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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
Stepney 1936
[Report of the Medical Officer of Health for Stepney]
- Published
- 1937
- Pages
- 118
- Tables
- 84
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Page 7
Deaths from puerperal causes (Headings 29 and 30 of the Registrar.General's Short List):—
Deaths Rate per 1,000 total (live and still) births. -
Page 8
The death.rate for the whole Borough was 12.6 per 1,000 of the population. 2,308 deaths occurred in Public Institutions in the Borough, of which 1,507 belonged to Stepney and 801 belonged to other Boroughs.
Belonging to Stepney. Belonging to other Boroughs. -
Page 8
The net number of births notified under the Act was as follows: —
Live Births. Still Births. -
Page 10
The following is a list of the hospital facilities in the Borough, showing particulars of each:—
Situation. No. of beds. In.patients admitted during the year. Out.patients. No. dealt with during the year. Purpose. Management. -
Page 11
The two dispensaries at Steel's Lane and Stepney Green continue to function, and in the light of experience the time.table of sessions has been altered but not reduced. The present time.table for new patients is as follows:—
Main. Branch, M. T. W. TH. F. S. M. T. W. TH. F. S. -
Page 14
The Council have arrangements by which they pay for the attendances of patients undergoing certain forms of treatment at various hospitals as follows
No of Patients. No. of Attendances -
Page 17
Form T145a. (a) 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. 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 Class T. B. minim 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, pius Class T.B. minus Class T.B. plus Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B.plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B, plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) -
Page 18
PULMONARY TUBERCULOSIS— continued.
Condition at the time of the last record made during the year to which the return relates 1931 1932 1933 1934 1935 1936 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 Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Grhup 2 Group 3 Total (class T.B. plus) -
Page 19
(b) 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 1926 1926 1927 1928 1929 1930 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 OtherOrgans Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total -
Page 20
NON.PULMONARY TUBERCULOSIS— continued.
Condition at the time of the last record made during the year to which the return relates. 1931 1932 1933 1934 1935 1936 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 J oints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bonus and Joints Abdominal Other Organs Peripheral Glands Total -
Page 21
SUMMARY OF WORK DONE AX THE DENTAL CLINIC—(a) TUBERCULOSIS.
Particulars of Patients. Number of Fillings. Number of Scalings. Extraction Cases. Dentures Number of Dressings. Number for Advice. Denture Visits. Number of New Patients. Number of Attendances. Simple. Root. Without Anaesthetic. Local Administrations. Gas Administrations. Number of Teeth Extracted. Upper. Lower. Re.models Repairs. -
Page 23
MATERNAL MORTALITY IN LONDON BOROUGHS, 1936.
Rate per 1,000 live births. Rate per 1,000 live and still births. Puerperal sepsis. Other causes. Total. Puerperal sepsis. Other Causes Total. -
Page 25
6. —Supply of Milk and Food. (a) Arrangements made for this service:—
Terms of Supply. Milk. Meals suppled at Dining Centres. Other Food. Expectant mothers. Nursing mothers. Children under 5 years of age. Expectant mothers. Nursing mothers. Children under 5 years of age. Expetant mothers. Nursing mothers. Children under 5 years of age. -
Page 25
7.—Maternity Homes and Hospitals.
Separate maternity institutions provided by the Council Institutions (with maternity wards) transferred to the Council under Part I of the Local Government Act, 1929. Institutions provided by Voluntary Associations and subsidised by the Council. -
Page 26
I.
Separate Institutions provided by the Council for these cases Institutions (wiih accommodation for these cases) transferred to the Council under Part I of the Local Governmeni Act, 1929. Institutions provided by Voluntary Associations and subsidised by the Council. -
Page 27
12. —Infectious Diseases.
Disease. Number of cases notified during the year, Number of cases visited by officers of the Council. Number of cases for whom home nursing was provided by the Council. Number of cases removed to hospitals. -
Page 30
HEALTH VISITORS' REPORT.
DISTRICT Wapping Shad well, S.W. Mile End, N.W. Spitalfields. Whitechapel, M Mile End, W. and part S. Whitechapel, E. Limehouse, S. Ratcliff, S., St. George's, N. and part S. Shad well, N. Whitechapel, S. St. George's, W. Tower. Mile End, S.E. Mile End, N.E., part N. part S. Mile End, C. Limehouse, N.W. Limehouse, N. Ratcliffe, N. Mile End, part S. NAME Miss Bailey Miss Blackmore Miss Brazier Miss Carty Miss Clements Miss Clifford Miss Cordwell Miss Foucar Miss Gibbs Miss Styles Total -
Page 31
MUNICIPAL INFANT WELFARE AND ANTE-NATAL CENTRES.
Limehouse. Mile End. St. George's. Spitalfields. Wapping. White-chapel. Total. Mile End Road Burdett Road Mon. Wed. Thurs. Thurs. Wed. Tues. Fri. Tues. Thurs. Tues. Fri. Wed. -
Page 32
The deaths from stated causes at various ages under one year of age are shown in the table below:—
Cause ok 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 -
Page 33
INFANTILE MORTALITY, Etc., IN LONDON BOROUGHS, 1936.
Borough. Estd. Res. population (mid. 1936). Live births rate per 1,000 populat ion Death rate per 1,000 population. Infantile Mortality rate per 1,000 live births. Crude. Adjusted. -
Page 34
LIST OF MATERNITY AND CHILD WELFARE CENTRES, ETC., IN THE METROPOLITAN BOROUGH OF STEPNEY.
CENTRES. MONDAY. TUESDAY. WEDNESDAY. THURSDAY. FRIDAY. REMARKS: MORNING. AFTERNOON. MORNING. AFTERNOON. MORNING. AFTERNOON. MORNING. AFTERNOON. MORNING. AFTERNOON. -
Page 35
LIST OF MATERNITY AND CHILD WELFARE CENTRES, ETC., IN THE BOROUGH— continued.
CENTRES. MONDAY. TUESDAY. WEDNESDAY. THURSDAY. FRIDAY. REMARKS: MORNING. AFTERNOON. MORNING. AFTERNOON. MORNING. AFTERNOON. MORNING. AFTERNOON. MORNING. AFTERNOON. -
Page 37
The following is a record of the work done in Stepney during these extra Rat Weeks in 1936:—
Extra Rat Weeks. Dates (inc.) Poisoned baits laid in Baits laid Manholes. Side-entrances. Eaten. Uneaten. -
Page 38
The shelter is used for the accommodation of contacts of infectious disease while their homes are being disinfected. During the year there were 2 persons admitted to the shelter; 1 adult and 1 child.
Premises. No. in borough on 31st December, 1936. No. of Inspections. No. of Prosecutions. -
Page 40
(2) The number of boats inspected was 13. Two children were found on the boats. There were no contraventions of the Acts and Regulations. No boats were registered during the year. Home Office Form 572 1.—Inspections.
Premises. Number of Inspections Writen Notice Prosecutions. -
Page 41
3.—Registered Workshops.
Workshops on the Register (s. 131) at the end of the year 1936. Number. -
Page 41
The net number of outworkers in the Borough engaged in various trades is as follows:—
-
Page 42
Outworkers' premises where sanitary defects were found to exist:—
Nature of work. Instances. Notices served. -
Page 42
The usual annual census of persons in Common Lodging Houses was taken on the night of Friday the 21st February and the following information ascertained:—
Licensed Number of beds. Beds occupied. Number knownto be in receipt of public assistance. Number of beds paid for by charitable organisations Men Women Married Couples Men Women Children Married Couples Men Women Children Men Women Children -
Page 43
REPORT OF INSPECTIONS, Etc. BY THE DISTRICT SANITARY INSPECTORS—1936.
W. E. Anstee. C. F. Brockett. J. H. Brownlee. W. Cue. R. W. G. Day G. D. Freeland. H. J. Green. C. F. Guy. W. H. Haworth W. H. Howard. S. Lowther. J. G. McCarthy. R. Roper. W. F. Smith. W. T. Twynham. R. H. Waterman. Totals -
Page 44
REPORT OF INSPECTIONS, ETC. BY THE DISTRICT SANITARY INSPECTORS—1936— Continued.
W. E. Anstee. C. F. Brockett. J. H. Brownlee. W. Cue. R. W. G. Day G. D. Freeland. H. J. Green. C. F. Guy. W. H. Haworth W. H. Howard. S. Lowther. J. G. McCarthy. R. Roper W. F. Smith. W. T. Twynham. R. H. Waterman. Totals -
Page 45
RETURN OF SANITARY WORK, 1936.
W. E. Anstee. C. F. Brockett. J. H. Brownlee. W. Cue. R. W. G. Day G. D. Freeland. H. J. Green. C. F. Guy. W H. Haworth W. H. Howard. S. Lowther. J. G. McCarthy. R. Roper. W. F. Smith. W. T. Twynham. R. H. Waterman. Totals. -
Page 46
RETURN OP SANITARY WORK, 1936— Continued.
W. E. Anstee. C. F. Brockett. J. H. Brownlee. W. Cue. R. W. G. Day G. D. Freeland. H. J. Green. C. F. Guy. W. H. Haworth W. H. Howard. S. Lowther. J. G. McCarthy. R. Roper W. F. Smith. W. T. Twynham. R. H. Waterman. Totals. -
Page 47
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Date. Matter of Information or Complaint. Result. -
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Date. Matter of information or complaint. Result. -
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Date. Matter of information or complaint. Result. -
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Date Matter of information or complaint. Result. -
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Date Matter of information or complaint. Result. -
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Date. Matter of information or complaint. Result. -
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Date. Matter of information or complaint. Result. -
Page 54
Continued from previous page...
Date. Matter of information or complaint. Result. -
Page 55
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Date. Matter of information or complaint. Result. -
Page 56
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No. of Summonses. Fines. Costs. £ s. d. £ s. d. -
Page 58
HOUSING ACT, 1935.—OVERCROWDING SURVEY. (November 4th to December 13th, 1935). Distribution of working-class families in relation to size of family and size of dwelling occupied. Metropolitan Borough of STEPNEY
Size of family ("equivalent number" of persons) Size of dwelling occupied, in terms of the maximum " equivalent number " of persons permitted to occupy it without causing it to be overcrowded. Totals of Families. *0 *½ 1 1½ 2 2½ 3 3½ 4 4½ 5 5½ 6 6½ 7 7½ 8 8½ 9 9½ 10 10½ 11 11½ 12 12½ 13 & OVER Over-crowded. Not Over-crowded. Total. -
Page 60
798 families in the Borough took accommodation on the London County Council's housing estates as follows:—
Estate. Number of families Estate. Number of families. -
Page 63
No. of Inspections :—
H. Abson A.C.Brown T. W. Dee S. Vogler Totals -
Page 65
Wharves.
Tons cwts. qrs. lbs. -
Page 66
Continued from previous page...
Fresh Fruit and Vegetables. Tons cwts. qrts. lbs. -
Page 67
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Tons cwts. qrts. lbs. -
Page 68
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Meat and Poultry. Tons cwts. qrs. lbs. -
Page 70
167 Detention Notices and 234 Release Notices were issued during the year in respect to the undermentioned foodstuffs:—
Article. detention notices. release notices. Quantity. No. of notices. Weight. Quantity. No. of Notices. Weight. T. c. q. lbs. T. c. q. lbs. -
Page 71
The following foodstuffs were found to be unsound and destroyed:—
Tons cwts. qrs. lbs. -
Page 73
During the year, 1,816 samples were submitted to me for examination These samples were made up as under:—
-
Page 73
Table A.
Nature. Number of Samples. Number Genuine Number Adulterated Percentage Adulterated Preservative Found. -
Page 74
Table A — Continued.
Nature. Number of Samples. Number Genuine. Number Adulterated Percentage Adulterated Preservative Found -
Page 75
Table A.— Continued.
Nature. Number of Samples Number Genuine. Number Adult' rated Percentages Adult' rated Preservatives Found -
Page 76
Table B.
Year. Samples taken under the Act. Number Adulterated. Percentage Adulterated. Bact. Examinations Miscellaneous Samples Total Samples -
Page 76
Offences were committed in 162 cases. These were dealt with as shown below :—
Adulterated. Other offences. Total. -
Page 77
Table C.
1927. 1928. 1929. 1930. 1931. 1932. 1933. 1934. 1935. 1936. -
Page 77
Table D.
Number. Deficient in Fat per cent. Deficient in Solids-not-fat per cent. Minimum added water per cent. Hortvet. Action : Result of Proceedings. -
Page 78
Table D— continued.
Number. Deficient in Fat per cent. Deficient in Solids-not fat per cent. Minimum added water per cent. Hortvet. Action : Result of Proceedings. -
Page 79
Continued from previous page...
Number. Deficient in Fat per cent. Deficient in Solids-not-fat per cent. Minimum added water per cent. Hortvet. Action : Result of Proceedings. -
Page 79
Notes on Table D. Sample B 106. This sample was 8.0 per cent, deficient in fat. A request was made for "Appeal to cow" samples to be taken. 7 samples were taken at the cowshed, and the following results were obtained :—
Number. Fat per cent. Solids-not-fat per cent. Deficiency Fat per cent. Solids-not-fat deficiency per cent. Freezing point Hortvet. -
Page 84
Table G.
Original Milk. After dilution. Solids-not-fat per cent. Freezing Point. Solids-not-fat per cent. Minimum added water per cent. from S.-n.-F. Freezing Point. Minimum added water per cent. Hortvet. Actual water content per cent. -
Page 87
Table E.
Month. Number examined. Fat per cent. Solids-not-fat per cent. Total Solids per cent. -
Page 87
Table F.
Year. Fat per cent. Solids-not-fat per cent. Total Solids per cent. -
Page 98
NOTIFIABLE DISEASES (OTHER THAN TUBERCULOSIS) DURING THE YEAR, 1936.
Disease. Total Cases Notified. In .4Gk Groups. Cases admitted to Hospital Total Deaths. Under 1 year. 1— 2— 3— 4— 5— 10— 16— 20— 35— 45— 65 and over Total -
Page 99
The organs and parts of the body affected were as follows :—
Male. Female. -
Page 101
PART I —Summary of Notifications during the period from the 1st January, 1936, to the 31st December, 1936, in the area of the Metropolitan Borough of STEPNEY.
Age periods Formal Notifications. Number of Primary Notifications of new cases of Tuberculosis Total Notifications. 0— 1— 5— 10— 15— 20— 25— 35— 45— 55— 65— Total (all ages) -
Page 101
SUPPLEMENTAL RETURN. PART II.—New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification.
Age periods 0— 1— 5— 10— 15— 20- 25- 35— 45— 55— 65— Total -
Page 101
The source or sources from which information as to the above-mentioned cases was obtained is stated below:—
Source of Information. No. of Cases. Pulmonary Non-Pulmonary. -
Page 101
PART III. NOTIFICATION REGISTER.
Number of cases of Tuberculosis remaining at the 31st December, 1936, on the Registers of Notifications kept by the Medical Officer of Health. Pulmonary Non-pulmonary Total Cases Males Females Total Males Females Total -
Page 102
Particulars of new cases of tuberculosis and of all deaths from the disease in Stepney during 1936.
Age Periods. New Cases. Deaths. Pulmonary. Non-Pulmonary Pulmonary. Non-Pulmonary M. F. M. F. M. F. M. F. -
Page 102
Power is given to the Council to cause such persons to discontinue their employment. It was not found necessary to take action under the regulations during the year.
Occupation. New Cases Notified. Deaths Occupation. New Cases Notified. Deaths -
Page 103
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Occupation. New Cases Notified. Deaths Occupation. New Cases Notified. Deaths -
Page 104
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Occupation New Cases Notified. Deaths Occupation. New Cases Notified. Deaths -
Page 105
RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN STEPNEY FROM JANUARY 1 st TO DECEMBER 31 st , 1935 INCLUSIVE.
Registration Sub-Districts comprised in the Vaccination Officer's District. Number of Births returned in the "Birth List Sheets'' as registered from 1st January to 31st December, 1935. Number of these Births duly entered by 31st January, 1937, in Columns I., II., IV. and V. of the " Vaccination Register " (Birth List Sheets), viz. : Col. I. Successfully Vaccinated. Col. II. Col. IV. Number in respect of whom Statutory Declarations of Conscientious Objection have been received. Col. V. Died unvaccinated. Insusceptible of Vaccination. Had Small Pox. (1) (2) (3) W (5) (6) (7) -
Page 106
Continued from previous page...
Registration Sub-Districts comprised in the Vaccination Officer's District. Number of these Births which on 31st January, 1937, remained unentered in the "Vaccination Register" on account (as shown by "Report Book") of Number of these Births remaining on 31st Jan., 1937, neither duly entered in the "Vaccination Register" (columns 3, 4, 5, 6 and 7 of this Return) nor temporarily accounted for in the "Report Book" (columns 8, 9 and 10 of this Return). Total number of Certificates of Successful primary Vaccination of Children under 14 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. Postponement by Medical Certificate. Removal to Districts the Vaccination Officers of which have been duly apprised. Removal to places unknown, or which cannot be reached; and cases not having been found. (8) (9) (10) (11) (12) (13) -
Page 107
SUMMARY OF PRIMARY VACCINATIONS DURING THE YEAR JANUARY TO DECEMBER, 1936 (Form N).
No. of cases in birth lists received during the year. No. of certificates of vaccination received. No. of certificates of postponement owing to No. of statutory declarations under section 1 of the Vaccination Act, 1907. No. of certificates of insusceptibility or of having had smallpox. No. of cases No. of entries in lists sent to public vaccinator Parents removed out of district. Otherwise not found. Health of child. Condition of house. Prevalence oJ infectious disease. -
Page 108
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 Institution or Vaccination District. Name of Medical Officer or Public Vaccinator. Number of successful primary vaccinations of persons. Number of successful re-vaccinations. Under one year of age. One year and upwards. Total. -
Page 109
TOTAL DEATHS BY CAUSE AND AGE IN THE METROPOLITAN BOROUGH OF STEPNEY, 1936. ESTIMATED RESIDENT POPULATION (MID. 1936): 207, 800.
CAUSES OF DEATH. Sex. All Ages. 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75— -
Page 110
TOTAL DEATHS BY CAUSE AND AGE IN THE METROPOLITAN BOROUGH OF STEPNEY, 1936— (continued).
CAUSES OF DEATH. Sex. All Ages. 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75— -
Page 111
(1) Estimated Mid-year Resident Population (a) 207,800
Live Births registered (excluding re-registrations) Inward transfers Outward transfers Live Births allocated to the Borough -
Page 112
Birthrates, Deathrates, Analysis of Mortality England and Wales, London, Maternal Death-rates, and Case-rates for 122 Great Towns and 143 certain Infectious Diseases in the year 1936. Smaller Towns. (Provisional Figures based on Weekly and Quarterly Returns.)
England and Wales. 122 County Boroughs and Great Towns including London. 143 Smaller Towns (Resident Population 25,000 to 50,000 at 1931 census). London Administrative County.