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Stepney 1938

[Report of the Medical Officer of Health for Stepney]

Published
1939
Pages
116
Tables
80

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80 tables in this report

  • 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 2,514. These consisted of:-
    No. Positive.No. Negative.Totals.
  • Page 10
    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 11
    Health Propaganda. —The National Health Campaign which commenced in September, 1937, was continued on the same lines during the year. Lectures and Film displays:-
    Date and placeLectureFilmsChairman
  • Page 11
    Propaganda by the display of Posters, etc.:-
    MonthSubjectOutdoorIndoorClassroomFolders
  • 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. Devonport Street.Branch Dispensary, 35, Stepney Green.
    m.t.w.th.f.sm.t.wth.f.s.
  • Page 13
    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 14
    A. Return showing the work of the Dispensaries for the year 1938: —
    DiagnosisPulmonary.Non-Pulmonary.Total.Grand Total.
    Adults.ChildrenAdults.ChildrenAdults.Children
    M.F.MF.M.F.M.F.M.F.M.F.
  • Page 15
    (a) PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1938 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 relatesPrevious to 192819281929193019311932
    Class T. B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. piusClass 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)
  • Page 16
    PULMONARY TUBERCULOSIS- continued.
    Condition at the time of the last record made during the year to which the return relates193319341935193619371938
    Class T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. 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)
  • Page 17
    (b) NON-PULMONARY TUBERCULOSIS Supplementary Annual Return showing in summary form (a) the condition at the end of 1938 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 192819281929193019311932
    Bones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominal ,Other OrgansPeripheral GlandsTotalBones and JointsAbdominalOtherOrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotal
  • Page 18
    NON-PULMONARY TUBERCULOSIS— continued.
    Condition at the time of the last record made during the year to which the return relates.193319341935193619371938
    Bones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and J ointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBonus and J ointsAbdominalOther OrgansPeripheral GlandsTotal
  • Page 19
    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-modelsRepairs.
  • Page 22
    MATERNITY MORTALITY IN LONDON BOROUGHS, 1938.
    Borough or City.Rate per 1,000 live births.Rate per 1,000 total births (live and still).
    Puerperal sepsis.Other causes.Total.Puerperal sepsis.Other causes.Total.
  • Page 24
    (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 24
    7.—Maternity Homes and Hospitals. I.
    Separate maternity institutions provided by the CouncilOther institutions with maternity wards provided by the Council.Institutions provided by Voluntary Associations and subsidised by the Council.
  • Page 25
    8.—Homes and Hospitals for Sick or Ailing Children under 5 years of age. I.
    Separate Institutions provided by the Council for these cases.Other institutions (with accommodation for these cases) provided by the Council.Institutions provided by Voluntary Associations and subsidised by the Council.
  • Page 26
    13.—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.
    (1)(2)(3)(4)(5)
  • Page 28
    Convalescent Treatment. —During the year, mothers and children were sent away to the homes mentioned below:-
    MothersChildren.
  • Page 29
    Provision of Milk and Meals to Expectant and Nursing Mothers and Children. —The following table shows the approximate quantity and cost of milk, etc., distributed during the year:—
    No. of Grants authorised.Quantity.Cost.
    Cows' Milk—£s.d.
  • Page 30
    HEALTH VISITORS' REPORT.
    DISTRICTWapping Shad well, S.W.Mile End, N.W Spitalfields. Whitechapel, MMile End, W. and part S. Whitechapel, E.Limehouse, S. Ratcliffe, S.St. George's, N. and part S. Shadwell, N.Whitechapel, S. St. Geoige'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.
    NAMEMiss RaileyMiss BlackmoreMiss BrazierMiss CartyMiss ClementsMiss CliffordMiss CordwellMiss FoucarMiss GibbsMiss StylesTotal
  • Page 31
    MUNICIPAL INFANT WELFARE AND ANTE-NATAL CENTRES.
    Limehouse.Mile End.St. George's.Spitalfields.Wapping.White-chapel.Total.
    Cottage GroveBurdett Road
    Mon.Wed.Thurs.Thurs.Tues.Tues.Fri.Tues.Thurs.Wed.Fri.Wed.
  • Page 32
    Infantile Mortality.— The deaths from stated causes at various ages under one year of age are shown in the table below:-
    Cause of DeathUnder 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, 1938.
    Borough.Estd. Res. population (mid. 1938).Live births rate per 1,000 populationDeath 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 1938:—
    Extra Rat WeeksDates (inc.)Poison baits laid in Manholes and Side-entrancesBaits EatenBaits Uneaten
  • Page 38
    Report supplied to the L.C.C.:-
    Premises.No. in borough on 31st December, 1938.No. of Inspections.No. of Prosecutions.
  • Page 39
    Infectious diseases —cases notified under local orders (excluding cases coming to knowledge otherwise than by notification).
    Disease.Cases notified.Period.
  • Page 41
    1.—Inspections tor purposes of provisions as to health (including inspections made by Sanitary Inspectors).
    Premises.Number of
    Inspections.Written Notices.Occupiers prosecuted.
    (1)(2)(3)(4)
  • Page 41
    2.—Defects Found.
    ParticularsNumber of DefectsNumber of defects in respect of which Prosecutions were instituted
    FoundRemediedReferred to H.M. Inspector
    (1)(2)(3)(4)(5)
  • Page 42
    Outwork in Unwholesome Premises. -(Section 108 of Act of 1901 ; Section III of Act of 1937.)
    Nature of WorkInstancesNotices servedProsecutions
    (1)(2)(3)(4)
  • Page 43
    Outworkers. —The net number of outworkers on the Register is 2,161 and they are engaged in the trades as follows:-
  • Page 43
    The number of factories in the Borough without mechanical power is as follows:-
  • Page 44
    The usual annual census of persons in Common Lodging Houses was taken on the night of Friday the 17th February and the following information ascertained :-
    I icensed Number of beds.Beds occupied.Number known to be in receipt of public assistance.Number of beds paid for by charitable organisations
    MeuWomenMarried CouplesMenWomenChildrenMarried CouplesMenWomenChildrenMen| WomenChildren
  • Page 45
    REPORT OF INSPECTIONS, ETC. BY THE DISTRICT SANITARY INSPECTORS-1938.
    W. E. Anstee.J. H. Brownlee.J.J.Coveney.W. Cue.R. W. G. DayG. D. Freeland.H. J. Green.C. F. Guy.W. H. HaworthW. H. Howard.J. Keniry.S. Lowther.J. G. McCarthy.R. Roper.W. F. Smith.W. T. Twynham.E. P. Webber.Totals
  • Page 46
    REPORT OF INSPECTIONS, ETC. BY THE DISTRICT SANITARY INSPECTORS-1938- Continued.
    W.E. Anstee.J. H. Brownlee.J.J. Coveney.W. Cue.R. W. G. DayG. D. Freeland.H. J. Green.C. F. Guy.| W. H. HaworthW. H. Howard.J. Keniry.S. Lowther.j J. G. McCarthy.R. RoperW. F. Smith.W. T. Twynham.E. P. Webber.Totals
  • Page 47
    RETURN OF SANITARY WORK, 1938
    W. E. Anstee.J. H. Brownlee.J. J. Coveney.W. Cue.R. W. G. DayG. D. Freeland.H. J. Green.C. F. Guy.W. H. HaworthW. H. Howard.J. Keniry.S. Lowther.J. G. McCarthy.R. Roper.W. F. Smith.W. T. Twynham.E. P. Webber.Totals.
  • Page 48
    RETURN OF SANITARY WORK, 1988 —Continued.
    W. E. Anstee.J. H. Brownlee.J.J. Coveney.W. Cue.R. W. G. DayG. D. Freeland.H. J. Green.C. F. Guy.W. H. HaworthW. H. Howard.J. Keniry.S. Lowther.J. G. McCarthy.R. RoperW. F. Smith.W. T. Twynham.E. P. Webber.Totals.
  • Page 49
    Legal Proceedings:—
    Date.Matter of Information or Complaint.Result.
    Public Health (London) Act, 1936.
  • Page 50
    Continued from previous page...
    Date.Matter of information or complaint.Result.
  • Page 51
    Continued from previous page...
    Date.Matter of information or complaint.Result.
  • Page 52
    Continued from previous page...
    Date.Matter of information or complaint.Result.
  • Page 53
    Continued from previous page...
    Date-Matter of information or complaint.Result.
  • Page 56
    L.C.C. Areas already confirmed or declared.
  • Page 57
    Moreover, the social conditions and environment of such a home should be favourable to the enjoyment of a full and happy life.
    HOUSING ACT, 1936 re OvercrowdingAnsteeBrownleeCoveneyCueDayFreelandGreenGuyHaworthHowardKeniryLowtherMcCarthyRoperSmithTwynhamWebberBottom leyTotal
  • Page 61
    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 62
    The following samples were submitted for bacteriological examination:—
    Nature of sampleNo. of samples takenNumber unsatisfactory and action taken
  • Page 63
    Butter and Margarine Factories, etc.
    No. on Register.No. of Notices served.No. of Inspections.
  • Page 64
    Preserved Meat and Poultry.
    TonsCwts.Qtrs.lbs.
  • Page 65
    The following foodstuffs have been destroyed during the year under the Public Health (London) Act, 1936:—
    (a) Spitalfields Market and London Fruit Exchange.
    TonsCwts.Qtrs.lbs.
  • Page 66
    Fruit and Vegetables.
    Tons.Cwts.Qtrs.lbs.
  • Page 67
    198 Detention Notices and 224 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.
  • Page 69
    The following foodstuffs were found to be unsound and were destroyed:-
    tons.cwts.qrs.lbs.
  • Page 71
    Table A.
    Nature.Number of Samples.Number AdulteratedPercentage AdulteratedPreservative Found.
  • Page 72
    Table A— Continued.
    Nature.Number of Samples.Number AdulteratedPercentage AdulteratePreservative Found
  • Page 73
    Table A.— Continued.
    Nature.Number of SamplesNumber AdulteratedPercentage AdulteratecPreservative Found
  • Page 74
    Table B.
    Year.Samples taken under the Act.Number Adulterated.Percentage Adulterated.Bact. Examinations.Miscellaneous Samples.Total Samples.
  • Page 74
    Legal Proceedings. —Offences were committed in 117 cases. These were dealt with as shown below:—
    Adulterated.Other offences.Total.
  • Page 74
    Table C.
    1929.1930.1931.1932.19331934.1935.1936.1937.1938.
  • Page 75
    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 75
    Table E.
    Month.Number examined.Fat per cent.Solids-not-fat per cent.Total Solids per cent.
  • Page 76
    Table F.
    Year.Fat per cent.Solids-not-fat per cent.Total Solids per cent.
  • Page 77
    Considerably more samples of bread and butter and rolls and butter have been taken during the year. The figures for the years during which these samples have been taken are given below.
    Year.Number of Samples.Number Adulterated.Percentage Adulterated.
  • Page 88
    The organs and parts of the body affected were as follows:—
    Male.Female.
  • Page 89
    The following table gives the sum Chamber : mary of work done at the Disinfestation
    Inspections etc., by the Specialist Inspectors.fMr. E. J. Edwards, Jan-Sept. Mr. H. J. Green, Oct.-Dec.*Miss Whitty.
  • Page 90
    † In September, Mr. Edwards was seconded for work in the Air Raid Precautions Department and Mr. Green took charge of the Disinfestation Chamber.
    Council.Private.
  • Page 91
    NOTIFIABLE DISEASES (OTHER THAN TUBERCULOSIS) DURING THE YEAR, 1938.
    Disease.Total Cases Notified. In Age Groups.Cases admitted to HospitalTotal Deaths
    Under 1 year.1—2—3—4—5—10—15—20—35—45—65 and. overTotal
  • Page 92
    PART I—Summary of Notifications during the period from the 1st January, 1938, to the 31st December, 1938,in the area of the Metropolitan Borough of STEPNEY.
    Age periodsFormal Notifications. Number of Primary Notifications of new cases of TuberculosisTotal Notifications.
    0—1—5—10—15—20—25—35—45—55—65—Total (all ages)
  • Page 92
    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 periods0—1—5—10-15—20— 25—35—45—55—65—Total
  • Page 92
    The source or sources from which information as to the above-mentioned cases was obtained is stated below:—
    Source of Information.No. of Cases.
    PulmonaryNon-Pulmonary.
  • Page 92
    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.PulmonaryNon-pulmonaryTotal Cases
    MalesFemalesTotalMalesFemalesTotal
    96051514752621984601,935
  • Page 93
    New Cases of Tuberculosis and Mortality. —Particulars of new cases of tuberculosis and of all deaths from the disease in Stepney during 1938.
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary
    M.F.M.F.M.F.M.F.
  • Page 94
    RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN STEPNEY FROM JANUARY 1 st TO DECEMBER 31 st , 1937 INCLUSIVE. M.379
    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, 1937.Number of these Births duly entered by 31st January, 1939, in Columns I., II., IV. and V. of the " Vaccination Register " (Birth List Sheets), viz. :
    Col. I.Col. II.Col. IV. Number in respect of whom Statutory Declarations of Conscientious Objection have been received.Col. V.
    Successfully Vaccinated.Insusceptible of Vaccination.Had Small Pox.Died unvaccinated.
    (1)(2)(3)(4)(5)(6)(7)
  • Page 95
    Continued from previous page...
    Registration Sub-Districts comprised in the Vaccination Officer's District.Number of these Births which on 31st January, 1939, remained unentered in the " Vaccination Register " on account (as shown by "Report Book") ofNumber of these Births remaining on 31st Jan., 1939, 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 1938.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 1938.
    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 96
    SUMMARY OF PRIMARY VACCINATIONS DURING THE YEAR JANUARY TO DECEMBER, 1938 (Form N).
    No. of cases in birth lists received during the year.No of certificates of vaccination received.No. of certificates of postponement owing toNo. of statutory declarations under section 1 of the Vaccination Act, 1907.No. of certificates of insusceptibility or of having had smallpox.No. of casesNo. of entries in lists sent to public vaccinator
    Parents removed out of district.Otherwise not found.
    Health of child.Condition of house.Prevalence of infectious disease.
  • Page 97
    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, 1938.
    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 98
    CAUSE OF DEATH AT DIFFERENT PERIODS OF LIFE IN THE METROPOLITAN BOROUGH OF STEPNEY—1938. S.D.25
    CAUSES OF DEATH.Sex.All Ages.0—1—2—5-15—25—35—45—55—65—75—
  • Page 99
    CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE IN THE METROPOLITAN BOROUGH OF STEPNEY, 1938—(continued).
    CAUSES OF DEATH.Sex.AU Ages.0—1—2—5—15—25—35—45—55—65—75—
  • Page 100
    (3) NOTIFIABLE INFECTIOUS DISEASES. (number of cases notified during the 52 weeks ended 31st December, 1938)
    SmallpoxScarlet feverDiphtheriaEnteric feverPneumoniaPuerperal feverPueperal pyrexiaErysipelas
  • Page 101
    (Provisional Figures based on Weekly and Quarterly Returns.)
    England and Wales.126 County Boroughs and Great Towns including London.148 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 census).London Administrative County.