[Report of the Medical Officer of Health for Stepney]

Page 8

1,284 bacteriological examinations were made on behalf of the Public Health Department during the year. The specimens and the results were as follows:—

	Positive result.	Negative result.	Total.

Page 15

Table showing the number of deaths of infants under one year of age from diarrhoea, and the period of the year, etc., for the years 1913-1922:—

Year.	1st qtr.	2nd qtr.	3rd qtr.	Oct. & Nov.	Dec.	Total under 1.	Percentage of deaths occurring from 'July 1st to end of November, per cent.	Deaths from Diarrhoea over 1 and under 2 years of age.

Page 18

Phthisis. 546 new cases were notified, or 27 less than in the previous year.

				Notifications of New Cases.	Deaths.

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Other Forms of Tuberculosis. 98 new cases were notified, or 42 less than in the previous year :—

				Notifications	. Deaths.

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Analysis.

		Under observation on January 1st pending diagnosis.	Examined for the first time during the year.	Total	Suffering from Pulmonary Tuberculosis.	Suffering from Non-Pulmonary Tuberculosis.	Not suffering from 1 Tuberculosis.	Under observation on December 31st pending diagnosis.	Ceased attendance before completion of diagnosis.

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TABLE II.

		Under observation on January 1st pending diagnosis.	Examined for the first time during the year.	Total	Suffering from Pulmonary Tuberculosis.	Suffering from Non-Pulmonary Tuberculosis.	Not suffering from Tuberculosis.	Under observation on December 31st pending diagnosis.	Ceased attendance before completion of diagnosis.

Page 22

Table III. shows an analysis of the Insured patients. TABLE III.

		Under observation on January 1st pending diagnosis.	Examined for the first time during the year.	Total	Suffering from Pulmonary Tuberculosis.	Suffering from Non-Pulmonary Tuberculosis.	Not suffering from Tuberculosis,	Under observation on December 31st pending diagnosis.	Ceased attendance before completion of diagnosis.

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Table IV. shows the number of Pensioners dealt with during the year. TABLE IV. War Pension Cases.

	New cases.	Cases in attendance during the year.

Page 24

T able V. Table V. shows a general analysis of the work of the Dispensaries during the year.

	1. Number of Patients under treatment or supervision (excluding persons under observation or domiciliary treatment) on December 31st.	2. Total number of attendances of Patients at the Dispensaries during the year.	3. Number of persons placed during the year under observation at the Dispensaries for purpose of diagnosis.	4. Number ofcasesin which the period of observation at the Dispensary exceeded two months.	5. Number of Insured persons under domiciliary treatment on December 31st.	6. Number of reports received from Insurance Practitioners in reipeet of insured patients under domiciliary treatment during the year.	7. Number of persons referred to affiliated hospital for consultation.	8. Number of consultations with Medical Practitioners at the homes of Patients.	9. Number of other visits paid by Tuberculosis Officers to the homes of patients	10. Number of visits paid by Nurses or Health Visitors to the homes of patients for dispensary purposes.	11. Number of specimens of sputum examined in connection with the work of the Dispensaries.

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TUBERCULOSIS DISPENSARIES IN STEPNEY—Form R (Revised). Return as to work carried oat in connection with the S tepney G reen D ispensary , 35, Stepney Green, E. 1 for the Year 1922. (Tha return relates only to persons residing in the area which is served by the Dispensary under the scheme of the Metropolitan Borough Council )

Number of			Under observation at the Dispensary oa Jan. 1st pending diagnosis.	Examined for the first time during the year.	Total.	Found to be			Under observation at the Dispensary on Dec. 31st pending diagnosis.	Ceased attendance before completion of diagnosis.
						Suffering from Tuberculosis.		Not suffering from Tuberculosis.
						Pulmonary	Non-Pulmonary.	Not suffering from Tuberculosis.

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(The return relates only to persons residing in the area which is served by the Dispensary under the scheme of the Metropolitan Borough Council )

Number of			Under observation at the Dispensary on Jan. 1st pending diagnosis.	Examined for the first time during the year.	Total.	Found to bo			Under observation at the Dispensary on Dec. 31st pending diagnosis.	Ceased attendance before completion of diagnosis.
						Suffering from Tuberculosis.		Not suffering from Tuber-culosis.
						Pulmonary	Non-Pulmonary.	Not suffering from Tuber-culosis.

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(The return relates only to persons residing in the area which is served by the Dispensary under the scheme of the Metropolitan Borough Council).

Number of			Under observation at the Dispensary on Jan.1st pending diagnosis	Examined for the first time during the year.	Total.	Found to be			Under observation at the Dispensary on Dec. 31st pending diagnosis.	Ceased attendance before completion of diagnosis.
						Suffering from Tuberculosis.		Not suffering from Tuberculosis.
						Pulmonary.	Non-Pulmonary.	Not suffering from Tuberculosis.

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The cases occurred in the Districts as follows:—

	Limehouse	St. George's	Mile End	Whitechapel	Total

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The increase in the number of deaths is shown in the following table, although the population was gradually decreasing:—

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The average infantile mortality for five-year periods from 1390-1919, and for the years 1920-1922:—

	Limehouse.	St. George's.	Mile End.	Whitechapel.	Whole Borough.

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Municipal Centres.

	Limehouse.	St. George's.	Spitalfields.	Wapping.	Whitechapel

Page 35

VISITS BY THE HEALTH VISITORS:—

	Addis	Chabot	Clements	Cordwell	Davis	Gibbs	Goodfellow	Mitchell	Phillips	j Virtue	Whitty	Total

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List and quantity of the foodstuffs destroyed during the year under the Unsound Food Series and the Public Health (Foreign Meat) Regulations 1908. I.—At the wharves.

Fresh Meat and Poultry.
	Tons.	cwts.	qrs.	lbs.

Page 37

Continued from previous page...

Sundries.
	Tons.	cwts.	qrs.	lbs

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II.—Diseased Meat and Offal destroyed from the Slaughter-houses and Offal Dealers:—

	Tons.	cwts.	qrs.	lbs.

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III.—Unsound Food seized by, or surrendered to the District Inspectors:-

	Tons.	cwts.	qrs.	lbs.

Page -

SANITARY INSPECTORS' REPORT.

	COOK.	CROOK.	DEE.	FLINT.	JOHNSON.	MILLS.	PAVITT.	QUAINTRELL.	SHEPHERD.	SIMPSON.	STILES.	TWAITS.	WATERMAN.	WHITE.	WRACK.	BOTTOMLE.	HARRIS.	TRIMMING.	TWYNHAM.	TOTALS.

Page 41

TOTAL FINES AND COSTS.

	Fines.			Costs.
	£	s.	d.	£	s.	d.

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London County Council Table.

Premises.	No. on register at end of 1922.	Number of inspections.	Number of prosecutions.

Page 65

HOMEWORK. 1.— INSPECTIONS.

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

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2.- DEFECTS FOUND.

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

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3.—HOME WORK.

OUTWORKERS' LISTS. SECTION 107.									Outwork in Unwholesome Premises, Section 108.			Outwork in Infected Premises, Sections 109, 110.
Lists received from Employers.						Notices served on Occupiers as to keeping or sending lists.	Prosecutions.		Instances,	Notices served.	Prosecutions.	Instances.	Orders made (s 110).	Prosecutions (sections 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.

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4.—REGISTERED WORKSHOPS.

Workshops on the Register (s. 131) at the end of the year 1922.	Number.

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5.—OTHER MATTERS.

Class.	Number.
(1)	(2)

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Infant Mortality. Deaths from stated Causes at Various Ages under One Year of Age for the whole Borough.

Cause of Death		Under 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 Deaths under One Year

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Causes of, and Ages at Death during the Year. Metropolitan Borough of Stepney.

Causes of Death.	Under 1 year.	1 and under 2 years.	2 and under 5 years.	5 and under 15 years.	15 and under 25 years.	25 and under 45 years.	45 and under 65 years.	65 and upwards.	All Ages.

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Cases of Infectious disease notified during the Year. Metropolitan Borough of Stepney.

Notifiable Disease.	Number of Cases notified.								Total Cases notified in each Locality.				Total cases removed to Hospital
	At all Ages			At Ages—Years.					1	2	3	4
	At all Ages	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and upwards	Lime-house	St. George's	Mile End	White-chapel

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Table A.

	Number of Samples.	Number Genuine.	Number Adulterated	Percentage Adulterated.

Page 72

Table A.— Continued.

	Number of Samples.	Number Genuine.	Number Adulterated.	Percentage Adulterated.

Page 72

Table B shows the number of samples analysed and the number found to be adulterated during the past eight years. Table B.

Year.	Number of Samples.	Number Adulterated.	Percentage Adulterated.

Page 73

Table C.

	Stepney.		Other Metropolitan Boroughs, 1921,	Other Eastern Metropolitan Boroughs, 1921,
	1922.	1921.	Other Metropolitan Boroughs, 1921,	Other Eastern Metropolitan Boroughs, 1921,

Page 73

Table D shows the distribution of the 1,417 samples, taken under the Food and Drugs Acts, amongst the four districts of Stepney. Table D.

	Number of Samples.	Number Adulterated,	Percentage Adulterated.	Offences under Butter and Margarine Acts.

Page 74

Table E shows the number of samples taken by each inspector and gives particulars of offences and proceedings. Table E.

Inspector.	Samples Taken.	Number of Samples.		Number of Prosecutions.
Inspector.	Samples Taken.	Adulterated.	Unlabelled.	Food & Drugs Acts.	Butter & Margarine Acts.

Page 74

Legal Proceedings. Legal proceedings were taken in 57 cases. Details of the individual prosecutions are given later under the separate headings. Table F summarises the results and compares them with the results of proceedings instituted during 1921. Table F.

Year.	Number of Summonses.	Total Fines.			Total Costs,			Average Fine.			Average Total Penalty.

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Table G shows the number of samples of milk examined and the percentage adulterated for the past eight years. Table G.

	1915.	1916.	1917.	1918.	1919.	1920.	1921.	1922.

Page 76

Table H.

Period	Total Solids per cent.	Solids-not-fat per cent.	Fat. per cent.

Page 77

Table J gives particulars of the adulterated samples of milk. Table J.

Number.	Deficient of Fat.per cent.	Deficient of Solids-not-fat.per cent.	Action:Result of Proceedings.

Page 79

Table K.

Amount of Boric Acid per cent.	Percentage of Samples, 1922.	Percentage of Samples, 1921.	Percentage of Samples, 1920.

Page 81

The 39 cases consisted of 16 informal samples and 23 formal samples. Proceedings were taken in 18 cases and the results are shown in Table L. Five vendors were cautioned for minor infringements of the regulations. Table L.

Number.		Offence.	Action. Result of proceedings.

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Table M.

Number.	Boric Acid per cent.	Fat per cent.	Action, Result of Proceedings.

Page 82

Particulars of the adulterated samples are given below:—

Page 85

Particulars of the adulterated samples are given below in table N. Table N.

Number.	Prescription.	Adulteration.	Action. Result of proceedings.

Page 86

Lime Water. Fourteen samples were analysed of which seven, or 50.0 per cent. were adulterated. Particulars are given below :—

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Public Health (Milk and Cream) Regulations. 1. Milk and Cream not sold as preserved cream ;—

(a) No. of Samples examined for preservative.		(b) No. in which preservative was reported to be present.

Page 88

The amounts of tin found were as under:—

Number.	Nature.	Metallic Tin. (grains per lb.)

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

View report tables

Stepney 1922

50 tables in this report

1,284 bacteriological examinations were made on behalf of the Public Health Department during the year. The specimens and the results were as follows:—

Table showing the number of deaths of infants under one year of age from diarrhoea, and the period of the year, etc., for the years 1913-1922:—

Phthisis. 546 new cases were notified, or 27 less than in the previous year.

Other Forms of Tuberculosis. 98 new cases were notified, or 42 less than in the previous year :—

Analysis.

TABLE II.

Table III. shows an analysis of the Insured patients. TABLE III.

Table IV. shows the number of Pensioners dealt with during the year. TABLE IV. War Pension Cases.

T able V. Table V. shows a general analysis of the work of the Dispensaries during the year.

(The return relates only to persons residing in the area which is served by the Dispensary under the scheme of the Metropolitan Borough Council )

(The return relates only to persons residing in the area which is served by the Dispensary under the scheme of the Metropolitan Borough Council).

The cases occurred in the Districts as follows:—

The increase in the number of deaths is shown in the following table, although the population was gradually decreasing:—

The average infantile mortality for five-year periods from 1390-1919, and for the years 1920-1922:—

Municipal Centres.

VISITS BY THE HEALTH VISITORS:—

List and quantity of the foodstuffs destroyed during the year under the Unsound Food Series and the Public Health (Foreign Meat) Regulations 1908. I.—At the wharves.

Continued from previous page...

II.—Diseased Meat and Offal destroyed from the Slaughter-houses and Offal Dealers:—

III.—Unsound Food seized by, or surrendered to the District Inspectors:-

SANITARY INSPECTORS' REPORT.

TOTAL FINES AND COSTS.

London County Council Table.

HOMEWORK. 1.— INSPECTIONS.

2.- DEFECTS FOUND.

3.—HOME WORK.

4.—REGISTERED WORKSHOPS.

5.—OTHER MATTERS.

Infant Mortality. Deaths from stated Causes at Various Ages under One Year of Age for the whole Borough.

Causes of, and Ages at Death during the Year. Metropolitan Borough of Stepney.

Cases of Infectious disease notified during the Year. Metropolitan Borough of Stepney.

Table A.

Table A.— Continued.

Table B shows the number of samples analysed and the number found to be adulterated during the past eight years. Table B.

Table C.

Table D shows the distribution of the 1,417 samples, taken under the Food and Drugs Acts, amongst the four districts of Stepney. Table D.

Table E shows the number of samples taken by each inspector and gives particulars of offences and proceedings. Table E.

Legal Proceedings. Legal proceedings were taken in 57 cases. Details of the individual prosecutions are given later under the separate headings. Table F summarises the results and compares them with the results of proceedings instituted during 1921. Table F.

Table G shows the number of samples of milk examined and the percentage adulterated for the past eight years. Table G.

Table H.

Table J gives particulars of the adulterated samples of milk. Table J.

Table K.

The 39 cases consisted of 16 informal samples and 23 formal samples. Proceedings were taken in 18 cases and the results are shown in Table L. Five vendors were cautioned for minor infringements of the regulations. Table L.

Table M.

Particulars of the adulterated samples are given below:—

Particulars of the adulterated samples are given below in table N. Table N.

Lime Water. Fourteen samples were analysed of which seven, or 50.0 per cent. were adulterated. Particulars are given below :—

Public Health (Milk and Cream) Regulations. 1. Milk and Cream not sold as preserved cream ;—

The amounts of tin found were as under:—