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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 1937
[Report of the Medical Officer of Health for Stepney]
- Published
- 1938
- Pages
- 118
- Tables
- 93
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Page 7
SUMMARY OF STATISTICS, 1937.
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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 net number of births notified under the Act was as follows:—
Live Births. Still Births. -
Page 9
(a) Stepney residents in receipt of domiciliary relief:—
1937. Men. Women. Children. Total. -
Page 10
Laboratory facilities.—The number of bacteriological examinations made at the Mile End Hospital on behalf of the Public Health Department during the year was 2,633. These consisted of:—
No. Positive. No. Negative. Totals. -
Page 11
Hospital Facilities. — 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 12
The following is an account of the lectures and film displays which took place up to December:—
-
Page 12
TUBERCULOSIS. Tuberculosis Dispensaries. — The present time-table of routine sessions for old patients is as follows and in addition new patients and contacts are seen daily:—
Main Dispensary, Steels Lane. Branch Dispensary, 35, Stepney Green. M. T. W. TH. F. S. M. T. W. TH. F. S. -
Page 15
Special Treatment for Tuberculosis Patients. — 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 16
Memo. 37/T (Revised). Ministry of Health Form T. 145. A. Return showing the work of the Dispensaries for the year 1937:—
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 17
Form T145a. (a) PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1937 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.
Conditionatthetimeofthelast recordmadeduringtheyearto whichthereturnrelates Previousto 1927 1927 1928 1929 1930 1931 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 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 1932 1933 1934 1935 1936 1937 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 Group 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 1937 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 1927 1927 1928 1929 1930 1931 Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total -
Page 20
NON-PULMONARY TUBERCULOSIS— continued.
Condition at the time of the last record made during the year to which the return relates. 1932 1933 1934 1935 1936 1937 Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bonus and Joints Abdominal Other Organs Peripheral Glands Total -
Page 21
SUMMARY OF WORK DONE AT 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 21
(b) MATERNITY.
-
Page 23
The mortality figures for infants under one year for these three diseases for the past three years were,
1935. 1936. 1937. -
Page 25
MATERNITY MORTALITY IN LONDON BOROUGHS, 1937.
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 27
6.—Supply of Milk and Food. (a) Arrangements made for this service:—
Terms of Supply. Milk. Meals supplied 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. Expectant mothers. Nursing mothers. Children under 5 years of age. -
Page 27
7.—Maternity Homes and Hospitals. I.
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 28
8.—Homes and Hospitals for Sick or Ailing Children under 5 years of age. I.
Separate Institutions provided by the Council for these cases Institutions (with accommodation for these cases) transferred to the Council under Part I of the Local Government Act, 1929. Institutions provided by Voluntary Associations and subsidised by the Council. -
Page 29
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 32
The following table shows the approximate quantity and cost of milk, etc., distributed during the year:—
No. of Grants. Quantity. Cost. -
Page 33
HEALTH VISITORS' REPORT.
DISTRICT Wapping Shadwell, 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, Shadwell, 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 Railey Miss Blackmore Miss Brazier Miss Carty Miss Clements Miss Clifford Miss Cordwell Miss Foucar Miss Gibbs Miss Styles Total -
Page 34
MUNICIPAL INFANT WELFARE AND ANTE-NATAL CENTRES.
Limehouse. Mile End. St. George's. Spitalfields. Wapping. White-chapel. Total. Cottage Grove Burdett Road Mon. Wed. Thurs. Thurs. Wed. Tues. Fri. Tues. Thurs. Tues. Fri. Wed. -
Page 35
Infantile Mortality. —The deaths from stated causes at various ages under one year of age are shown in the table below:—
Cause or 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 36
INFANTILE MORTALITY Etc., IN LONDON BOROUGHS, 1937.
Borough. Estd. Res. population (mid. 1937). Live births rate per 1,000 population Death rate per 1,000 population. Infantile Mortality rate per 1,000 live births. Crude. Adjusted. -
Page 37
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 38
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 40
The following is a record of the work done in Stepney during these extra Rat Weeks in 1937:—
Extra Rat Weeks. Dates (inc.) Poisoned baits laid in Baits laid Manholes. Side-entTances, Eaten. Uneaten. -
Page 41
Report supplied to the L.C.C:—
Premises. No. in borough on 31st December, 1937. No. of Inspections. No. of Prosecutions. -
Page 43
Factories, Workshops and Workplaces. —1.—Inspections.
Premises. Number of Inspections. Written Notices. Prosecutions. -
Page 44
2. —Defects found.
Particulars. Number of Defects. Number of Prosecutions. Found. Remedied. Referred to H.M. Inspector. -
Page 44
3.—Registered Workshops.
Workshops on the Register (s. 131) at the end of the year 1937. Number. -
Page 45
4.—Other Matters
Class. Number. -
Page 46
Outworkers' premises where sanitary defects were found to exist:—
Nature of work. Instances. Notices served. -
Page 47
The usual annual census of persons in Common Lodging Houses was taken on the night of Friday the 11th February and the following information ascertained:—
Licensed Number of beds. Beds occupied. Number known to 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 48
REPORT OF INSPECTIONS, ETC. BY THE DISTRICT SANITARY INSPECTORS—1937.
W. E. Anstee. J. H. Brownlee. J. J. Coveney. W. Cue. R. W. G. Day G. D. Freeland. H. J. Green. C. F. Guy. W. H. Haworth W. H. Howard. J. Keniry. S. Lowther. J. G. McCarthy. R. Roper. W. F. Smith. W. T. Twynham. R. H. Waterman. Totals -
Page 49
REPORT OF INSPECTIONS, ETC. BY THE DISTRICT SANITARY INSPECTORS—1937— Continued.
W. E. Anstee. J. H. Brownlee. J. J. Coveney. W. Cue. R. W. G. Day G. D. Freeland. H. J. Green. C. F. Guy. W. H. Haworth W. H. Howard. J. Keniry. S. Lowther. J. G. McCarthy. R. Roper W. F. Smith. W. T. Twynham. R. H. Waterman. Totals -
Page 50
RETURN OF SANITARY WORK, 1937.
W.E. Anstee. J. H. Brownlee. J. J. Coveney. W. Cue. R. W. G. Day G.D. Freeland. H. J. Green. C. F. Guy. W. H. Haworth W. H. Howard. J. Keniry. S. Lowther. J. G. McCarthy. R. Roper. W. F. Smith. W. T. Twynham. R. H. Waterman. Totals. -
Page 51
RETURN OF SANITARY WORK, 1937— Continued.
W. E. Anstee. J. H. Brownlee. J. J. Coveney. W. Cue. R. W. G. Day G. D. Freeland. H. J. Green. C. F. Guy. W. H. Haworth | W. H. Howard. J. Keniry. S. Lowther. J. G. McCarthy. R. Roper W. F. Smith. W. T. Twynham. R. H. Waterman. Totals. -
Page 52
Legal Proceedings :—
Date. Matter of Information or Complaint. Result. 1937 Public Health(London) Act, 1936. -
Page 53
Continued from previous page...
Date. Matter of information or complaint. Result. -
Page 54
Continued from previous page...
Date. Matter of information or complaint. Result. -
Page 55
Continued from previous page...
Date. Matter of Information or Complaint. Result. -
Page 56
Continued from previous page...
Date, Matter of Information or Complaint. Result. -
Page 57
Continued from previous page...
Date. Matter of Information or Complaint. Result. -
Page 58
Continued from previous page...
Date. Matter of Information or Complaint. Result. -
Page 59
Continued from previous page...
Date. Matter of Information or Complaint. Result. -
Page 60
Continued from previous page...
Date. Matter of Information or Complaint. Result. -
Page 61
Continued from previous page...
Date. Matter of Information or Complaint. Result. -
Page 62
Continued from previous page...
No . of Summonses. Fines. Costs. £ s. d. £ s. d. -
Page 62
IV.—HOUSING. Slum Clearance .—During the year the Council made Clearance Orders as follows:—
Houses. Persons to be displaced. -
Page 66
House to House inspection. —List of streets in which all houses have been inspected as a result of House to House inspection during the year 1937:—
Limehouse. Mile End. St. George's. Whitechapel. -
Page 67
Continued from previous page...
Mile End. Whitechapel. -
Page 68
The following is a summary of the inspections, etc., by the four special Inspectors engaged in the supervision and inspection of food:—
H. Abson. A. C. Brown. T. W. Dee. S. Vogler. Totals. -
Page 69
Milk Supply.
No on Register. No of Inspections. No of Notices Served. -
Page 69
The following samples were submitted for bacteriological examination: —
Nature of sample. No. of samples. Number unsatisfactory and action taken. -
Page 70
The manufacturer changed over to another supply and subsequent sample of ice cream mix containing milk powder from the new source was taken(C.494) and found to be satisfactory.
Sample No. Nature of Sample. No. of bacteria per c.c. Minimum amount showing Coliform bacilli. Observations of Bacteriologist. -
Page 72
Fresh Meat and Poultry.
Tons Cwts. Qtrs. lbs. -
Page 73
The following foodstuffs have been destroyed during the year under the Public Health (London) Act, 1936:—
Tons Cwts. Qrs. lbs. -
Page 74
Meat and Poultry.
Tons Cwts. Qtrs. lbs. -
Page 75
128 Detention Notices and 131 Release Notices were issued during the year in respect of 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 77
The following foodstuffs were found to be unsound and were destroyed:—
tons. cwts. qrs. lbs. -
Page 79
During the year, 1,706 samples were submitted to me for examination. These samples were made up as under:—
-
Page 79
Table A.
Nature Number of Sample Number Adulterated Perecentage Adulterated Preservative Found. -
Page 80
Table A— Continued.
Nature. Number of Samples. Number Adulterated Percentage Adulterated Preservative Found -
Page 81
Table A.— Continued.
Nature. Number of Samples Number Adulterated Percentage Adulterated Preservative Found -
Page 82
Table B.
Year. Samples taken under the Act. N umber Adulterated. Percentage Adulterated. Bact. Examinations. Miscellaneous Samples. Total Samples. -
Page 82
Legal Proceedings. — Offences were committed in 146 cases. These were dealt with as shown below:—
Adulterated. Other offences. Total. -
Page 82
Table C.
1923. 1929. 1930. 1931. 1932. 1933 1934. 1935. 1936. 1937. -
Page 83
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 84
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 85
Table E.
Month. Number examined. Fat per cent. Solids-not-fat per cent. Total Solids per cent. -
Page 86
Table F.
Year. Fat per cent. Solids-not-fat per cent. Total Solids per cent. -
Page 96
NOTIFIABLE DISEASES (OTHER THAN TUBERCULOSIS) DURING THE YEAR, 1937.
Disease Total Cases Notified. In Age Groups. Cases admitted to Hospital Total Deaths. Under 1 year. 1— 2— 3— 4— 5— 10— 15— 20— 35— 45— 65 and over Total -
Page 97
The organs and parts of the body affected were as follows:—
Male. Female -
Page 98
Particulars of rehousing are given below:
Name of Flats. No. of familes rehoused. -
Page 100
PART I —Summary of Notifications during the period from the 1st January, 1937, to the 31st December, 1937, 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 100
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 100
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 100
PART III. NOTIFICATION REGISTER.
Number of cases of Tuberculosis remaining at the 31st December, 1937, on the Registers of Notifications kept by the Medical Officer of Health. Pulmonary Non-pulmonary Total Cases Males Females Total Males Females Total 981 570 1551 273 206 479 2,030 -
Page 101
New Cases of Tuberculosis and Mortality. —Particulars of new cases of tuberculosis and of all deaths from the disease in Stepney during 1937.
Age Periods. New Cases. Deaths. Pulmonary. Non-Pulmonary Pulmonary. Non-Pulmonary M. F. M. F. M. F. M. F. -
Page 102
RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN STEPNEY FROM JANUARY 1 st TO DECEMBER 31 st , 1936 INCLUSIVE. M.379
Registration Sub-Districts comprised in the Vaccination Officer's District. Number of Births retrrned in the 'Birth List Sheets" as registered from 1st January to 31st December, 1936. Number of these Births duly entered by 31st January, 1938, 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) (5) (6) (6) (7) -
Page 103
Continued from previous page...
Registration Sub-Districts comprised in the Vaccination Officer's District. Number of these Births which on 31st January, 1938, remained unentered in the "Vaccination Register" on account (as shown by "Report Book") of Number of these Births remaining on 31st Jan., 1938, 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 1937. 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 1937. 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 104
SUMMARY OF PRIMARY VACCINATIONS DURING THE YEAR JANUARY TO DECEMBER, 1937 (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 Parents removed out of district. Otherwise not found. No. of entries in lists sent to public vaccinator Health of child. Condition of house. Prevalence of infectious disease. -
Page 105
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, 1937.
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 106
TOTAL DEATHS BY CAUSE AND AGE IN THE METROPOLITAN BOROUGH OF STEPNEY. 1937. S.D.24
CAUSES OF DEATH. Sex. All Ages. 0— 1— 2— 6— 15— 25— 35— 45— 55— 65— 75— -
Page 107
TOTAL DEATHS BY CAUSE AND AGE IN THE METROPOLITAN BOROUGH OF STEPNEY, 1937— (continued).
CAUSES OF DEATH. Sex. All Ages. 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75— -
Page 108
(2) LIVE BIRTHS.
Live Births registered (excluding re-registrations) Inward transfers Outward transfers Live Births allocated to the Borough -
Page 108
(3) STILLBIRTHS.
Stillbirths registered Inward transfers Outward transfers Stillbirths allocated to the Borough -
Page 108
(4) NOTIFIABLE INFECTIOUS DISEASES. (number of cases notified during the 53 weeks ended 2nd January, 1938)
Smallpox Scarlet fever Diphtheria Enteric fever Pneumonia Puerperal fever Pueperal pyrexia Erysipelas -
Page 109
(Provisional Figures based on Weekly and Quarterly Returns.)
England and Wales. 125 County Boroughs and Great Towns including London. 148 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 census). London Administrative County.