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

Page 7

EXTRACTS FROM VITAL STATISTICS.

		Total.	Males.	Females.

Page 7

Deaths from puerperal causes :—

Deaths.		Rate per 1,000 total (live and still) births.

Page 7

Death rate of infants under one year of age:—

Page 9

Of these sections, on reference to the table concerned, it will be seen that the following five groups were responsible for 74 per cent. of the total deaths :—

Page 9

The percentage of total deaths in the various age-groups was as follows :—

Under 1 Year '	1:2 Years	2-5 Years	5-15 Years	15-25 Years	25-35 Years	35-45 Years	45-55 Years	55-65 Years	05-75 Years	75 Years and upwards

Page 10

The Maternity and Child Welfare Act, 1918, empowers a Local Authority to :—

Page 11

7. Complicated Midwifery :—

Page 11

Towards the end of the year under review, the Registrar General published part 1 of the Census figures and statistics for the County of Essex, and the following extracts from this return relate to East Ham:— Population.

1911	1921			1931
Persons	Persons	Males	Females	Persons	Males	Females

Page 13

TABLE 1.

	Acreage (Land and Inland Water).	Total population.					Private families and dwellings, 1931.
		1921		1931			Private families.	Population in private families.	Structurally separate dwellings occupied.	Rooms occupied.	Persons per room.
		Persons.	Persons.	Males.	Females.	Persons per acre.

Page 14

TABLE 2.

-	Structurally Separate Dwellings of								Number of rooms.
	1 Room	2 Rooms	3 Rooms	4 Rooms	5 Rooms	6-8 Rooms	9 or more Rooms	All sizes.	Total	Occupied.	Vacant.
	1 Room	2 Rooms	3 Rooms	4 Rooms	5 Rooms	6-8 Rooms	9 or more Rooms	All sizes.	Total	Occupied.	Furnished.	Others.

Page 15

TABLE 3.

No. of persons in family.	Number of private families occupying the following number of rooms.								Total private families	Population in private families	Rooms occupied.	Density of occupation.
												Average No. of persons per room.	Populatio densities (Person		n at following of occupation, s per room.)
	1	2	3	4	5	6-7	8-9	10 or more.				Average No. of persons per room.	Over 3	3 and over 2	2 and over l	l and over 1

Page 16

The census population was made up as follows :—

	No.	Percentage.

Page 17

TABLE 4.—B irth R ate, D eath R ate and A nalysis of M ortality, 1932.

	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 17

TABLE 5.—Births in Wards and Rates.

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

Page 19

TABLE 6. Causes of D eath in A ge G roups , 1932.

Cause of death.	All ages.	Deaths at different periods of life of residents whether occurring within or without the district.
Cause of death.	All ages.	Under 1 yeas	1-2 years	2-5 years	5-15 years	15-25 years	25-35 years	35-45 years	45-55 years	55-65 years	65-75 years	75 years and upwards

Page 21

TABLE 7.—Ward Distribution of Deaths, and Ward Death Rates, 1932.

Cause of death.	Wards.										Total.	Deaths in Institutions.
Cause of death.	Manor Park.	Little Ilford.	Wood-grange.	Plashet.	Kensington.	Castle.	Central.	Wall End.	Greatfield.	South.	Total.	Deaths in Institutions.

Page 22

TABLE 8. Infant Deaths under One Year of Age, 1932.

Cause of Death.	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 25

The number examined is shown in the table below :— TABLE 9. Laboratory Examinations, 1932.

Material	Norfolk and Norwich Hospital	Royal Institute of Public Health	Counties Public Health Laboratories	East Ham Memorial Hospital	Charing Cross Hospital	Total

Page 26

During the year under review Drs. Harrison and Brews, the District Medical Officers, carried out the following work :—

	No. of visits to homes of patients.	No. of patients seen at public Dispensary.	No. of prescriptions issued.

Page 26

TABLE 10. Disposition of East Ham Mental Patients on 31st December, 1932.

Institution.	Male.	Female.	Total.

Page 27

1.— IN-PATIENTS. A. Number of Beds and In-Patients.

	Numbers in 1932.	Numbers in previous year.

Page 28

1.—IN-PATIENTS— continued. B. Annual Expenditure on In-Patients apart from that on Outpatients ; Average Cost of each In-Patient per week ; and Average Cost of each In-patient.

	1932							Previous Year.
	Expenditure on In- Patients (Pounds only).	Average Cost of each In- Patient per week.			Average Total Cost of each In- Patient.			Average Cost of each In- Patient per week.			Average Total Cost of each In- Patient.
	£	f	s.	d.	f	s.	d.	f	s.	d.	f	s.	d.

Page 28

2 .-OUT- PATIENTS. A. Numbers.

	Numbers in 1932.	Numbers in previous year.

Page 29

2.—OUT-PATIENTS— continued. B. Annual Expenditure on Out- Patients and Average Cost of each Out- Patient Attendance and of each Out-Patient.

	1932			Previous Year.
	Expenditure on Out- Patients (Pounds only).	Average Cost of each Out- Patient Attendance.	Average Total Cost of each Out- Patient.	Average Cost of each Out- Patient Attendance.	Average Total Cost of each Out-Patient.
	£	Pence	Pence	Pence	Pence

Page 30

TABLE 11. East Ham Cases Admitted to Public Assistance Institutions.

West Ham Corporation Institutions.	Number chargeable on		Number admitted to		Total.		Discharged.		Died.		Transferred to other Institutions.		Number remaining on
West Ham Corporation Institutions.	31-12-30	31-12-31	31-12-31	31-12-32	1931	1932	1931	1932	1931	1932	1931	1932	31-12-31	31-12-32

Page 31

Aldersbrook Homes and Scattered Homes. Mr. W. Pitt Steele, Superintendent of these Homes, kindly supplied me with copies of his half-yearly reports for 1932, and the following information has been abstracted from these reports :—

Page 32

Aldersbrook Homes and Scattered Homes— continued.

Page 33

The same facilities were available as in recent years for the treatment of these diseases, and from the official tables supplied by the London County Council the following figures are abstracted :—

Page 34

M. & C. W. Clinics.

Situation.	Purpose used.	Sessions.

Page 34

TABLE 12.

VISITS.							No. of reports— register, files, &c.	Number of interviews
Statutory Supervision	Guardian- ship	Institution	Training Centre	Friendly Care	School Cases	Total	No. of reports— register, files, &c.	Number of interviews

Page 35

TABLE 13. Particulars of Mental Defectives as on 1st January, 1933. (A) " Subject to be dealt with " by the Local Authority. (B) Who may become " subject to be dealt with " by the Local Authority. N.B.—No case is included under more than one main heading of A or B.

A.—Number of Cases " Subject to be dealt with " :—	M.	F.	T.

Page 36

Continued from previous page...

Page 36

DURING THE YEAR 1932. 1. (a) Number of instances in which Licence was granted during 1932 :—

			M.	F.	T.

Page 37

TABLE 14. Statistics of Training Centre, 1932.

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

Page 39

TABLE 15. Work of the Visitor to the Blind.

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

Page 41

TABLE 16. Welfare of the Blind.— Registration. As at 31 /3/33.

Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Total
0—5			5—16			16—21			21—30			30—40			40— 50			50—60			60—70			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 41

Ages at which Blindness occurred.

Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Age Period			Un- Known
0—1			1—5			5—10			10—20			20—30			30—40			40—50			50—60						70—
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

(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

(b) Occupations of Employed.

	Agents, Collectors, etc.	Basket Workers	Bedding (including Divans and Ottomans) and Upholstering.			Boot repairers	Brushes		Carpenters and Woodworkers	Chair Seaters	Ministers of Religion	Clerks, Typists	Telephone Operators	Dealers (Tea Agents, Shopkeepers, etc.)	Domestic Servants	Farmers	Hawkers	Home Teachers	Knitters		Labourers	Massage	Mat Makers	Musicians and Music Teachers	Netting Makers	Newsvendors	Porters, Packers and Cleaners	Poultry Farmers	School Teachers	Straw Bagmakers	T uners	Weavers	Miscellaneous	Total
	Agents, Collectors, etc.	Basket Workers	Mattress Makers	Machinists	Upholsterers	Boot repairers	Pan	Wiredrawn	Carpenters and Woodworkers	Chair Seaters	Ministers of Religion	Clerks, Typists	Telephone Operators	Dealers (Tea Agents, Shopkeepers, etc.)	Domestic Servants	Farmers	Hawkers	Home Teachers	Hand	Machine	Labourers	Massage	Mat Makers	Musicians and Music Teachers	Netting Makers	Newsvendors	Porters, Packers and Cleaners	Poultry Farmers	School Teachers	Straw Bagmakers	T uners	Weavers	Miscellaneous	Total

Page 43

The following is abstracted from the Annual Report for the year 1932 :—

Page 43

The 160 new cases were referred by :—

Page 43

The 265 cases dealt with during the year have been assisted as follows :—

Page 45

TABLE 17. SMALLPOX, 1932.

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

Page 45

TABLE 18. Vaccination, 1932.

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

Page 46

During 1932, the Public Vaccinator carried out the following vaccinations :—

Page 47

Number inoculated in the various age groups :—

Page 47

Number inoculated in the various age groups :—

Page 47

3. Private Medical Practitioners. In addition to the above, during the same period 23 children have been inoculated three times by Private Medical Practitioners, and the ages at which inoculation was performed were as follows :—

Page 49

TABLE 19. Total Cases or Notifiable Diseases, 1910-1932.

Disease.	1910	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	1924	1925	1926	1927	1928	1929	1930	1931	1932

Page 50

TABLE 20. Prevalence of and Control over Infectious Disease.—Notified Casks for the 52 Weeks ending. 31st December, 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	1to 5	5 to 10	10 to 15	15to 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 51

TABLE 21.

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

Page 52

TABLE 22. Cancer Deaths.—Parts of Body Affected.

Parts ofBody 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
Parts ofBody Affected.	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 55

Deaths. The number of deaths (1925-1932) from Tuberculosis is shown hereunder.

	Pulmonary.	Non-Pulmonary.	Of Cases on the Clinic Register.

Page 56

Death Rates per Million Living.

		England and Wales.		East	Ham.

Page 56

Attendances and Medical Examinations. The following is a list of the attendances and medical examinations for the last five years :—

	Total Attendances.	Medical Examinations.

Page 65

TABLE 23. Return showing the work of the Tuberculosis and Chest Clinic, 1932.

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 67

TABLE 24. 67 PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1932 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.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 (Class T.B plus	Class T.B. minus	Group 1	Group 2	Group 3	Total Class TB. Plus)

Page 68

TABLE 25. 6f NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1932 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 J oints	Abdominal	Other Organs	Peripheral Glands	Total

Page 73

TABLE 26. HARTS SANATORIUM.—Year ended 31st March, 1933.

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

Page 74

TABLE 27. Return showing the extent of Residential Treatment and Observation during the Year in Harts Sanatorium.

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

Page 75

TABLE 28. 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.			Totals.
			M.	^F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	^F.	Ch.	M.	F.	Ch.

Page 76

TABLE 29. Return showing the extent of Residential Treatment during the Year in Institutions (other than poor law Institutions) approved for the Treatment of Tuberculosis (including Harts Sanatorium).

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

Page 76

TABLE 30. 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 1932	Admitted during the year.	Discharged during the year.	Died in the institutions.	In institutions on Dec. 31,1932.

Page 77

TABLE 31 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 78

TABLE 31_ 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 79

TABLE 32. Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications, 1932. During the Period 3-1-32 to 31-12-32.

	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 79

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 80

TABLE 32—continued. The source or sources from which information as to the above-mentioned cases was obtained:—

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

Page 80

Notification Register.

Number of cases of Tuberculosis remaining at the 31st December, 1932, on the Registers of Notifications kept by the Medical Officer of Health.	Pulmonary			Non-pulmonary			Total Cases
	Males	Females	Total	Males	Females	Total	Total Cases
	506	359	865	162	124	286	1,151

Page 81

TABLE 33. Notified Cases of Tuberculosis, l932.

	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 82

TABLE 34. TUBERCULOSIS. New Cases and Mortality, 1932.

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

Page 85

Severe complications of recovery cases were as follows, viz. :—

Page 87

TABLE 35. Borough Infectious Diseases Hospital.

Diseases.	Remaining at end of 1931	Ad mitted during 1932.	Discharged during 1932.	Died during 1932.	Remaining at end of 1932.

Page 88

TABLE 36. BOROUGH INFECTIOUS DISEASES HOSPITAL. Year ended 31st March, 1933.

Expenditure		Cost per Patient per week
	£	s.	d.

Page 92

Attendances at Infant Welfare Clinics.

Page 92

The daily average attendances at the Clinics were as follows:—

Page 95

The visits made by the Health Visitor during 1932 were 20,277.

Page 96

On investigation it was found that in 74 cases the months of pregnancy at which the still births took place were as follows:—

Page 96

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

Page 97

Ante-natal Work.

Page 99

During the year help was obtained in 221 cases as follows :— Mother—

Page 102

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 105

TABLE 37. METEOROLOGICAL RECORD—YEAR 1932. 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.					Rainfall.
	Highest Maximum.	I.owest Minimum.	Mean of		Mean Temperature of Air.	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.	I.owest Minimum.	All Highest.	All Lowest.	Mean Temperature of Air.	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 108

INSPECTIONS FOR THE YEAR.

	Ordinary	House-to-house	Total

Page 109

TABLE SHOWING INSPECTIONS MADE IN EACH WARD PER MONTH.

Month	Manor Park		Wood-grange		Kensington		Little llford		Plashet		Castle		Central		Wall End		Great field		South		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.	Ordinary	House to House

Page 110

COMPLAINTS RECEIVED FOR 1932.

	Manor Park	Woodgrange	Kensington	Little llford	Plashet	Castle	Central	Wall End	Greatfield	South	Total

Page 110

To secure abatement the following notices were served :—

	1931.	1932.

Page 111

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

Year	Written	Oral	Total

Page 111

Notices Complied with during the year ended 31st December, 1932 :—

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

Page 111

Notices Outstanding at 31st December, 1932 :—

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

Page 112

PROSECUTIONS UNDER THE PUBLIC HEALTH ACT FOR THE YEAR 1932.

Date.	Situation of premises.	Offence.	Result.

Page 113

PROSECUTIONS UNDER THE PUBLIC HEALTH ACT FOR THE YEAR 1932 —continued.

Date.	Situation of premises.	Offence.	Result.

Page 114

PROSECUTIONS UNDER THE MILK AND DAIRIES ORDER FOR THE YEAR 1032.

Date.	Offence.			Result.

Page 114

PROSECUTIONS UNDER THE PUBLIC HEALTH ACTS AMENDMENT ACT, 1007 (SECTION 85) FOR THE YEAR 1932.

Date.	Offence.	Result.

Page 114

PROSECUTIONS UNDER THE FOOD AND DRUGS (ADULTERATION) ACT FOR THE YEAR 1932.

Date.	Offence.	Result.

Page 115

The Council own and maintain the following Parks and Open Spaces :—

Page 120

During the year 1,027 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. (1)	Number of
Premises. (1)	Inspections. (2)	Written notices. (3)	Occupiers prosecuted. (4)

Page 125

DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

Particulars. (1)	Number of defects.			Number of offences in respect to which prosecutions were instituted. (5)
Particulars. (1)	Found. (2)	Remedied. (3)	Referred to H.M. Inspector. (4)

Page 127

The Following of the Inspections made during the Year 1932:—

	DISTRICT No. 1				DISTRICT No. 2.				DISTRICT No. 3.				DISTRICT No. 4.				DISTRICT No. 5.
	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 137

Summary of the Work Performed in the School Medical Service since its Inception.

	1909	1910	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	1924	1925	1926	1926	1927	1928	1929	1930	1931	1932

Page 140

COMPARATIVE STATEMENT OF WORK.

	1928.	1929.	1930.	1931.	1932.

Page 142

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.
	1927	1928	1929	1930	1931	1932	1927	1928	1929	1930	1931	1932	1927	1928	1929	1930	1931	1932

Page 143

Comparative table:—

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

Page 144

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 145

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	1931	1932	1931	1932

Page 146

(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 149

Table of the Chief Infectious Diseases, Showing the Monthly Incidence in Children of School Age.

Month	Measles	Chicken Pox	Whooping Cough	Mumps	Scarlet Fever	Diphtheria

Page 156

SUNLIGHT FIGURES, 1932.

CONDITION.	Boys.	Girls.

Page 157

The Education Committee sent 203 scholars to the East Cowes Holiday Camp during the year 1932, and in addition the following School Journeys were undertaken :—

Page 158

Particulars of the cases dealt with are as follows :—

Page 159

Particulars of the number of Children who were resident in Schools of Recovery between 1st January and 31st December, 1932, 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 161

The Inspectors have made 234 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.

Page 163

Continued from previous page...

Page 164

During the year 1932 the follow ing special medical examinations were made:—

Page 165

A.—ROUTINE MEDICAL INSPECTIONS. Number of Code Group Inspections—

	Boys.	Girls.

Page 165

B.— OTHER INSPECTIONS.

Page 166

TABLE II. SECONDARY SCHOOL. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1932.

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)
(1)	b.	G.	B.	G.	13.	G.	b.	G.

Page 167

Table II.—( continued.)

(1)		(2)		(3)		(4)		(5)
Teeth—Dental Diseases : See 1 able IV., Group IV.		B.	G.	B.	G.	B.	G.	B.	G.

Page 167

B.—Number of individual children 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. (4)
GROUP. (1)	Inspected (2)		Found to require Treatment. (3)		Percentage of Children found to require Treatment. (4)
Code Groups :—	B.	G.	B.	G.	B.	G.

Page 168

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

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

Page 169

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 pr ictitioner or at hospital, apart from the Authority's Scheme.		Otherwise.		Total.
(D	(2)		(3)		(4)		(5)
	B.	G.	B.	G.	B.	G.	B.	G.

Page 169

Total number of children for whom spectacles were prescribed—

Page 169

Group III.—Treatment of Defects of Nose and Throat.

NUMBER OF DEFECTS.
Received Operative Treatment.						Received other forms of Treatment. (4)		Total number treated. (5)
Under the Authority's Scheme in Clinic 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. (5)
B.	G.	B.	G.	B.	G.	B.	G.	B.	G.

Page 170

The statistical report of my Aural Clinic is as follows :—

Page 171

General Clinic.

Page 171

Baby Clinic.

Page 174

Maternity and Child Welfare Centre. Statistical details of the dental work done for the Maternity and Child Welfare Centres are shown in the following table:—

No. of Sessions 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 Sessions 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 175

TABLES GIVING SUMMING UP OF WORK OF SCHOOL MEDICAL SERVICE from 1st JANUARY, 1932, to 31st DECEMBER, 1932. PUBLIC ELEMENTARY AND CENTRAL SCHOOLS. TABLE I. RETURN OF MEDICAL INSPECTIONS. For the Year ended 31st December, 1932. A.—ROUTINE MEDICAL INSPECTIONS.

Page 176

TABLE II. A.—A Return of Defects found by Medical Inspection in the Year ended 31st December, 1932.

	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)

Page 177

Table II.—(continued).

(1)		(2)	(8)	4)	(5)

Page 177

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)

Page 178

TABLE III. Return of all Exceptional Children in the Area during the Year ended 31st December, 1932.

			Boys.	Girls.	Total.

Page 179

TABLE III.— continued.

			Boys.	Girls.	Total.

Page 180

TABLE III.— continued.

			Boys.	Girls.	Total.

Page 181

TABLE IV. Return of Defects Treated during the Year ended 31st December, 1932. 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.
(1)	(2)	(3)	(4)

Page 182

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.
	Under the Authority's Scheme.	Submitted to refraction by private practitioner or at hospital, apart from the Authority s Scheme.	Otherwise.	Total.

Page 182

Total number of children for whom spectacles were prescribed—

Page 182

Group III.—Treatment of Defects of Nose and Throat. NUMBER OF DEFECTS.

Number of defect
Receive Operative Treatment
Under the Authority's Scheme in Clinic or Hospital.	By Private Practitioner or Hospital apart from the Authority's Scheme.	Total.	Receive other froms Treatment.	Total number Treated.
(1)	(2)	(3)	(4)	(5)

Page 183

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 1932

144 tables in this report

EXTRACTS FROM VITAL STATISTICS.

Deaths from puerperal causes :—

Death rate of infants under one year of age:—

Of these sections, on reference to the table concerned, it will be seen that the following five groups were responsible for 74 per cent. of the total deaths :—

The percentage of total deaths in the various age-groups was as follows :—

The Maternity and Child Welfare Act, 1918, empowers a Local Authority to :—

7. Complicated Midwifery :—

Towards the end of the year under review, the Registrar General published part 1 of the Census figures and statistics for the County of Essex, and the following extracts from this return relate to East Ham:— Population.

TABLE 1.

TABLE 2.

TABLE 3.

The census population was made up as follows :—

TABLE 4.—B irth R ate, D eath R ate and A nalysis of M ortality, 1932.

TABLE 5.—Births in Wards and Rates.

TABLE 6. Causes of D eath in A ge G roups , 1932.

TABLE 7.—Ward Distribution of Deaths, and Ward Death Rates, 1932.

TABLE 8. Infant Deaths under One Year of Age, 1932.

The number examined is shown in the table below :— TABLE 9. Laboratory Examinations, 1932.

During the year under review Drs. Harrison and Brews, the District Medical Officers, carried out the following work :—

TABLE 10. Disposition of East Ham Mental Patients on 31st December, 1932.

1.— IN-PATIENTS. A. Number of Beds and In-Patients.

1.—IN-PATIENTS— continued. B. Annual Expenditure on In-Patients apart from that on Outpatients ; Average Cost of each In-Patient per week ; and Average Cost of each In-patient.

2 .-OUT- PATIENTS. A. Numbers.

2.—OUT-PATIENTS— continued. B. Annual Expenditure on Out- Patients and Average Cost of each Out- Patient Attendance and of each Out-Patient.

TABLE 11. East Ham Cases Admitted to Public Assistance Institutions.

Aldersbrook Homes and Scattered Homes. Mr. W. Pitt Steele, Superintendent of these Homes, kindly supplied me with copies of his half-yearly reports for 1932, and the following information has been abstracted from these reports :—

Aldersbrook Homes and Scattered Homes— continued.

The same facilities were available as in recent years for the treatment of these diseases, and from the official tables supplied by the London County Council the following figures are abstracted :—

M. &amp; C. W. Clinics.

TABLE 12.

TABLE 13. Particulars of Mental Defectives as on 1st January, 1933. (A) " Subject to be dealt with " by the Local Authority. (B) Who may become " subject to be dealt with " by the Local Authority. N.B.—No case is included under more than one main heading of A or B.

Continued from previous page...

DURING THE YEAR 1932. 1. (a) Number of instances in which Licence was granted during 1932 :—

TABLE 14. Statistics of Training Centre, 1932.

TABLE 15. Work of the Visitor to the Blind.

TABLE 16. Welfare of the Blind.— Registration. As at 31 /3/33.

Ages at which Blindness occurred.

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

(b) Occupations of Employed.

The following is abstracted from the Annual Report for the year 1932 :—

The 160 new cases were referred by :—

The 265 cases dealt with during the year have been assisted as follows :—

TABLE 17. SMALLPOX, 1932.

TABLE 18. Vaccination, 1932.

During 1932, the Public Vaccinator carried out the following vaccinations :—

Number inoculated in the various age groups :—

Number inoculated in the various age groups :—

3. Private Medical Practitioners. In addition to the above, during the same period 23 children have been inoculated three times by Private Medical Practitioners, and the ages at which inoculation was performed were as follows :—

TABLE 19. Total Cases or Notifiable Diseases, 1910-1932.

TABLE 20. Prevalence of and Control over Infectious Disease.—Notified Casks for the 52 Weeks ending. 31st December, 1932.

TABLE 21.

TABLE 22. Cancer Deaths.—Parts of Body Affected.

Deaths. The number of deaths (1925-1932) from Tuberculosis is shown hereunder.

Death Rates per Million Living.

Attendances and Medical Examinations. The following is a list of the attendances and medical examinations for the last five years :—

TABLE 23. Return showing the work of the Tuberculosis and Chest Clinic, 1932.

TABLE 25. 6f NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1932 of all patients remaining on the Clinic Register; and (b) the reasons for the removal of all cases written off the Register.

TABLE 26. HARTS SANATORIUM.—Year ended 31st March, 1933.

TABLE 27. Return showing the extent of Residential Treatment and Observation during the Year in Harts Sanatorium.

TABLE 28. Return showing the immediate results of Treatment of definitely Tuberculous patients discharged during the Year from Harts Sanatorium.

TABLE 29. Return showing the extent of Residential Treatment during the Year in Institutions (other than poor law Institutions) approved for the Treatment of Tuberculosis (including Harts Sanatorium).

TABLE 30. Return showing the extent of Residential Treatment provided during the year in poor Law institutions for Persons Chargeable to the Council.

TABLE 31 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 31_ continued.

TABLE 32. Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications, 1932. During the Period 3-1-32 to 31-12-32.

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

Notification Register.

TABLE 33. Notified Cases of Tuberculosis, l932.

TABLE 34. TUBERCULOSIS. New Cases and Mortality, 1932.

Severe complications of recovery cases were as follows, viz. :—

TABLE 35. Borough Infectious Diseases Hospital.

M. & C. W. Clinics.