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

Page 11

Extracts from Vital Statistics.

		Total.	Males.		Females

Page 12

Death rate of infants under one year of age :—

Page 14

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	65-75 Years	75 Years and upwards

Page 15

The maternal mortality rartes foe eash ham as compared with england and wales are as follows:-

	Puerperal Sepsis		Other Causes		Total
	England & Wales	East Ham	England & Wales	East Ham	England & Wales	East Ham

Page 16

TABLE 1.—Birth Rate, Death Rate and Analysis of Mortality, 1934.

	Rate per 1,000 Population.		Annual Death Rate per 1,000 Population.									Rate per 1,000 Live Births.		Percentage of Total Deaths.
	Live Births.	Still-Births.	All Causes.	Typhoid and Para-typhoid Fevers.	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 2 Causes of Death jn Age Groups, 1934.

Cause of death.	All ages.	I Deaths at different periods of life of residents whether occurring within or I without the district.
Cause of death.	All ages.	Under 1 year	1-2 years	1 2-5 years	5-15 years	116-25 years	25-35 years	135-46 years	45-55 years	55-65 years	65-75 years	1 75 years and upwards

Page 19

continued fromk previos page

Cause of death.	WARDS.											Total.
Cause of death.	Manor Park.	Little Ilford.	Wood-grange.	Central	Plashet.	Kensinton.	Castle.	Central	Wall end.	Great-field.	South.	Total.

Page 20

TABLE 4. Infant Deaths under One Year of Age, 1934.

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 22

The number and nature of these examinations for 1934 are shown below :—

Specimen.	Number.

Page 23

The number of swabs examined at the Infectious Diseases Hospital and the Town Hall Laboratory :—

Number.	Positive	Negative.

Page 28

The following is a statement of the drugs supplied for the past 4 years and also the cost of same for the first year of the scheme:—

	£	s.	d.

Page 28

TABLE 5. Public Assistance Domiciliary Medical Service. Statistical Return for the Year Ending 31.12.34.

No. of individual patients.	No. of attendances at homes.	No. of attendances at Surgery.	Total No. of attendances.	No. of occasions medicines supplied without seeing patients.	No. of recommendations for extra nourishment.

Page 30

TABLE 6. C linics and T reatment C entres.

Situation	Purpose used	Sessions

Page 31

TABLE 6. Clinics and Treatment Centres— continued.

Situation	Purpose used	Sessions

Page 33

Suggested Arrangement at New Manor Park Clinic.

Day	Maternity and Child Welfare and School Clinics.		Light Clinics		Dental Clinics.

Page 37

TABLE 7. Disposition of East Ham Mental Patients on 31.12.1934.

	Male.	Female.	Total.

Page 38

1.—In-Patients. A. Number of Beds and In-Patienxs.

		Numbers in 1934.	Numbers in previous year.

Page 39

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

	1934							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.
	£	£	s.	d.	f.	s.	d.	£	s.	d.	£	s.	d.

Page 39

A. Numbers.

	Numbers in 1934	Numbers in previous year

Page 40

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

	1934			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.

Page 40

Beds Allocated in User Basis To East Ham

Institution.	No. of	Type.
	Beds.	Type.

Page 41

TABLE 8. Cases Admitted to West Ham Corporation Public Assistance Institutions from East Ham.

Institution.	Chargeable on 31.12.33	Admitted during 1934.	Born during 1934.	Total.	Discharged.	Died.	Transferred to other Instns.	Chargeable on 31.12.34

Page 42

I am indebted to Mr. Pitt Steele, Superintendent of the Children's Homes, Aldersbrook, for the following information:—

Page 43

A ldersbrook H omes and S cattered H omes— continued.

Page 47

TABLE 9.

VISITS.						No. of reports— register, files, &c.	Number of interviews
Statutory Supervision	Guardianship	Institution	Training Centre	Friendly Care	Total	No. of reports— register, files, &c.	Number of interviews

Page 47

A.—Number of mental defectives ascertained to be " subject to be dealt with ":—

1. Under " Order ":—	M.	F.	T.

Page 48

Continued from previous page...

(b) In Institutions certified under the M.D. Acts (including those approved under Sec. 37):—	M.	F.	T.

Page 48

1. (a) Number of instances in which Licence was granted during 1934:—

	M.	F.	T.

Page 48

(6) Number of instances in which cases on Licence have been returned to Institutions or transferred to Guardianship during the year 1934:—

Page 48

2. Cases notified by Local Education Authorities (Section 2 (2)) duri r. the year 1934 :—

Method of disposal.	M.	F.	T.

Page 49

Continued from previous page...

Action not yet taken—	M.	F.	T.

Page 50

TABLE 11. Statistics of Training Centre, 1934.

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 53

In the following tables, the registration of the blind, ages at which blindness occurred, training and employment and occupations, as at 31.3.35, are set out:— TABLE 12. Welfare of the Blind.—Registration. As at 31/3/35.

Age Period 0—5			Age Period 5—16			Age Period 16—21			Age Period 21—30			Age Period 30 40			Age Period 40—50			Age 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 53

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 53

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

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

Page 53

(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	Tuners	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	Tuners	Weavers	Miscellaneous	Total

Page 53

Physically and Mentally Defective (All Ages)

(a) Mentally Defective.			(b) Physically Defective.			(c) Deaf.			(d) Combination of (a) and (b)			(e) Combination of (a) and (c)			Total
M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.	M.	F.	T.

Page 55

TABLE 13. 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 same.	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 same.	Other Visits.	Total Visits.	No. of Lessons Given.	Cane Basket Work.	Braille.	Moon.	Knitting.	Crochet	Wool Ball Work.	Manual.	Straw- bag making.

Page 56

The following is abstracted from the Annual Report for the year 1934:—

Page 57

The types of new cases were as follows:—

Page 57

The 339 cases dealt with during the year have been assisted as follows :—

Page 60

Only one case of Smallpox was reported, and the following are the particulars:—

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

Page 62

Number inoculated in the various age groups:—

Page 63

Number inoculated in the various age groups:—

Page 63

Number inoculated in the various age groups:—

Page 63

In addition to the above 2 during the same period, twenty-four children were inoculated three times by Private Medical Practitioners and the ages at which inoculation was performed were as follows:—

Page 65

TABLE 14. 65 Total Cases of Notifiable Diseases, 1911-1934.

Disease.	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	1924	1925	1926	1927	1928	1929	1930	1931	1932	1933	1934

Page 66

TABLE 15. P revalence of and C ontrol over I nfectious D isease.— N otified C ases for the 52 W eeks ending 29 th D ecember, 1934.

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 67

TABLE 16.

Disease	Cases.			Vision Unimpaired	Vision Impaired	Cases still under treatment at end of year	Total blindness	Deaths
	Notified	Treated
	Notified	At home	Hospital

Page 72

Operations. One major operation and many minor ones were undertaken during the year. They were as follows:—

Page 73

TABLE 17. Admissions, Discharges, Etc., 1934—Borough Infectious Diseases Hospital.

Disease.	Remaining at end of 1933	Admitted during 1934.	Discharged during 1934.	Died during 1934.	Remaining at end of 1934

Page 74

TABLE 18. Borough Infectious Diseases Hospital. Year ended 31st March, 1935.

	Expenditure	Cost per Patient per week
	£	s.	d.

Page 75

No investigations have been taken as set out in Circular 1136 of 31st July, 1930.

Page 76

TABLE 19. Cancer Deaths.—Parts of Body Affected.

Parts of Body Affected.	Ages	0-1		1-2		2-5		5-15		15-25		25-35		35-4 5		45-55		55-65		65-75		75 and upwards		Total
Parts of Body 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 80

R eport of I nfectious C ases of P ulmonary T uberculosis P reviously N otified as having R efused T reatment.

Sex and Age.	Recommendation.

Page 82

Deaths. The number of deaths (1925-1934) from tuberculosis is shown hereunder.

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

Page 82

New Cases. The following are the comparative figures for 1932, 1933 and 1934.

	1932.	1933.	1934.

Page 83

A ttendances and M edical E xaminations.

	Total Attendances.	Medical Examinations.

Page 89

TABLE 20. R eturn showing the work of the T uberculosis and C hest C linic, 1934.

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 91

TABLE 21. 91 PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1934 of all patients remaining on the Clinic Register ; and (6) 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					1929
				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus
				Class T.B. minus	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 T.B. Plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. Plus)

Page 92

TABLE 22. 92 NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 193+ 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					1929
				Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total

Page 93

The following are the details:—

Case No.	Date	Treatment	Cost

Page 96

TABLE 25. HARTS SANATORIUM.—Year ended 31st March, 1935.

	Expenditure.	Cost per Patient per week.

Page 97

TABLE 23. Number of Beds available for the Treatment of Tuberculosis on the 31st December 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 97

TABLE 24. Return showing the extent of Residential Treatment and Observation during the Year in Harts Sanatorium.

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

Page 98

TABLE 26. Return showing the immediate rksults 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 99

TABLE 26— 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 100

TABLE 27. Return showing the extent of Residential Treatment and Observation during the Year in Institutions (other than Poor Law Institutions) approved for the Treatment of Tuberculosis (including Harts Sanatorium).

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

Page 101

TABLE 28. Return showing the Results of Observation of Doubtfully Tuberculous Cases Discharged during the Year from Institutions approved for the Treatment of Tuberculosis.

Diagnosio on discharge from observation.	For Pulmonary Tuberculosis.						For Non-Pulmonary Tuberculosis.						Totals.
	Stay under 4 weeks.			Stay over 4 weeks.			Stay under 4 weeks.			Stay over 4 weeks.			Totals.
	m.	F.	Ch.	m.	F.	Ch.	m.	F.	Ch.	m.	F.	Ch.	m.	F.	Ch.

Page 101

TABLE 29. 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 (1)	Admitted during the year. (2)	Discharged during the year. (3)	Died in the institutions. (4)	In Institutions on Dec. 31. (5)

Page 102

TABLE 30 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 103

TABLE 30.— 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 104

TABLE 31. Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications. During the Period 1.1.34 to 31.12.34.

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 105

TABLE 31— 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 106

TABLE 32. Notified Cases of Tuberculosis, 1934.

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 107

TABLE 33. Tuberculosis. New Cases and Mortality, 1934.

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

Page 108

This Memorandum was considered by the Maternity and Child Welfare Committee in 1931, and the following- recommendations were made:—

Report of the Medical Officer of Health.	Recommendations or opinion of Sub-Committee.

Page 109

Continued from previous page...

Page 110

Maternal Mortality Rates.

	England and Wales.	East Ham.	England and Wales.	East Ham.

Page 111

The attendances for the years 1931-1933 were as follows:-

	1931.	1932.	1933.

Page 111

The following statistics relating to notified births are given for comparison:—

	1931.	1932.	1933.

Page 123

During the year help was obtained in 241 cases as follows :— Mother—

Page 124

Child-

Page 127

TABLE 34.—Number of Persons Registered As Unemployed during 1934 at East Ham Employment Exchange.

(1) Live Register.	January.				February.				March.				April.				May.				June.
(1) Live Register.	Men	Boys	Wom'n	Girls	Men.	Boys.	Wom'n	Girls.	Men.	Boys.	Wom'n	Girls.	Men.	Boys.	Wom'n	Girls.	Men.	Boys.	Wom'n	Girls.	Men.	Boys.	Wom'n	Girls.

Page 129

Outdoor Assistance—Public Assistance Committee. The following statement, kindly provided by Mr. C. M. Ready, the Public Assistance Officer, shows the average number of persons receiving Outdoor Assistance under the Public Assistance Committee during the 12 months ending 31.12.34 :—

	Men.	Women.	Children. Total.

Page 130

TABLE 35. METEOROLOGICAL RECORD—YEAR 1934. Rain Gauge 5-in. in diameter, placed 1 fool 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 131

TABLE 36. I nspection of F actories, W orkshops and W orkplaces. 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 131

Defects Found in Factories, Workshops and Workplaces.

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

Page 133

TABLE 37. I nspections for the Y ear.

	Ordinary	House-to-house	Total

Page 134

TABLE 38. Table Showing Inspections made in each Ward per Month.

Month	Manor Park		Wood-grange		Kensington		Little Ilford		Plashet		Castle		Central		Wall End		Greatfield		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 135

TABLE 39. Complaints Received for 1934.

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

Page 135

To secure abatement the following notices were served :—

	1933.	1934.

Page 136

TABLE 40.

Year	Written	Oral	Total

Page 136

TABLE 41. Notices Complied with during the year ended 31st December, 1934 :—

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

Page 136

Notices Outstanding at 31st December, 1934:— TABLE 42.

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

Page 137

TABLE 43. P rosecutions under the P ublic H ealth A cts for the Y ear 1934.

Date.	Situation of premises.	Offence.	Result.

Page 138

TABLE 43— continued.

Date.	Situation of premises.	Offence.	Result.

Page 139

TABLE 44. Prosecutions under the Food and Drugs (Adulteration) Act, 1928, for the Year 1934.

Date	Offence.	Result.

Page 140

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

	Acres.

Page 141

TABLE 45. Housing Statistics.

Page 142

Continued from previous page...

Page 143

Continued from previous page...

Page 146

During the year 1,172 notifications of intention to slaughter were received referring to —

Page 148

TABLE 46.

Page 149

TABLE 46—continued.

Page 150

TABLE 46—continued.

Page 151

TABLE 47. 150 a T he F ollowing is a R ecord in D etail of the I nspections made during the Y ear 1934 :—

	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.toH.	Ord.	H. to H.	Ord.	H.toH.

Page 156

COMPARATIVE STATEMENT OF WORK.

	1930.	1931.	1932.	1933.	1934.

Page 158

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 159

Comparative table:—

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

Page 160

TABLE OF VERMINIOUS CONDITIONS FOUND AT EXAMINATION FOR GENERAL FOR CLEANLINESS.

SCHOOLS.	Dept.	Number Exam'd.	Few Nits.	Many Nits and Vermin.	SCHOOLS.	Dept.	Number Exam'd.	Few Nits.	Many Nits and Vermin.

Page 161

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 Teacher* and Nurses and sent to Clinic.
Chief Minor Ailments.	1933	1934	1933	1934

Page 162

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 165

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 174

SUNLIGHT REPORT, 1934.

DIAGNOSIS.	Boys.	Girls.

Page 178

Particulars of the number of Children who were resident in Schools of Recovery between 1st January and 31st December, 1934, 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 180

WINTER MENUS OF MEALS.

Menu No.	1st Course.	2nd Course.

Page 181

Quantities of each Ingredient Required for 50 Children.

	WINTER MENUS.
	Menu No.	1	2	3	4	5	6	7	8	9	10	11

Page 182

SUMMER MENUS OF MEALS.

Menu No.	1st Course.	2nd Course.

Page 183

Q uantities of each I ngredient R equired for 50 C hildren.

	SUMMER MENUS.
	Menu No.	1	2	3	4	5	6	7	8	9	10	11

Page 185

The Inspectors have made 333 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.	Cases under Observation.

Page 186

During the year 1934, the number of cases examined for purpores of the Mental Deficiency Acts, was 37 (42 in 1933). Of these 12 were classified as mentally deficient, and 18 as dull and backward, recommendations being made as shown in the following table :—

Page 188

Annual Number of Cases of Malnutrition coming within the Purview of the School Medical Officer during the past 15 Years.

Year.	* Routine Medical Inspection.		†Special Cases.
Year.	Requiring treatment.	Requiring to be under observation.	Requiring treatment.	Requiring to be under observation.

Page 191

Table Showing the Causes of Malnutrition, the Treatment adopted and the Results of such Treatment in East Ham School Children found to be Suffering from Subnormal Nutrition.

Classified Causes of Malnutrition.	Treatment Adopted.											Results.
	Number of Cases.	School Clinics.	Cod Liver Oil, Parrish's Food or Virol.	Light Clinic.	Additional Nourishment (Public Assistance).	Referred for School Dinners.	Admitted to Schools of Recovery.	Hospital.		Admitted to Sanatorium.	Referred to N.S.P.C.C.	Under Treatment—No Definite improvement at present.	Treatment effective and still in opreation.	Regained normal nutrition, treatment discontinued	Diagnosis not confirmed, progress satisfactory.
	Number of Cases.	School Clinics.	Cod Liver Oil, Parrish's Food or Virol.	Light Clinic.	Additional Nourishment (Public Assistance).	Referred for School Dinners.	Admitted to Schools of Recovery.	Surgical.	Medical.	Admitted to Sanatorium.	Referred to N.S.P.C.C.	Under Treatment—No Definite improvement at present.	Treatment effective and still in opreation.	Regained normal nutrition, treatment discontinued	Diagnosis not confirmed, progress satisfactory.

Page 193

23. Miscellaneous. During the year 1934 the following special medical examinations were made:—

Page 194

The statistical report is as follows :—

Page 195

I have the honour to present the annual report of the Eye Department for 1934.

Page 197

Maternity and Child Welfare Centre. Statistical details of the dental work carried out 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 198

TABLE I. RETURN OF MEDICAL INSPECTIONS. A.—ROUTINE MEDICAL INSPECTIONS.

Page 199

TABLE 11. A.—A Return of Defects found by Med;cal Inspection in the Year ended 31st December, 1934.

Defect or Disease.	Routine Inspections.		Special Inspections.
	No. of Defects.		No. of Defects.
	Requiring Treatment.	Requiring to be kept underobservation,but not requiring Treatment.	Requiring Treatment.	Requiring to be kept under observation, but not requiring Treatment.
(1)	(2)	(8)	(4)	(5)

Page 200

Table II.—( continued).

Page 200

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

GROUP.	Number of Children.
GROUP.	Inspected	Found to require Treatment.
(1)	(2)	(3)

Page 201

Enter in this Section only children who are so blind that they can only be appropriately taught in a school for blind children.

At Certified Schools for the Blind.	At Public Elementary Schools.	At Other Institutions.	At no School or Institution.	Total.

Page 201

Children, who are able by means of suitable glasses to read the ordinary school books used by children without fatigue or injury to their vision should not be included in this Table.

At Certified Schools for the Blind.	At Certified Schools for the Partially Sighted.	At Public Elementary Schools.	At other Institutions.	At no School or Institution.	Total.

Page 202

Table III— continued. Deaf Children. a deaf child is a child who is too deaf to be taught in a class of hearing children in an elementary school. Enter in this Section only children who are so deaf that they can only be appropriately taught in a school for the deaf.

At Certified Schools for the Deaf.	At Public Elementary Schools.	At other Institutions.	At no School or Institution.	Total.

Page 202

Partially Deaf Children. Enter in this Section only children who can appropriately be taught in a school for the partially deaf.

At Certified Schools for the Deaf.	At Certified Schools for the Partially Deaf.	At Public Elementary Schools.	At other Institutions.	At no School or Institution.	Total.

Page 202

The following table should include all such children except those who have been notified to the Local Authority under the Mental Deficiency Act in accordance with Article 3 of the Mental Deficiency (Notification of Children) Regulations, 1928. Particnlars relating to these children should be entered in the return of notified children—Form 307M.

At Certified Schools for Mentally Defective Children.	At Public Elementary Schools.	At other Institutions.	At no School or Institution.	Total.

Page 203

Table III— continued. For practical purposes the Board are of opinion that children who are subject to attacks of major epilepsy in school should be recorded as " severe " cases and excluded from ordinary Public Elementary Schools.

At Certified Special Schools.	At Public Elementary Schools.	At other Institutions.	At no School or Institution.	Total.

Page 203

I. — C hildren S uffering from P ulmonary T uberculosis. (Including pleura and intra-thoracic glands.)

At Certified Special Schools.	At Public Elementary Schools, f	At other Institutions.	At no School or Institution.	Total.

Page 203

II. — C hildren S uffering from N on- P ulmonary T uberculosis. This category should include tuberculosis of all sites other than those shown in (I) above.)

At Certified Special Schools.	At Public Elementary Schools, f	At other Institutions.	At no School or Institution.	Total.

Page 204

Table III— continued. B. D elicate C hildren. This Section should be confined to children (except those included in other groups) whose general health renders it desirable that they should be specially selected for admission to an open Air School. Such children should be included irrespective of the actual provision of Open Air Schools in the area, or of the practicability in present circumstances of sending the children to Residential Schools. At the same time it should be remembered that children should not be regarded as suitable for admission to an Open Air School unless the Medical Officer would be prepared to certify that they are incapable by reason of physical defect of receiving proper benefit from the instruction in the ordinary Public Elementary Schools.

At Certified Special Schools.	At Public Elementary Schools.	At other Institutions.	At no School or Institution.	Total.

Page 204

C. C rippled C hildren. This Section should be confined to children (other than those diagnosed as tuberculous and in need of treatment for that disease) who are suffering from a degree of crippling sufficiently severe to interfere materially with a child's normal mode of life, i.e., children who generally speaking are unable to take part, in any complete sense, in physical exercises or games, or such activities of the School curriculum as gardening or forms of handwork usually engaged in by other children.

At Certified Special Schools.	At Public Elementary Schools.	At other Institutions.	At no School or Institution.	Total.

Page 204

D. C hildren with H eart D isease. This Section should be confined to children whose defect is so severe as to necessitate the provision of educational facilities other than those of the Public Elementary School.

At Certified Special Schools.	At Public Elementary Schools.	At other Institutions.	At no School or Institution.	Total.

Page 205

TABLE IV. Return of Defects Treated during the Year ended 31st December, 1934. TREATMENT TABLE. Group I.—Minor Ailments (excluding Uncleanliness, for which see Group VI.).

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 206

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.			No. of children for whom spectacles were
	Under the Authority's Scheme.	C Otherwise.	Total.	Prescribed		Obtained
				(1)		(2)
				(i)	(ii)	(i)	(>')
				Under the Authority's Scheme.	Otherwise	Under the Authority's Scheme.	Otherwise.
(1)	(2)	(3)	(4)	Under the Authority's Scheme.	Otherwise	Under the Authority's Scheme.	Otherwise.

Page 206

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

Received Operative Treatment.												Received other forms of Treatment.	Total number Treated.
Under the Authority's SchemeinClinic or Hospital.				By Private Practitioner or Hospital apart from the Authority's Scheme.				Total.				Received other forms of Treatment.	Total number Treated.
(1)				(2)				(3)				(4)	(5)

Page 207

Table IV.— continued. Group IV.—Orthop.edic and Postural Defects.

	Under the Authority's Scheme. (1)			Otherwise. (2)			Total number treated.
	Residential treatment with education. (i)	Residential treatment without education. (ii)	Nonresidential treatment at an orthopaedic clinic. (iii)	Residential treatment with education. (i)	Residential treatment without education. (ii)	Non-resident'al treatment at an orthopaedic clinic. (iii)	Total number treated.

Page 207

Group V.-—Dental Defects.

Page 208

TABLE I. RETURN OF MEDICAL INSPECTIONS. For the Year ended 31st December, 1934. SECONDARY SCHOOL. A.—ROUTINE MEDICAL INSPECTIONS.

	Boys.	Girls

Page 209

TABLE 11. SECONDARY SCHOOL. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1934.

	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)
	B.	G.	15.	G.	B.	G.	B.	G.

Page 210

Table II.—( continued.)

(1)		(2)		(3)		(4)		(5)

Page 210

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

. GROUP.	Number of Children
	Inspected		Found to require Treatment.
	(1)	(2)		(3)

Page 211

TABLE IV. SECONDARY SCHOOL. Return of Defects Treated during the Year ended 31st December, 1934. TREATMENT TABLE.

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 212

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.						No. of children for whom spectacles were
	Under the Authority's Scheme.		Otherwise.		Total.		Prescribed (1)				Obtained (2)
							(i)		(ii)		(i)		(ii)
							Under the Authority's Scheme.		Otherwise		Under the Authority's Scheme.		Otherwise.
(1)	(2)		(3)		(4)		Under the Authority's Scheme.		Otherwise		Under the Authority's Scheme.		Otherwise.
	B.	G.	B.	G.	B.	G.	B.	G.	B.	G.	B.	G.	B.	G.

Page 212

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

Under the Authority's Scheme, in Clinic or Hospital.								By Private Practitioner or Hospital, apart from the Authority's Scheme.								Total.
(1)								(2)								(3)

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

View report tables

East Ham 1934

155 tables in this report

Extracts from Vital Statistics.

Death rate of infants under one year of age :—

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

The maternal mortality rartes foe eash ham as compared with england and wales are as follows:-

TABLE 1.—Birth Rate, Death Rate and Analysis of Mortality, 1934.

Table 2 Causes of Death jn Age Groups, 1934.

continued fromk previos page

TABLE 4. Infant Deaths under One Year of Age, 1934.

The number and nature of these examinations for 1934 are shown below :—

The number of swabs examined at the Infectious Diseases Hospital and the Town Hall Laboratory :—

The following is a statement of the drugs supplied for the past 4 years and also the cost of same for the first year of the scheme:—

TABLE 5. Public Assistance Domiciliary Medical Service. Statistical Return for the Year Ending 31.12.34.

TABLE 6. C linics and T reatment C entres.

TABLE 6. Clinics and Treatment Centres— continued.

Suggested Arrangement at New Manor Park Clinic.

TABLE 7. Disposition of East Ham Mental Patients on 31.12.1934.

1.—In-Patients. A. Number of Beds and In-Patienxs.

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

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.

Beds Allocated in User Basis To East Ham

TABLE 8. Cases Admitted to West Ham Corporation Public Assistance Institutions from East Ham.

I am indebted to Mr. Pitt Steele, Superintendent of the Children's Homes, Aldersbrook, for the following information:—

A ldersbrook H omes and S cattered H omes— continued.

TABLE 9.

A.—Number of mental defectives ascertained to be " subject to be dealt with ":—

Continued from previous page...

1. (a) Number of instances in which Licence was granted during 1934:—

(6) Number of instances in which cases on Licence have been returned to Institutions or transferred to Guardianship during the year 1934:—

2. Cases notified by Local Education Authorities (Section 2 (2)) duri r. the year 1934 :—

Continued from previous page...

TABLE 11. Statistics of Training Centre, 1934.

In the following tables, the registration of the blind, ages at which blindness occurred, training and employment and occupations, as at 31.3.35, are set out:— TABLE 12. Welfare of the Blind.—Registration. As at 31/3/35.

Ages at which Blindness occurred.

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

(b) Occupations of Employed.

Physically and Mentally Defective (All Ages)

TABLE 13. Work of the Visitor to the Blind.

The following is abstracted from the Annual Report for the year 1934:—

The types of new cases were as follows:—

The 339 cases dealt with during the year have been assisted as follows :—

Only one case of Smallpox was reported, and the following are the particulars:—

Number inoculated in the various age groups:—

Number inoculated in the various age groups:—

Number inoculated in the various age groups:—

In addition to the above 2 during the same period, twenty-four children were inoculated three times by Private Medical Practitioners and the ages at which inoculation was performed were as follows:—

TABLE 14. 65 Total Cases of Notifiable Diseases, 1911-1934.

TABLE 15. P revalence of and C ontrol over I nfectious D isease.— N otified C ases for the 52 W eeks ending 29 th D ecember, 1934.

TABLE 16.

Operations. One major operation and many minor ones were undertaken during the year. They were as follows:—

TABLE 17. Admissions, Discharges, Etc., 1934—Borough Infectious Diseases Hospital.

TABLE 18. Borough Infectious Diseases Hospital. Year ended 31st March, 1935.

No investigations have been taken as set out in Circular 1136 of 31st July, 1930.

TABLE 19. Cancer Deaths.—Parts of Body Affected.

R eport of I nfectious C ases of P ulmonary T uberculosis P reviously N otified as having R efused T reatment.

Deaths. The number of deaths (1925-1934) from tuberculosis is shown hereunder.

New Cases. The following are the comparative figures for 1932, 1933 and 1934.

A ttendances and M edical E xaminations.

TABLE 20. R eturn showing the work of the T uberculosis and C hest C linic, 1934.

TABLE 22. 92 NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 193+ of all patients remaining- on the Clinic Register; and ( b ) the reasons for the removal of all cases written off the Register.

The following are the details:—

TABLE 25. HARTS SANATORIUM.—Year ended 31st March, 1935.

TABLE 23. Number of Beds available for the Treatment of Tuberculosis on the 31st December in Institutions belonging to the Council.

TABLE 24. Return showing the extent of Residential Treatment and Observation during the Year in Harts Sanatorium.

TABLE 26. Return showing the immediate rksults of Treatment of definitely Tuberculous patients discharged during the Year from Harts Sanatorium.

TABLE 26— continued.

TABLE 27. Return showing the extent of Residential Treatment and Observation during the Year in Institutions (other than Poor Law Institutions) approved for the Treatment of Tuberculosis (including Harts Sanatorium).

TABLE 28. Return showing the Results of Observation of Doubtfully Tuberculous Cases Discharged during the Year from Institutions approved for the Treatment of Tuberculosis.

TABLE 29. Return showing the extent of Residential Treatment provided during the Year in Poor Law Institutions for Persons Chargeable to the Council.

TABLE 30 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 30.— continued.

TABLE 31. Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications. During the Period 1.1.34 to 31.12.34.