    Pul.Non-pul.Pul.Non-pul.
  • Page 69
    Deaths from Tuberculosis in the Borough During 1936.
    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 20 ,,20 to 25 ,,25 to 35 „35 to 45 „45 to 55 „55 to 65 ,,65 to 75 „75 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.
    M.F.M.F.M.F.M.F.M.F.MF.M.F.M.F.
  • Page 70
    Particulars of new cases of tuberculosis and deaths during the year 1936 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 70
    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 1936:—
    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 72 73
    Supplementary Annual Return showing In summary form (a) the condition at the end of 1936 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 1926192619271928192919301931
    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. minusCiass 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)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)
  • Page 74 75
    NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing In summary form (a) the condition at the end of 1936 of 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 192G192619271928192919301931
    Bones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotal
  • Page 76
    Tuberculosis Scheme of the Shoreditch Metropolitan Borough Council. (A) Return showing the work of the Dispensary during the Year 1936.
    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 81
    A few comparative figures relating to the work of the Dispensary for the years 1935 and 1936 are given below:—
    19351936
  • Page 81
    Special sessions for school children are held weekly and the following table shows their attendances for each month:—
    1935193619351936
  • Page 83
    Figures for the year's Care Work:—
    19351936
  • Page 87
    The following table gives the death rate for premature infants over a series of years:—
    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 88
    The actual age incidence of the Shoreditch infants who died from prematurity are shown in the following table:-
    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 89
    The following table sets out these particulars for a period of 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 89
    The following table shows the maternal mortality rates for a period of years:—
    Year.Shoreditch Total Maternal Deaths.Rate per 1,000 Live Births.
    Shoreditch.London.England and Wales.
  • Page 90
    The following table shows the number of mothers who were attended by the health visitors for a number of years. The table also gives the total visits made to these patients each year:—
    19261927192819291930193119321933193419351936
  • Page 91
    The following table shows particulars of the ante-natal attendances for a period of twelve years:—
    Year.First visits by expectant mothers.Total attendances.Average attendance per individual.
  • Page 92
    The following table shows the number of cases attended by students from St. Bartholomew's Hospital and the municipal midwife since the inception of this service:-
    193119321933193419351936
  • Page 93
    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 six years:—
    Year.First visits by nursing mothers.Total attendances.Average attendance per individual.
  • Page 94
    The following table gives a comparison between live and still births notified under the Notification of Births Act, 1907, for the last twelve years:—
    Year.Live births notified.Still births notified.Total births notified.Percentage of still births to total births.
  • Page 96
    Statistical Report for 53 Weeks ending 2nd January, 1937, upon the Work of the Health Visitors.
    Health Visitor's Districts.
    11 2345678910Total.
  • Page 97
    Report of Attendances at Welfare Centres during the 53 Weeks ended 2nd January, 1937.
    District1234567 & 8910Total
    DayTuesday.Mon.Tue.WedThu.Fri.Tuesday.Fri.Tue.Fri.Mon.Wed.Tue.hursday.Thursday.Tue.Thursday.
    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.Herbert St.H.H.M.C.H.H.M.C.
  • Page 98
    Particulars of those referred to the clinic during the last seven years are shown in the following table:—
    1930193119321933193419351936
  • Page 99
    The conditions for which treatment was given during the year are shown in the following table:—
  • Page 99
    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 100
    The following table gives particulars of the work which was carried out at this clinic since its inception.
    Year.No. of individuals treated.Total Attendances.Average no. of attendances made per patient.
  • Page 100
    Particulars of the condition for which children were admitted are given in the following table:—
  • Page 102
    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 103
    The following are particulars of the cases referred under this agreement since 1930:—
    Year.IN-PATIENTS.OUT-PATIENTS.CASUALTY.
    Number.Days.New cases.Attendances.New cases.Attendances.
  • Page 104
    The following table gives particulars of these cases under the different categories:—
  • Page 104
    The figures for cases dealt with through these three channels are as follows (the categories being as indicated above):-
    1933.1934.1935.1936.
  • Page 105
    Liability is determined by the milk scale. The number of mothers who attended during 1936 and the preceding five years is shown in the following table :—
    Model Welfare Centre.
    1931.1932.1933.1934.1935.1936.
  • Page 118
    Routine Medical Inspection of Elementary School Entrants in Shoreditch in 1936. †-Defects found. *-Noted for treatment and included in defects found.
    Disease or Defect.Boys 743.Girls 737.
    Shoreditch.London.Shoreditch.London.
    No.Per cent.Per cent.No.Per cent.Per cent.
  • Page 119
    Routine Medical Inspection of Elementary School Entrants in Shoreditch in 1936.
    Number examinedClothing and boots.Nutrition.Cleanliness of head.Cleanliness of body.Teeth.
    GoodFairPoorGoodAverageBelow normalBadCleanNitsPediculiCleanDirtyPediculiAll soundLess than 4 decayed4 or more decayedFor treatment
  • Page 121
    Table I.—Inspection and Treatment of Children.
    No. of primary examinationsNo. of 1st attendances for treatment.No. of extractions (teeth.)Local anæsthetics.General anæsthetics.Conservative work.Orthodontics.Other operations.Mechanical work.Total visits.
    No. of fillings.Silver nitrate treatment.No. of scalings.No. of 1st visits, i.e., new cases.No. of subsequent visits.Dentures fitted.Repairs.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)
  • Page 122
    Table II.— Inspection and Treatment of Adults.
    No. of primary examinations.No. of 1st attendances for treatment.No. of extractions (teeth).Local anæsthetics.General anæsthetics.Conservative work.Orthodontics.Mechanical work.Total visits.
    No. of fillingsSilver nitrate treatment.No. of scalings.No. of 1st visits, i.e., new cases.No. of subsequent visits.Other operations.Dentures fitted.Repairs.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)
  • Page 122
    Table III.— Analysis of Visits.
    Morning.Afternoon.Evening.Total.
  • Page 123
    Classifications naturally vary according to the particular scheme adopted, and it is felt that a more accurate method of comparison will be obtained by commencing with the year 1933 and giving the figures for subsequent years; this period is marked by a more or less uniform system of classification.
    1933.1934.1935.1936.
  • Page 124
    The information in respect of the 59 children who received treatment is given in following table:
    Age (years).2-33-44-5
  • Page 125
    Table IV. (a) No. of patients who had primary examinations. ( b ) No. of those who first attended for treatment.
    1933.1934.1935.1936.
    (a)(b)Percentage. (b) to (a)(a)(b)Percentage. (b) to (a)(a)(6)Percentage. (b) to (a)(a)(b)Percentage. (b) to (a)
  • Page 128
    The age distribution of the patients is shown in the following table:—
    Age (years)15—20—25—30—35—40—50—60—Total.
  • Page 129
    The obstetric history of the patients is shown in the following table:-
    No. of pregnancies01234567891011121320Total.
  • Page 130
    The age distribution of the patients is shown in the following table:—
    Age (years)15—20—25—30—35—40—50—60—Total.
  • Page 130
    The obstetric history of the patients is shown in the following table:—
    No. of pregnancies012345678910111213Total.
  • Page 130
    Patients who were married during 1935 were counted as having been married one year, those married in 1934, two years, and so on:—
    Period since marriage (years)1234567891010+Total.
  • Page 131
    The weights of 135 of the patients who attended the medical clinic are available. It is not possible to draw any deduction from this small sample, but the figures are inserted here for reference purposes:—
    Weight (Stones)6-6½-7-7½-8-8½-9-9½-10-10½-1111½-12-12½-13-14-15-
  • Page 133
    The following table shows, briefly, the type of cases dealt with and gives some indication of the progress made by the patients:-
    Type of ailment.Number treated.Cured.Improved.Remarks.
  • Page 135
    The work done in compliance with the provisions of the Factory and Workshop Act, 1901, and in connection with the drains and sanitary arrangements of new buildings is included:—
    Inspections, 1936DISTRICTS.Total
    123456789
  • Page 136
    Continued from previous page...
    Work Done, 1936.DISTRICTSTotals
    123456789
  • Page 137
    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 1936:—
    PREMISES.NUMBER OF PLACES-Number of inspections, 1936Number of notices, 1936Number of prosecutions, 1936
    On register at end of 1935Added in 1936Removed in 1936On register at end of 1936
  • Page 142
    Registered Workshops—1936.
    Workshops on the Register (s. 131) at the end of the year.Number.
    (1)(2)
  • Page 143
    The particulars of inspections made by the sanitary inspectors are as follows:—
    Premises. (1)Number of
    Inspections. (2)Written Notices. (3)Prosecutions. (4)
  • Page 143
    The defects found and dealt with were as follows:—
    Particulars.Number of Defects.Number
    Found.Remedied.Referred to H.M. Inspector.of Prosecutions.
  • Page 144
    Other Matters.
    Class.Number.
  • Page 146
    The usual steps were taken in connection with these cases by the officers of the sanitary authority.
    NATURE OF WORK. (1)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. f8)Prosecutions.Instances. (11)Notices served. (12)Prosecutions. (13)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.
    Contractors. (3)Workmen. (4)Contractors. f6)Workmen. (7)
  • Page 147
    Showing the Numbers of Outworkers Received from other Districts during 1936.
    districts.Making Wearing Apparel.Toys and Crackers.Artificial Flowers.Furniture and Upholstery.Fur Pulling.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
  • Page 148
    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 151
    The number of bakehouses in each of these categories is given in the following table:—
    A hove ground.Underground.T otal.
  • Page 156
    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 156
    The total counts of these 10 samples are shown in the following table:—
    Below 1,000.Below 10,000.Below 20,000.Below 50,000.Below 100,000
  • Page 157
    The total counts in these 20 samples are shown in the following table:-
    Under 1,0001,000-5,000.5,000-25,000.25,000-100,000.100,000-200,000.200,000-500,000.Over500,000.
  • Page 158
    During 1936, 142 samples of milk were tested in the department by the Gerber process with the following results:—
    Genuine.Deficient in fat only.Deficient in solids other than fat.Deficient in fat and non-fatty solids.
  • Page 158
    The results of the year's work are summarized in the following table:—
    Quarter of 1936.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.
    f,s.d.
  • Page 159
    The subjoined table gives a comparison of the results of the w Sale of Food and Drugs Acts for the years 1932-1936 inclusive:— ork under
    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.
    £s.d.
  • Page 160
    standard 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 162
    Public Health (London) Act, 1891, and Bye-Laws.
    Date.Nature of Offence.Fine.Costs.Remarks.
    £s.d.£s.d.
  • Page 163
    Food and Drugs (Adulteration) Act, 1928.
    Date.Nature of Offence.Fine.Costs.Remarks.
  • Page 171
    APPENDIX. LIST OF CLINICS.
    Day.Clinic.Where Held.Time.Officer.