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

Page 9

Maternal Mortality. The maternal mortality rates for England and Wales and East Ham are compared and are as follows :—

	Puerperal Sepsis.		Other Diseases.		Total.
	England and Wales.	East Ham.	England and Wales.	East Ham.	England and Wales.	East Ham.

Page 11

Population. The census for England and Wales was taken on the 26th April, 1931, and from the Preliminary Report issued by the Registrar-General in June, 1931, the following figures are abstracted as far as they relate to East Ham :—

Area in Statute Acres (Land & Inland Water).	Population.						Censal Increase or Decrease 1921-1931 (Persons).
	1921			1931			Numbers		Percentage of 1921 Population
	Persons	Males	Females	Persons	Males	Females	Increase	Decrease	Increase	Decrease

Page 12

TABLE 1.—Birth Rate, Death Rate and Analysis of Mortality, 1931.

	Rate per 1,000 Total Population.		Annual Death Rate per 1,000 Population.									Rate per 1,000 Live Births.		Percentage of Total Deaths.
	Live Births.	Still.Births.	All Causes.	Enteric Fever.	Small.pox.	Measles.	Scarlet Fever.	Whooping Cough	Diphtheria.	Influenza.	Violence.	Diarrhoea and Enteritis (under two years).	Total Deaths under One Year.	Certified by Registered Medical Practitioners.	Inquest Cases.	Certified by Coroner after P.M. No Inquest.	Uncertified Causes of Death.

Page 12

TABLE 2.—Births in Wards.

Wards.										Total.
Manor Park.	Little Ilford.	Wood. grange.	Plashet.	Kensington.	Castle.	Central.	Wall End.	Greatiield.	South.	Total.

Page 13

TABLE 3. Causes of Dkath in Age Groups for the Year 1931.

Causes of death.	Sex.	All Ages.	Causes of Death at different periods of life of Residents whether occurring within or without the district during the year 1931.
Causes of death.	Sex.	All Ages.	0-	1-	2-	5-	15-	25-	35-	45-	55-	65-	75-

Page 14

TABLE 3—continued.

Causes of death.	Sex.	All Ages.	Causes of Death at different periods of life of Residents whether occurring within or without the district during the year 1931.
Causes of death.	Sex.	All Ages.	0-	1-	2-	5-	15-	25-	35-	45-	55-	65-	75-

Page 15

TABLE 4.—Ward Distribution ok Deaths, 1931.

Cause of death.	Wards.										Total.
Cause of death.	Manor Park.	Little Ilford.	Woodgrange.	Plashet.	Kensington.	Castle.	Central.	Wall End.	Great-field.	South.	Total.

Page 16

TABLE 5. Sex Distribution of Deaths in Wards, 1931.

Sex.	WARDS.										Total.
Sex.	Manor Park.	Little Ilford.	Woodgrange.	Plashet.	Kensing ton.	Castle.	Central.	Wall End.	Greatfield.	South.	Total.

Page 16

TABLE 6. Infant Deaths under One Year of Age, 1931.

Cause of Death.	Sex.	Ages.								Total under 1 year.
Cause of Death.	Sex.	Under 1 week.	1-2 weeks.	2-3 weeks.	3-4 weeks.	1-3 \| months.	3-6 months.	6-9 months.	9-12 months.	Total under 1 year.

Page 17

TABLE 7. Midwives Act, 1902 and 1918. Midwives on Roll, 1931.

Name.	No. on Midwives Roll.	Address.

Page 18

TABLE 7— continued.

Name.	No. on Midwives Roll.	Address.

Page 20

TABLE 8. Laboratory Examinations, 1931. Total Examinations - 979.

Material.	Norfolk & Norwich Hospital.	R. Inst, of P. Health.	Counties P. H. Labs.

Page 24

From the hospital report for 1931, the following figures are abstracted:—

Page 24

Beds Allocated on User Basis to East Ham.

Institution.	No. of Beds.	Type.

Page 25

TABLE 9. East Ham Cases Admitted to Public Assistance Institutions during 1931.

West Ham Corporation Institutions.	Number chargeable on 31.12.30	Number admitted to 31.12.31	Total.	Discharged.	Died.	Transferred to other Institutions.	Number remaining on 31.12.31

Page 26

The Medical Officer of Health, West Ham, however, furnished the following information, showing the number of East Ham cases in these institutions on the 19th February, 1932:—

Page 27

Margate Home.

Page 27

Aldersbrook Homes and Scattered Homes. I have to thank Mr. W. Pitt Steele, the Superintendent of these Homes, for the statistics appended below:—

	Half-year ending 30-6-31	Half-year ending 30-6-30

Page 28

Continued from previous page...

	Half-year ending 31-12-31	Half-year ending 31-12-30

Page 29

Venereal Diseases. As in previous years, the same facilities were available for the treatment of these diseases and the following extracts from the official tables supplied by the London County Council, relate to East Ham patients.

New Patients.

Page 30

TABLE 10. Disposition of East Ham Mental Patients on 31st December, 1931.

Institution.	Male.	Female.	Total.

Page 31

TABLE 11. Clinics and Treatment Centres.

Situation.	Purpose used.	Sessions.

Page 32

TABLE 12.

visits.							No. of half days teaching sessions at centre	No. of reports made out for register, files, &c.	Number of interviews
Statutory Supervision	Guardianship	Institution	Training Centre	Friendly Care	School Cases	Total	No. of half days teaching sessions at centre	No. of reports made out for register, files, &c.	Number of interviews

Page 32

N .B.— No case is included under more than one main heading of A or B.

Page 33

4. Action not yet taken under any one of the above headings:-

Page 33

DURING THE YEAR 1931. 1. ( a ) Number of instances in which Licence was granted during 1931:—

Page 33

2. Cases notified by Local Education Authorities (Section 2 (2)) during the year 1931:—

Page 34

TABLE 14. Statistics of Training Center, 1931.

Morning Session—Males.				Afternoon Session—Girls and Juniors.				Grand Total Attendances
No. on Register	No. of Sessions held	Total Attend- ances	Average Attendance	No. on Register	No. of Sessions held	Total Attend- ances	Average Attendance	Grand Total Attendances

Page 35

BLIND PERSONS ACT, 1920. The number of blind persons on the register on 31st December, 1931, was 204. They are graded as follows

Page 37

TABLE 15. Work of the Visitor to the Blind.

Year.	No. of technically Blind Persons on Register.	No. of Visits to same.		No. of Partially Blind Persons.	No. of Visits to same.	Other Visits.	Total Visits.	No. of Lessons Given.	Lessons Given in
		No. of Visits to same.							Cane Basket Work.	Braille.	Moon.	Knitting.	Croche	Wool Ball Work.	Manual	Straw bag making.
		Daily.	Evening.						Cane Basket Work.	Braille.	Moon.	Knitting.	Croche	Wool Ball Work.	Manual	Straw bag making.

Page 39

TABLE 16. Welfare of the Blind.—Registration. A s at 31I3I32.

Age Period 0—5			Age Period 5—16			Age Period 16—21			Age Period 21—30			Age Period 30—40			Age Period 40—50			Ape Period 50—60			Age Period 60—70			Age Period 70—			Total.
M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.

Page 39

TABLE 17. Ages at which Blindness occurred.

Age Period 0—1			Age Period 1—5			Age Period 5—10			Age Period 10—20			Age Period 20—30			Age Period 30—40			Age Period 40—50			Age Period 50—60			Age Period 60—70			Age Period 70—			Unknown
M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	Unknown

Page 39

TABLE 18. ( a ) Training and Employment. Age period 16 and upwards.

Employed												Undergoing Training									Trained but Unemployed			No Training but Trainable			Unemployable			Total
By Blind Institutions						All others not included in (a) & (b			Total employed			Industrial			Secondary			Professional or University
Workshops			Home Workers			All others not included in (a) & (b			Total employed			Industrial			Secondary			Professional or University
(a)			(b)			(c)			(d)			(e)			(f)			(g)			(h)			(i)			(j)			(k)
M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.

Page 41

New cases have been referred to them as follows:—

Page 42

TABLE 19. SMALLPOX, 1931.

No.	Initials.	Date of Notification.	Age (Yrs.)	Sex.	Probable Source of Infection.	No. of contacts traced and kept under observation.		Secondary Cases in same house.	State of Vaccination of Patient.

Page 43

TABLE 19— continued.

No.	Initials.	Date of Notification.	Age (Yrs.)	Sex.	Probable Source of Infection.	No. of contacts traced and kept under observation.	Secondary Cases in same house.	State of Vacci nation of Patient.

Page 43

TABLE 20. Vaccination, 1931.

No. of Births.	Certificates of Primary Vaccination.	Statutory Declarations.	Certificates of Postponement.	Certificates of Insusceptibility.

Page 44

TABLE 21. Return of Vaccination Officer of the East Ham C.B. Sub-District Respecting Vaccination of Children whose Births were Registered 1st January, 1930, to 31st December, 1930.

Registration Sub-Districts comprised in the Vaccination Officer's District.	No. of Births returned in the Birth List Sheets as registered from 1st Jan.to 31st Dec., 1930.	Number of these births duly entered by 31st January, 1932, in Columns I, II, IV, and V, of the Vaccination Register.					Number of these births which on 31st January, 1932, remained unentered in the Vaccination Register on account of			No. of these births remaining on 31st Jan., 1932 neither duly entered in the Vaccination Register nor temporarily accounted for in the Report Book.	Total No. of Certificates and copies of Certificates of successful vaccination of children under 14 received during the calendar year 1931.	No. of Statutory Declarations of Conscientious Objections actually received by the Vaccination Officer irrespective of the dates of birth of the children to which they relate during the calendar year 1931.
		Successfully vaccinated.	Insusceptible of Vaccination.	Had Smallpox.	No. in respect of whom Statutory Declarations of Conscientious Objection have been received.	Died Unvaccin-ated.	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.

Page 45

During the year, the Public Vaccinator carried out the following vaccinations:—

Page 46

Number inoculated in the various age groups:—

Page 46

2. Private Practitioners. In addition to the above, during the same period 21 children have been inoculated three times by Private Practitioners, and the ages at which inoculation was performed were as follows:—

Page 47

TABLE 22. Total Cases of Notifiable Diseases, 1910-1931.

Page 48

TABLE 23. Prevalence of and Control over Infectious Disease.—Notified Cases for the 52 Weeks ending 2nd January, 1932.

Disease.	Cases notified in whole district.										Ward distribution of Cases.										No. of Cases removed to hospital.	Total deaths in Borough.
	At all ages—years										Manor Park.	Little Ilford.	Wood-grange.	Plashet.	Kensington.	Castle.	Central.	Wall End.	Great-field.	South.
	At all ages	Under 1	1 to 5	5 to 10	10 to 15	15 to 20	20 to 35	35 to 45	45 to 65	65 and up.	Manor Park.	Little Ilford.	Wood-grange.	Plashet.	Kensington.	Castle.	Central.	Wall End.	Great-field.	South.

Page 49

TABLE 24.

Disease.	Cases.			Vision Unimpaired	Vision Impaired	Total blindness	Deaths
	Notified	Treated
	Notified	At home	Hospital

Page 50

TABLE 25. Cancer Deaths.—Parts of Body Affected.

Ages	0-1		1-2		2-5		5-15		15-25		25-35		35-45		45-55		55-65		65-75		75 and upwards		Total
Sex	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 60

TABLE 26. Return showing the work of the Tuberculosis and Chest Clinic, 1931.

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 63

TABLE 27. 6 PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1931 of all patients remaining on the Clinic 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 Clinic 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.
				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	Group 1	Group 2	Group 3	Total Class T.B. pluai	Class T.B. minus	Group 1	Group 2	Group 3	Total (Claaa T.Bt plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total(Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total Claaa TB. Plus

Page 64

TABLE 28. NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1931 of all patients remaining on the Clinic 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.
				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 67

"HARTS" SANATORIUM.—Year ended 31st March, 1932.

	Expenditure.	Cost per Patient per week.

Page 68

TABLE 29. Number of Beds Available for the Treatment of Tuberculosis on the 31st December, 1931, in Institutions belonging to the Council.

Name of Institution.	For Pulmonary Cases.		For Non-Pulmonary Cases.		Total.
Name of Institution.	Adults.	Children under 15.	Adults.	Children under 15.	Total.

Page 68

TABLE 30. Return showing the extent of Residential Treatment and Observation during the Year in Harts Sanatorium.

			In Institution on Jan. 1 (1)	Admitted during the vear. (2)	Discharged during the year. (3)	Died in the Institution. (4)	In Institution on Dec. 31. (5)

Page 69

TABLE 31. Average Number or Beds Available for Patients during the Year 1931. harts sanatorium.

	Observation.	Pulmonary Tuberculosis.		Non-Pulmonary Tuberculosis.		Total.
	Observation.	"Sanatorium" Beds.	"Hospital" Beds.	Disease of Bones and Joints.	Other Conditions.	Total.

Page 70

TABLE 32. Return showing the immediate results of Treatment of definitely Tuberculous patients discharged during the Year from "Harts" Sanatorium.

Classification on admission to the Institution.		Condition at time of discharge.	Duration of Residential Treatment in the Institution.															Grand Totals.
			Under 3 months.			3-6 months.			6-12 months.			More than 12 months.			Total		s.
			M.	F.	Ch.	M. F.		Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.

Page 71

TABLE 32—continued.

Classification on admission to the Institution.		Condition at time of discharge.	Duration of Residential Treatment in the Institution.															Grand Totals.
			Under 3 months.			3-6 months.			6-12 months.			More than 12 months.			Totals.
			M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	F. Ch.		M.	F.	Ch.

Page 72

TABLE 33. Return showing the extent of Residential Treatment and Observation during the year in Institutions (including Harts Sanatorium) approved for the Treatment of Tuberculosis.

			In Institutions on Jan. 1	Admitted during the year.	Discharged during the year.	Died in the Institutions .	In- Insti tutions on Dec. 31.
			(1)	(2)	(3)	(4)	(5)

Page 72

TABLE 34. RESIDENTIAL INSTITUTIONS (Including "harts" sanatorium). Average Number of Beds Available for Patients during the Year 1931.

	Observation.	Pulmonary Tuberculosis.		Non-Pulmonary Tuberculosis.		Total.
	Observation.	"Sanatorium" Beds.	"Hospital" Beds.	Disease of Bones and Joints.	Other Conditions.	Total.

Page 73

TABLE 35. Return showing the extent of Residential Treatment provided during the year in poor Law institutions for Persons Chargeable to the Council.

			In Institutions on Jan. 1 1931	Admitted during the year.	Discharged during the year.	Died in the institutions.	In institutions on Dec. 31, 1931.

Page 74

TABLE 36 Return showing the immediate results of Treatment of definitely tuberculous patients discharged during the year from institutions approved for the treatment of tuberculosis (including "harts" Sanatorium)

Classification on admission to the Institution.		Condition at time of discharge.	Duration of Residential Treatment in the Institution.															Grand Totals.
			Under 3 months.			3-6 months.			6-12 months.			More than 12 months.			Totals
			M.	F.	Ch.	M.	F.	Ch.	M. F.		Ch.	M.	F.	Ch.	M.	F.	Ch.

Page 75

TABLE 36— continued.

Classification on admission to the Institution.		Condition at time of discharge	Duration of Residential Treatment in the Institution.															Grand Totals.
			Under 3 months.			3-6 months.			6-12 months.			More than 12 months.			Totals.
			M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.

Page 76

TABLE 37. Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications.

Age periods.	Formal Notifications. Number of Primary Notifications of new cases of tuberculosis.
Age periods.	0-1	1-5	5-10	10-15	15-20	20-25	25-35	35-45	45-55	55-65	65 & over	Total (all ages)	Total notifications.

Page 76

Supplemental Return. 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	1-5	5-10	10-15	15-20	20-25	25-35	35-45	45-55	55-65	65 and upwards	Total cases.

Page 77

TABLE 37— continued. The source or sources from which above information as to the above-mentioned cases was obtained:—

Source of Information.		No. of Cases.
Source of Information.		Pulmonary.	Non-pulmonary.

Page 77

Notification Register.

Number of cases of Tuberculosis remaining at the 31st December, 1931, on the Registers of Notifications kept by the Medical Officer of Health of the County Borough.	Pulmonary			Non-pulmonary			Total Cases
	Males	Females	Total	Males	Females	Total	Total Cases

Page 78

TABLE 38. Notified Cases of Tuberculosis, 1931.

Ages.	Pulmonary.			Abdominal.			Meninges.			Bones and Joints.			Glands.			Other Organs.			Disseminated.			All forms.
Ages.	Males	Females	Totals	Males	Females	Totals	Males	Females	Totals	Males	Females	Totals	Males	Females	Totals	Males	Females	Totals	Males	Females	Totals	Males	Females	Totals

Page 79

TABLE 39. TUBERCULOSIS. New Cases and Mortality, 1931.

Age Periods.	New Cases.				Deaths.
	Pulmonary.		Non-Pulm.		Pulmonary.		Non-	Pulm.
	M.	F.	M.	F.	M.	F.	M.	F.

Page 80

TABLE 40. Occupation and Tuberculosis. Notified Cases and Deaths, 1931.

Occupations.	Pulmonary.				Non-pulmonary.
	Notifications.		Deaths.		Notifications.		Deaths.
	M.	F.	M.	F.	M.	F.	M.	F.

Page 81

TABLE 41. Deaths from Tuberculosis.—Interval Between Notification and Death.

	Not Notified	Under 1 week	1-2 weeks	2-4 weeks	1-2 months	2-3 months	3-6 months	6-12 months	1-2 years	2-3 years	3-4 years	4-5 years	5-6 years	6-7 years	7-8 years	8 years and over	Total

Page 88

Borough Infectious Diseases Hospital.

Disease	Remaining at end of 1930	Admitted during 1931	Discharged during 1931	Died during 1931	Remaining at end of 1931

Page 89

BOROUGH INFECTIOUS DISEASES HOSPITAL. Year ended 31st March, 1932.

	Expenditure	Cost per Patient per week.
	£	s.	d.

Page 95

An analysis of the causes to which the still births were attributable will be found in the following table :—

Page 95

The following table gives an analysis of the pre-maternal cases found to be slightly or seriously abnormal:—

Page 96

Continued from previous page...

Page 98

During the year help was obtained in 223 cases as follows :— Mother—

Page 102

7. 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 104

TABLE 41. METEOROLOGICAL RECORD—YEAR 1931. 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.	Lowest Minimum.	Mean of			No. of Days on which Rain fell, 0.01 and over.	Amount collected in inches.	Mean rate of fall for Rainy Days.	Greatest fall in 24 hours.	Date of greatest fall.
	Highest Maximum.	Lowest Minimum.	All Highest.	All Lowest.		No. of Days on which Rain fell, 0.01 and over.	Amount collected in inches.	Mean rate of fall for Rainy Days.	Greatest fall in 24 hours.	Date of greatest fall.

Page 107

INSPECTIONS FOR THE YEAR.

	Ordinary	House-to-house	Total

Page 108

TABLE SHOWING INSPECTIONS MADE IN EACH WARD PER MONTH.

Month	Manor Park		Little Ilford		Wood-grange		Plashet		Kensington		Castle		Central		Wall End		(Greatfield		South		Total
	Ord.	H to H.	Orel.	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.	Old.	H. to H.	Ordinary	Home to House

Page 109

COMPLAINTS RECEIVED FOR 1931.

	Manor Park	Little Ilford	Woodgrange	Piashet	Kensington	Castle	Central	Wall End	Greatfield	South	Total

Page 109

A detailed list is given in the inset table, page 127. To secure abatement the following notices were served :—

	1930.	1931.

Page 110

Complaints. The following table shows the number of complaints received for the year as compared with the previous year :—

Year	Written	Oral	Total

Page 110

Notices Complied with during the year ended 31st December, 1931 :—

District	No. 1	No. 2	No. 3	No. 4	No. 5	Total

Page 110

Notices Outstanding at 31st December, 1931 :—

District	No. 1	No. 2	No. 3	No. 4	No. 5	Total

Page 111

PROSECUTIONS UNDER THE PUBLIC HEALTH ACT FOR THE YEAR 1931.

Date.	Situation of premises.	Offence.	Result.

Page 112

PROSECUTIONS UNDER THE PUBLIC HEALTH ACT FOR THE YEAR 1931— continued.

Date.	Situation of premises.	Offence.	Result.

Page 113

PROSECUTIONS UNDER THE PUBLIC HEALTH ACT FOR THE YEAR 1931— continued.

Date.	Situation of premises.	Offence.	Result.

Page 113

PROSECUTIONS UNDER THE SALE OF FOOD AND DRUGS ACT FOR THE YEAR 1931.

Date.	Offence.	Result.

Page 114

Other Sanitary Conditions. The Council own and maintain the following Parks and Open Spaces :—

	Acres.

Page 118

3.— Overcrowding. —For the purpose of preparing a preliminary report under the Housing Act, 1930, a summary was made of the house-to-house inspections for the period 15th May, 1929, to 29th September, 1930, and the following facts were revealed:—

Ward.	No. of houses.	Rooms.	Persons.

Page 121

PROSECUTIONS UNDER MILK AND DAIRIES ORDER DURING 1931.

Date.	Offence.	Result.

Page 121

During the year 966 notifications (of intention to) slaughter were received referring to:—

Page 123

The following is a detailed list of the articles sampled:—

Page 124

Continued from previous page...

Page 124

Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

Premises.	Number of
Premises.	Inspections.	Written notices.	Occupiers prosecuted.
(1)	(2)	(3)	(4)

Page 125

DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

Particulars.	Number of defects.			Number of offences in respect to which prosecutions were instituted.
Particulars.	Found.	Remedied.	Referred to H.M. Inspector.
(1)	(2)	(3)	(4)	(6)

Page 127

The Following is a Record in Detail of the Inspections made during the Year 1931 : —

	DISTRICT No. 1.				DISTRICT NO. 2.				DISTRICT No. 3.				DISTRICT No. 4.				DISTRICT No. 5.				Total.
	Manor Park Ward.		Woodgrange Ward.		Kensington Ward.		Little Ilford Ward.		Plashet 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 134

COMPARATIVE STATEMENT OF WORK.

	1927.	1928.	1929.	1930.	1931.

Page 136

FINDINGS OF MEDICAL INSPECTION.

Group.	NUMBER OF CHILDREN.												Percentage of Children found to require Treatment
Group.	Inspected.						Found to require Treatment.						Percentage of Children found to require Treatment

Page 137

Comparative table :—

Year	Number Examined	Number with Nits	Number with Head Vermin	No- of Exclusion Certificates

Page 138

TABLE VII. TABLE OF VERMINOUS CONDI TIONS 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 139

Such cases, frequently recognised in the early stages, have been immediately referred to one of the School Clinics.

Chief Minor Ailments	Discovered at Routine Medical Inspection.		Discovered by Teachers and Nurses and sent to Clinic
Chief Minor Ailments	1930	1931	1930	1931

Page 140

(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 143

Table of the C hief I nfectious Diseases , S howing the Monthly Incidence in Children of S chool Age.

Month	Measles	Chicken Pox	Whooping Cough	Mumps	Scarlet Fever	Diphtheria

Page 144

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.

Page 150

SUNLIGHT FIGURES, 1931.

CONDITION.	Boys.	Girls.

Page 151

The Education Committee sent 191 scholars to the East Cowes Holiday Camp during the year 1931, and in addition the following School Journeys were undertaken :—

Page 152

Particulars of the cases dealt with are as follows :—

Page 153

Particulars of the number of Children who were resident in Schools of Recovery between 1st January and 31st December, 1931, and the periods of their stay between those two dates.

School	No. of Months																								Totals
School	1		2		3		4		5		6		7		8		9		10		11		12		Totals
	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 155

The Inspectors have made over 200 visits in regard to these cases and the following table indicates the work performed by the Society:—

CONDITION.	Number of Cases.	Treatment obtained.	Treatment arranged.

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backward, recommendations being made as shown in the following table:—

Page 159

Number of Code Group Inspections-

	Boys.	Girls.

Page 159

B.—OTHER INSPECTIONS.

Page 160

TABLE II. SECONDARY SCHOOL. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1931.

	Routine Inspections.				Special Inspections.
	No. of Defects.				No. of Defects.
Defect or Disease.	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)
	B.	G.	B.	G.	B.	G.	B.	G.

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Table II.—( continued.)

(1)		(2)		(3)		(4)		(5)
		B.	G.	B.	G.	B.	G.	B.	G.

Page 161

B.—Number of individual children found at Routine Medical Inspection to Require Treatment (excluding Uncleanliness and Dental Diseases).

GROUP.	Number of Children.				Percentage of Children found to require Treatment.
GROUP.	Inspected		Found to require Treatment.		Percentage of Children found to require Treatment.
(1)	(2)		(3)		(4)
	B.	G.	B.	G.	B.	G.

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TREATMENT TABLE. Group I.— Minor Ailments (excluding Uncleanliness).

Number of Defects treated, or under treatment during the year.
Under the Authority's Scheme		Otherwise.		Total.
(1)	(2)		(3)		(4)
	B.	G.	B.	G.	B.	G.

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The statistical report is as follows :—

Page 166

(a) Inspected by the dentist:—

Age. Routine Age Groups.								Specials				Grand Total.

Page 168

Continued from previous page...

School.	1930. Percentage increase over 1929.	1931. Percentage increase over 1929.

Page 169

Maternity and Child Welfare Centre. Details of the dental work in connection with the Maternity and Child Welfare Centres are shown in the following table :—

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 Fillings	No. of Administrations of General Anaesthetics.	No. of other Operations.
No. of Half Days devoted to Treatment.	Adults	Children.	Extracted.	Filled.	Extracted.	Filled.	Total No. of Extractions.	Total No. of Fillings	No. of Administrations of General Anaesthetics.	Permanent Teeth.	Temporary Teeth.

Page 170

A.—ROUTINE MEDICAL INSPECTIONS.

Page 171

TABLE II. A.—A Return of Defects found by Medical Inspection in the Year ended 31st December, 1931.

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.

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Table II. — (continued) .

Page 172

B.—Number of Individual Children found at Routine Medicai Inspection to Require Treatment (excluding Uncleanliness and Dental Diseases).

GROUP.	Number of Children.		Percentage ol Children found to require Treatment
GROUP.	Inspected	Found to require Treatment.	Percentage ol Children found to require Treatment

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TABLE III. Return of all Exceptional Children in the Area during the Year ended 31st December, 1931.

			Boys.	Girls.	Total.

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TABLE III.— continued.

			Boys.	Girls.	Total.

Page 175

TABLE III.— continued.

			Boys.	Girls.	Total.

Page 176

TREATMENT TABLE. Group I.— Minor Ailments (excluding Uncleanliness, for which see Group V.).

Disease or Defect.	Number of Defects treated, or under treatment during the year.
Disease or Defect.	Under the Authority's Scheme.	Otherwise.	Total.

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TABLE IV.— continued. Group II.— Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I.).

Defect or Disease.	No. of Defects dealt with.
Defect or Disease.	Under the Authority's Scheme.	Submitted to refraction by private practitioner or at hospital, apart from the Authority s Scheme.	Otherwise.	Total.

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Total number of children for whom spectacles were prescribed—

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Group III.—Tre\tment of Defects of Nose and Throat. NUMBER OF DEFECTS.

Received Operative Treatment.			Received other forms of Treatment. (4)	Total number Treated. (6)
Under the Authority's Scheme inClinic or Hospital. (1)	By Private Practitioner or Hospital apart from the Authority's Scheme. (2)	Total. (3)	Received other forms of Treatment. (4)	Total number Treated. (6)

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TABLE IV.— continued. Group IV.—Dental Defects.

Age. Routine Age Groups.										Specials	Grand Total.

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

View report tables

East Ham 1931

132 tables in this report

Maternal Mortality. The maternal mortality rates for England and Wales and East Ham are compared and are as follows :—

Population. The census for England and Wales was taken on the 26th April, 1931, and from the Preliminary Report issued by the Registrar-General in June, 1931, the following figures are abstracted as far as they relate to East Ham :—

TABLE 1.—Birth Rate, Death Rate and Analysis of Mortality, 1931.

TABLE 2.—Births in Wards.

TABLE 3. Causes of Dkath in Age Groups for the Year 1931.

TABLE 3—continued.

TABLE 4.—Ward Distribution ok Deaths, 1931.

TABLE 5. Sex Distribution of Deaths in Wards, 1931.

TABLE 6. Infant Deaths under One Year of Age, 1931.

TABLE 7. Midwives Act, 1902 and 1918. Midwives on Roll, 1931.

TABLE 7— continued.

TABLE 8. Laboratory Examinations, 1931. Total Examinations - 979.

From the hospital report for 1931, the following figures are abstracted:—

Beds Allocated on User Basis to East Ham.

TABLE 9. East Ham Cases Admitted to Public Assistance Institutions during 1931.

The Medical Officer of Health, West Ham, however, furnished the following information, showing the number of East Ham cases in these institutions on the 19th February, 1932:—

Margate Home.

Aldersbrook Homes and Scattered Homes. I have to thank Mr. W. Pitt Steele, the Superintendent of these Homes, for the statistics appended below:—

Continued from previous page...

Venereal Diseases. As in previous years, the same facilities were available for the treatment of these diseases and the following extracts from the official tables supplied by the London County Council, relate to East Ham patients.

TABLE 10. Disposition of East Ham Mental Patients on 31st December, 1931.

TABLE 11. Clinics and Treatment Centres.

TABLE 12.

N .B.— No case is included under more than one main heading of A or B.

4. Action not yet taken under any one of the above headings:-

DURING THE YEAR 1931. 1. ( a ) Number of instances in which Licence was granted during 1931:—

2. Cases notified by Local Education Authorities (Section 2 (2)) during the year 1931:—

TABLE 14. Statistics of Training Center, 1931.

BLIND PERSONS ACT, 1920. The number of blind persons on the register on 31st December, 1931, was 204. They are graded as follows

TABLE 15. Work of the Visitor to the Blind.

TABLE 16. Welfare of the Blind.—Registration. A s at 31I3I32.

TABLE 17. Ages at which Blindness occurred.

TABLE 18. ( a ) Training and Employment. Age period 16 and upwards.

New cases have been referred to them as follows:—

TABLE 19. SMALLPOX, 1931.

TABLE 19— continued.

TABLE 20. Vaccination, 1931.

TABLE 21. Return of Vaccination Officer of the East Ham C.B. Sub-District Respecting Vaccination of Children whose Births were Registered 1st January, 1930, to 31st December, 1930.

During the year, the Public Vaccinator carried out the following vaccinations:—

Number inoculated in the various age groups:—

2. Private Practitioners. In addition to the above, during the same period 21 children have been inoculated three times by Private Practitioners, and the ages at which inoculation was performed were as follows:—

TABLE 22. Total Cases of Notifiable Diseases, 1910-1931.

TABLE 23. Prevalence of and Control over Infectious Disease.—Notified Cases for the 52 Weeks ending 2nd January, 1932.

TABLE 24.

TABLE 25. Cancer Deaths.—Parts of Body Affected.

TABLE 26. Return showing the work of the Tuberculosis and Chest Clinic, 1931.

TABLE 28. NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1931 of all patients remaining on the Clinic Register; and (b) the reasons for the removal of all cases written off the Register.

"HARTS" SANATORIUM.—Year ended 31st March, 1932.

TABLE 29. Number of Beds Available for the Treatment of Tuberculosis on the 31st December, 1931, in Institutions belonging to the Council.

TABLE 30. Return showing the extent of Residential Treatment and Observation during the Year in Harts Sanatorium.

TABLE 31. Average Number or Beds Available for Patients during the Year 1931. harts sanatorium.

TABLE 32. Return showing the immediate results of Treatment of definitely Tuberculous patients discharged during the Year from "Harts" Sanatorium.

TABLE 32—continued.

TABLE 33. Return showing the extent of Residential Treatment and Observation during the year in Institutions (including Harts Sanatorium) approved for the Treatment of Tuberculosis.

TABLE 34. RESIDENTIAL INSTITUTIONS (Including "harts" sanatorium). Average Number of Beds Available for Patients during the Year 1931.

TABLE 35. Return showing the extent of Residential Treatment provided during the year in poor Law institutions for Persons Chargeable to the Council.

TABLE 36 Return showing the immediate results of Treatment of definitely tuberculous patients discharged during the year from institutions approved for the treatment of tuberculosis (including "harts" Sanatorium)

TABLE 36— continued.

TABLE 37. Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications.

Supplemental Return. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification:—

TABLE 37— continued. The source or sources from which above information as to the above-mentioned cases was obtained:—

Notification Register.

TABLE 38. Notified Cases of Tuberculosis, 1931.

TABLE 39. TUBERCULOSIS. New Cases and Mortality, 1931.

TABLE 40. Occupation and Tuberculosis. Notified Cases and Deaths, 1931.

TABLE 41. Deaths from Tuberculosis.—Interval Between Notification and Death.

Borough Infectious Diseases Hospital.

BOROUGH INFECTIOUS DISEASES HOSPITAL. Year ended 31st March, 1932.

An analysis of the causes to which the still births were attributable will be found in the following table :—

The following table gives an analysis of the pre-maternal cases found to be slightly or seriously abnormal:—

Continued from previous page...

During the year help was obtained in 223 cases as follows :— Mother—