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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

East Ham 1928

[Report of the Medical Officer of Health for East Ham]

Published
1929
Pages
144
Tables
72

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72 tables in this report

  • Page -
    Statistics for 1904 and the past eight years are given for comparison:—
    190419211922192319241925192619271928
  • Page 7
    COMPARATIVE STATISTICS.
    Annual Rate per 1,000 Living.Rate per 1,000 registered Births.
    Births.Deaths.Diarrhœa & Enteritis (under 2 years).Infant mortality.
  • Page 17
    Small Pox. 17 cases of Small Pox, occurring in 5 families, were notified during the year with no deaths.
    DateAddressAge YearsProbable source of infectionNo. of contacts traced and kept under observationSecondary CasesState of vaccination of patients
    In same houseElsewhere
  • Page 19
    DISEASE NOTIFICATION 1923-1928.
    Disease.192319241925192619271928
  • Page 20
    TUBERCULOSIS. Notifications, 1923-1928.
    192319241925192619271928
  • Page 20
    New Cases and Mortality during 1928. Particulars of new cases of tuberculosis and of deaths from the disease in the area during 1928:—
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulm.Pulmonary.Non-Pulm.
    M.F.M.F.M.F.M.F.
  • Page 21
    TABLE I.— TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Year 1928.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    (6) Adults.(6) Children.Adults.Children,Adults.Children.
    M.F.M.F.M.M.F.F.M.F.M.F.
  • Page 28
    TABLE II.—RESIDENTIAL INSTITUTIONS. (A) Average Number of Beds Available for Patients during the Year 1928.
    Observation.Pulmonary Tuberculosis.Non-Pulmonary Tuberculosis.Total.
    "Sanatorium " Beds."Hospital" Beds.Disease of Bones and Joints.Other Conditions.
  • Page 29
    (B) Return showing the Extent of Residential Treatment during the Year 1928
    In Institutions on Jan. 1Admitted during the year.Discharged during the year.Died in the Institutions .In Institutions on Dec. 31.
  • Page 30
    TABLE III. Return showing the immediate results of Treatment of Patients and of Observation of Doubtful Cases discharged from Residential Institutions during the Year 1928.
    Classification on admission to the Institution.Condition at time of discharge.Duration of Residential Treatment in the Institution.
    Under 3 months.3-6 months.6-12 months.More than 12 months.Total.
    M.F.Ch.M.F.Ch.M.F.Ch.M.F.Ch.
  • Page 31
    TABLE III-continued.
    Classification on admission to the Institution.Condition at time of discharge.Duration of Residential Treatment in the Institution.
    Under 3 months.3-6 months.6-12 months.More than 12 months.Total.
    M.F.Ch.M.F.Ch.M.F.Ch.M.F.Ch.
  • Page 32
    HARTS SANATORIUM. Average Number of Beds Available for Patients at Harts Sanatorium.
    Observation.Pulmonary-Tuberculosis.Non-Pulmonary Tuberculosis.Total.
    " Sanatorium " Beds." Hospital " Beds.Disease of Bones and Joints.Other Conditions.
  • Page 32
    Return Showing the Extent of Residential Treatment during the Year.
    In Institution on Jan. 1Admitted during the year.Discharged during the year.Died in the Institution.In Institution on Dec. 31.
  • Page 33
    Return showing the immediate results of Treatment of *Patients and of Observation of Doubtful C ases discharged from Harts S anatorium during the Y ear 1928.
    Classification on admission to the Institution.Condition at time of discharge.Duration of Residential Treatment in the InstitutionTotal.
    Under 3 months.3-6 months.6-12 months.More than 12 months.
    M.F.Ch.M.F.Ch.M.F.Ch.M.F.Ch.
  • Page 35
    HARTS SANATORIUM.—Year ended 31st March, 1929.
    Expenditure.Cost per Patient per week.
    £s.d.
  • Page 36
    The following table indicates the number of patients admitted for each disease and the number discharged, or who have died, in the year 1928 :—
    Disease.Remaining at end of 1927.Admitted during 1928.Discharged during 1928.Died during 1928.Remaining at end of 1928.
  • Page 38
    The ages at which death occurred were :—
  • Page 39
    The types of Diphtheria classified according to the site of the local lesion were as follows:-
  • Page 40
    The following operations were performed in connection with the cases of Scarlet Fever and Diphtheria under treatment during the year :—
  • Page 44
    ISOLATION HOSPITAL.—Year ended 31st March, 1929.
    ExpenditureCost per Patient per week.
    £s.d.
  • Page 53
    Infant Mortality and Deaths of Children under 5 Years. The following Table shows the causes of death at the different periods of infant life during the year 1928:—
    Causes of Death.Sex.Under 1 year1—22—5
  • Page 54
    COMPARATIVE INFANT MORTALITY RATE—YEAR 1928.
    Birth-rate per 1,000 total population.Rate per 1,000 Births.
    Diarrhoea and Enteritis (under 2 yrs.)Total deaths under 1 year[3]
  • Page 57
    During 1928, 12 cases of Ophthalmia Neonatorum were notified in East Ham, visited and treated with no impairment of vision, as shown:—
    Notified.Cases TreatedVision Unimpaired.Vision Impaired.Total Blindness.Deaths.
    At Home.In Hospital
  • Page 59
    VENEREAL DISEASES. Summary of work done by the Hospitals during the Year 1928.
    LondonMiddlesexEssexSurreyKentHerts.Bucks.E. HamW. HamCroydonTotalOther PlacesGrand Total
  • Page 60
    TOTAL CASES NOTIFIED DURING 1928.
    Disease.Under 11-22-33-44-55-1010-1515-2020-3535-4545-6565 and overTotal all agesCases admitted to Hosp.Total Deaths
  • Page 61
    CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE IN EAST HAM, 1928.
    CAUSES OF DEATH.Net Deaths at the subjoined ages of "Residents" whether occurring within or without the Borough.
    Sex.All ages.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 under 75 years.75 and upwards.
  • Page 62
    METEOROLOGICAL RECORD—YEAR 1928. Rain Gauge 5-in. in diameter, placed 1-foot above ground, 15 feet above sea level. Temperature taken in the shade of a Stevenson's Screen, 5 feet from the ground.
    Months.Temperature of Air during the Month.Mean Temperature of Air.Rainfall.
    Highest Maximum.T.owest Minimum.Mean ofNo. of Days on which Rain fell, o.oi inches and over.Amount collected in inchcs.Mean rate of fall for Rainy Days.Greatest fall in 24 hours.Date of greatest fall.
    All Highest.All Lowest.
  • Page 64
    PRIMARY INSPECTIONS.
    MonthManor ParkLittle IlfordWood-grangePlashetKensingtonCastleCentralWall EndGreatfieldSouthTotal
    OrdH. to HOrd.H. to H.Ord.H. to H.Ord.H. to H.Ord.H to H.Ord.H to H.Ord.H. to H.Ord.H. to H.Ord.H to H.Ord.H. to H.OrdinaryHouse to House
  • Page 65
    Complaints. 2,185 complaints were received. 574 written and 1,611 oral, all of which received prompt attention. COMPLAINTS RECEIVED.
    Manor ParkLittle IlfordWood grangePlashetKensingtonCastleCentralWall EndGreatfieldSouthTotal
  • Page 66
    INSPECTIONS FOR THE YEAR.
    OrdinaryHouse-to-houseTotal
  • Page 67
    The following is a detailed list of the articles sampled:—
    Number of samples:409.
  • Page 68
    Milk and Cream Regulations. Milk and Cream Not Sold as Preserved Cream.
    (a) Number of samples examined for the presence of a preservative.(b) Number in which preservative was reported to be present, and percentage of preservative found in each sample.
  • Page 68
    Cream Sold as Preserved Cream.
  • Page 70
    During the year 839 notifications to slaughter were received referring to:—
  • Page 72
    The following Closing Orders have been made for the Borough:—
    Fridays.Saturdays.Other days.
  • Page 76
    PROSECUTIONS UNDER THE PUBLIC HEALTH ACT FOR THE YEAR 1928.
    Date.Situation of Premises.Offence.Result.
  • Page 77
    PROSECUTIONS UNDER THE SALE OF FOOD AND DRUGS ACT FOR THE YEAR 1928.
    Date.Offence.Result.
  • Page 77
    PROSECUTIONS UNDER THE EXPLOSIVES ACT.
    Date.Offence.Result.
  • Page 77
    MARGARINE ACT, 1887.
    Date.Offence.Result.
  • Page 78
    PROSECUTIONS UNDER SHOPS ACT DURING 1928.
    Date.Offence.Fines.
    £s.d.
  • Page 78
    PROSECUTIONS UNDER GIPSY BYE-LAWS
    Date.Offence.Result.
  • Page 79
    The Following is a Record in Detail of the Inspections made during the Year 1928:—-
    Manor Park Ward.Little Ilford Ward.Woodgrange Ward.Plashet Ward.Kinsington Ward.Castle Ward.Central Ward.Wall End Ward.Greatfield Ward.South Ward.Total.
    ord.H. to H.ord.H. to H.ord.H. to H.ord.H. to H.ord.H. to H.ord.H. to H.ord.H. to H.ord.H. to H.ord.H. to H.ord.H. to H.ord.H. to H.
  • Page 87
    COMPARATIVE STATEMENT OF WORK.
    1924.1925.1926.1927.1928.
  • Page 91
    FINDINGS OF MEDICAL INSPECTION.
    Group.NUMBER OF CHILDREN.Percentage of Children found to require Treatment.
    Inspected.Found to require Treatment.
    192319241925192619271928192319241925192619271928192319241925192619271928
  • Page 92
    Comparative table:—
    YearNumber ExaminedNumber with NitsNumber with Head VerminNo. of Exclusion Certificates
  • Page 93
    TABLE VII. TABLE OF VERMINOUS CONDITIONS FOUND AT EXAMINATIONS FOR GENERAL CLEANLINESS.
    SCHOOLS.Dept.Number Exam'd.Few Nits.Many Nits and Vermin.SCHOOLS.Dept.Number Exam'd.Few Nits. .Many Nits and Vermin.
  • Page 94
    (b) Minor Ailments. As has been the case in former years, few minor ailments were discovered at routine medical inspection, owing to the vigilance displayed by teachers and nurses, and to the growing interest of parents in such matters. Such cases, frequently-recognised in the early stages, have been immediately referred to one of the School Clinics.
    Chief Minor AilmentsDiscovered at Routine Medical Inspection.Discovered by Teachers and Nurses and sent to Clinic
    1927192819271928
  • Page 95
    (.d) Tuberculosis. The total number of cases of tuberculosis, occurring in children of school age, notified to the Medical Officer of Health during the year, was as follows:—
    Boys.Girls.Total.
  • Page 98
    Table of the Chief Infectious Diseases, Showing the Monthly Incidence in Children of School Age.
    MonthMeaslesChicken PoxWhooping CoughMumpsScarlet FeverDiphtheria
  • Page 99
    In addition to the acute infectious diseases, the following infectious conditions have occurred during the year:
    Nature of Complaint.Number Excluded.Number of Sessions involved.
    1927192819271928
  • Page 106
    The following is a brief summary of the cases treated by general irradiation throughout the year:—
    CONDITION.Boys.Girls.
  • Page 107
    (b) School Camps. The Education Committee sent 139 Scholars to the Dymchurch Holiday Camp during the year 1928, and in addition the following School Journeys were undertaken:—
  • Page 109
    Particulars of the number of Children who were resident in Schools of Recovery between 1 st J anuary and 31 st D ecember, 1928, and the periods of their stay between those two dates.
    SchoolNo. of MonthsTotals
    123456789101112
    B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.Total
  • Page 113
    Of these 19 were classified as mentally deficient, and 7 as dull and backward, recommendations being made as shown in the following table:—
  • Page 114
    23. MISCELLANEOUS. During the year 1928 the following special medical examinations were made:—
  • Page 115
    TABLE I. RETURN OF MEDICAL INSPECTIONS ( see note a). For the Year ended 31st December, 1928.
  • Page 116
    TABLE 11. SECONDARY GIRLS' SCHOOL. A.—Return of Defects found by Medical Inspection in the Year Ended 31st December, 1928.
    Defect or Disease.Routine Inspections.Special Inspections.
    No. of Defects.No. of Defects.
    Requiring Treatment.Requiring to be kept under observation, but not requiring Treatment.Requiring Treatment.Requiring to be kept under observation, but not requiring Treatment.
    (1)(2)(3)(4)(5)
  • Page 117
    Table II. —(continued.)
    (1)(2)(3)(4)(5)
  • Page 117
    B.—Number of individual children (see note b) found at Routine Medical Inspection to Require 'Treatment (excluding Uncleanliness and Dental Diseases).
    GROUP. (1)Number of Children.Percentage of Children found to require. Treatment. (see note d). (4)
    Inspected (see note c) (2)Found to require Treatment. (3)
  • Page 118
    The following is a list of Ear, Nose and Throat cases, indicating the nature of the disease, the form of treatment undertaken, and the results of treatment:—
  • Page 122
    TABLE IV. Group IV.—Dental Defects. (1) Number of Children who were:—
    Age. Routine Age Groups.Specials (see note d)Grand Total.
    56789Total.1011121314
  • Page 124
    Maternity and Child Welfare Figures for 1928.
    No. of Half Days devoted to Treatment.No. of Attendances.No. of Permanent Teeth.No of Temporary Teeth.Total No. of Extractions.Total No. of FillingsNo. of Administrations of General Anaesthetics.No. of other Operations.
    AdultsChildren.Extracted.Filled.Extracted.Filled.Permanent Teeth.Temporary Teeth.
  • Page 125
    TABLE I. RETURN OF MEDICAL INSPECTIONS ( see note a For the Year ended 31st December, 1928.
  • Page 127
    TABLE 11. A. --A Return of Defects found by Medical Inspection in thf. Year Ended 31st December, 1928.
    Defect or Disease. (1)Routine Inspections.Special Inspections.
    No. of Defects.No. of Defects
    (2) Requiring Treatment.Requiring to be kept underobservation,but (3) not requiring Treatment.(4) Requiring Treatment.Requiring to be kept (5)underobservation,but not requiring Treatment.
  • Page 128
    Table 11.—( continued).
    (1)(2)(3)4)(5)
  • Page 128
    B.—N umber of Individual Children (see note b) found at Routine Medical Inspection to Require Treatment (excluding Unc.leanliness and Dental Diseases).
    GROUP. (1)Number of Children.Percentage ot Children found to require Treatment (see note d). (4)
    Inspected (see note c). (2)Found to require Treatment. (3)
  • Page 130
    TABLE III. Return of all Exceptional Children in the Area for the Year ended 31st December, 1928 (See note a).
    Boys.Girls.Total
  • Page 131
    TABLE III.— continued.
    Boys.Ciirls.Total.
  • Page 134
    TABLE IV. Return of Defects Treated during the Year ended 31 st December, 1928 (see note a). TREATMENT TABLE. Group I.— Minor Ailments (excluding; Uncleanliness, for which see Group V.).
    Disease or Defect. (1)Number of Defects treated, or under treatment during the year.
    Under the Authority's Scheme, (see note b). (2)Otherwise. (3)Total. (4)
  • Page 135
    TABLE IV.— continued. Group II.— Defective Vision and Squint (excluding- Minor Eye Defects treated as Minor Ailments—Group I.).
    Defect or Disease, (1)No. of Defects dealt with.
    (2)Under the Authority's Scheme (see note 6).(3)Submitted to refraction by private practitioner or — at hospital, apart from the Authority s Scheme.(4)Otherwise.(5)Total.
  • Page 135
    Group III.—Treatment of Defects of Nose and Throat. NUMBER OF DEFECTS.
    Under the Authority's Scheme inClinic or Hospital. (see note b.) (i)By Private Practitioner or Hospital apart from the Authority'sScheme. (2)Total. (3)Received other forms of Treatment. (4)Total number Treated. (5)
  • Page 136
    Group IV.—Dental Defects. (1) Number of Children who were :—
    Age. Routine Age Groups.Specials (see note d)Grand Total.