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

Page 11

Extracts from Vital Statistics.

		Total.	Malts.	Females.

Page 14

The live birth rates in the various Wards were as follows

Manor Park	Little Ilford		Woodgrange ]		Plashet

Page 15

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

Under i 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 16

TABLE 1.

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

Page 16

Particulars are given below :—-

No.	Diagnosis.	Where treated.	Result.

Page -

TABLE 3. C auses of D eath in A ge G roups, 1936.

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 year		1-2 years		2-5 years		5-15 years		15-25 years		25-35 years		35-45 yerrs		45-55 years		55-65 years		65-75 years		75 years and upwards.

Page 17

TABLE 2.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1936.

	Rate per 1,000 Population.		Annual Death Rate per 1,000 Population.									Rate per l.OOC Live Births.
	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 Yr.

Page 18

TABLE 4.—W ard D istribution of D eaths, and W ard D eath R ates, 1936.

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

Page -

TABLE 5. 18a Infant Deaths Under One Year of Age, 1936.

CAUSE OF DEATH.	Total	Ages and Sex																Total under 1 year		Wards										Deaths in Institutions
CAUSE OF DEATH.	Total	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		Manor Park	Little Ilford	Wood- grange	Plashet	Kensington	Castle	Central	Wall End	Great- field	South
		M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	Manor Park	Little Ilford	Wood- grange	Plashet	Kensington	Castle	Central	Wall End	Great- field	South

Page 21

Ambulance Facilities. General. The two ambulances operating from the Fire Station carried out the following work during ,1936:—

	Ordinary	Police

Page 22

The number and nature of these examinations for 1936 are shown below:—

Specimen	Number

Page 25

TABLE 6. Public Assistance Domiciliary Medical Service. Statistical Return for the Year Ending 31.12.36.

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 28

TABLE 7. Clinics and Treatment Centres.

Situation.	Purpose Used.	Sessions.

Page 30

TABLE 8 Disposition of East Ham Mental Patients on 31.12.1936

Institution	Male	Female	Total

Page 31

TABLE 9. 1. —In-Patients. Number of Beds and In-Patients.

	Numbers in 1936	Numbers in previous year.

Page 31

2.—Out-Patients. Numbers.

	Numbers in 1936	Numbers in previous year

Page 32

(j) Whipps Cross Hospital and Institutions controlled by West Ham. Beds Allocated on User Basis to East Ham.

Institution.	No. of Beds.	Type.

Page 33

TABLE 10. Cases Admitted to West Ham Corporation Public Assistance Institutions from East Ham.

Institution.	Chargeable on 31.12.35	Admitted during 1936	Born during 1936	Total.	Discharged.	Died.	Transferred to other Instns.	Chargeable on 31.12.36

Page 34

TABLE 11.

Page 37

TABLE 12.

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 38

TABLE 13. Particulars of Mental Defectives as on 1st January, 1937. (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 heading of A or B. A.—Number of mental defectives ascertained to be "subject to be dealt with ":—

1. Under "Order":—	M.	F.	T.

Page 39

1. In Institutions or under Guardianship— dealt with under sec.3:-

Page 39

DURING THE YEAR 1936.

	M.	F.	T.

Page 40

3. Of the total number of mental defectives known to the Local Authority:—

(a) Number who have given birth to children during 1936:—

Page 40

TABLE 14. Statistics of Training Centre, 1936.

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

Page 42

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.	Crochet.	Wool Ball Work.	Manual.	Straw - bag making
		Daily.	Eve'ng.						Cane Basket Work.	Braille	Moon.	Knitting.	Crochet.	Wool Ball Work.	Manual.	Straw - bag making

Page -

TABLE 16. Welfare of the Blind.—Registration. As at 31.3.37. M=Males. In the following tables, the registration of the blind, ages at which blindness occurred, training and employment and occupations, as at 31.3.37, are set out:— M=Males F=Female. T = Total.

Age Period 0—1			Age Period 1—5			Age Period 5—16			Age Period 16—21			Age Period 21—40			Age Period 40—50			Age Period 50—65			Age Period 65—70			Age Period 70 and over			(l) total of all age groups. (ii) Age 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.

Page -

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 and over			Age Period 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.	M.	F.	T.

Page -

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 Organisations.						All others not included in (a) & (b) (c)			Total employed (d)			Industrial (e)			Secondary (f)			Professional or University (g)
Workshops			Home Workers			All others not included in (a) & (b) (c)			Total employed (d)			Industrial (e)			Secondary (f)			Professional or University (g)
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 -

Occupations of Employed Blind Persons.

	Agents, Collectors, etc.	Basket Workers	Bedding(including Divans and Ottomans) and Upholstering.			Boot repairers	Braille copyists & Proof Readers	Brush Makers	Carpenters and Woodworkers	Chair Seaters	Clerks and Typists	Coal Bag Makers	Dealers, Tea Agents, News. Agents, Shopkeepers.	Firewood Workers	Gardeners	Hawkers, News. vendors etc.	Home Teachers	Knitters		Labourers	Massage	Mat Makers	Ministers of Religion	Musicians and Music Teachers	Netting Makers	Porters, Packers Cleaners	Poultry Farmers	School Teachers	Ship's Fender (Fendoff) Makers	Telephone Operators	Tuners	Weavers	Miscellaneous	Total
			Bedding(including Divans and Ottomans) and Upholstering.															Hand	Machine
			Mattress Makers	Machinists	Upholsterers													Hand	Machine

Page -

Unemployable persons resident in Homes Physically and Mentally Defective (including those children 5-16). for the Blind Mental Hospitals or Poor Law Institutions.

(a) Mentally Defective			(b) Physically Defective			(c) (i) Deaf (ii) Deaf mute			Combinations of (a) and (b)			Combinations of (a) and (c)			Combinations of (b) and (c)			Combinations of (a),(b),(c)			Total			Homes for the Blind			Mental Hospitals			Poor Law Institutions
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 -

Children of School Age 5-16

	Normal		Mentally Defec tive		Physically Defec tive
	M	F	M	F	M	F

Page -

TABLE 16.— Continued. Number of persons over 70 years of age

M.	F.	T.

Page -

Blind Persons Registered as New Cases (Not Transfers from other Registers) during the year ended 31. 3. 37. Arranged in Age Periods.

Age Period 0—1			Age Period 1—5			Age Period 5—16			Age Period 16—21			Age Period 21—40			Age Period 40—50			Age Period 50—65			Age Period 65—70			Age Period 70 and over			(i) Total of all age groups
Age Period 0—1			Age Period 1—5			Age Period 5—16			Age Period 16—21			Age Period 21—40			Age Period 40—50			Age Period 50—65			Age Period 65—70			Age Period 70 and over			(ii) Age 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.

Page -

Blind Persons Registered as New Cases (Not Transfers from other Registers) During the Year ended 31. 3. 37, arranged according to the age 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 and over			Age Period 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.	M.	F.	T.

Page 44

The following is abstracted from the Annual Report for the year 1936:—

Page 45

Vaccinations 1936. The following figures shew the vaccinations carried out by the Public Vaccinators from 1/1/36 to 31/12/36:—

	Dr. O'Moore		Dr. Brews	Total

Page 47

Number inoculated in the various age groups:—

Page 49

TABLE 17. Total Cases of Notifiable Diseases, 1913-1936.

Disease.	1913	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	1924	1925	1926	1927	1928	1929	1930	1931	1932	1933	1934	1935	1936

Page 50

TABLE 18. Prevalence of and Control over Infectious Disease.—Notified Cases for the 53 Weeks ending 2nd January,, 1937.

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 51

TABLE 19. Ophthalmia Neonatorum.

Vision Unimpaired.	Vision Impaired.	Vision Lost.	Still under treatment at end of year.	Died.	Removed from District.	Not Classified.

Page 57

TABLE 20 Admissions, Discharges, Etc., 1936 —Borough Infectious Diseases Hospital.

Disease.	Remaining at end of 1935	Admitted during 1936	Died during 1936	Discharged during 1936	Remaining at end of 1936

Page 58

TABLE 21. Borough Infectious Diseases Hospital Year ended 31st March, 1937.

	Expenditure	Cost per Patient per week
	£	S.	d.

Page 60

Table 22. Cancer Deaths.—Parts of the Body Affected.

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
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 61

TABLE 23. Cancer Deaths—1921-1935—Sex and Age Groups.

Age Group	Males						Females
	1921—25		1926—30		1931—35		1921—25		1926—30		1931—35
	East Ham	England and Wales	East Ham	England and Wales	East Ham	England and Wales	East Ham	England and Wales	East Ham	England and Wales	East Ham	England and Wales

Page 63

Deaths: The number of deaths (1931-1936) from tuberculosis is shown below.

	Pulmonary	Non-Pulmonary	Of Cases on the Clinic Register

Page 63

New Cases: The following are the comparative figures for the years 1932-36:—

	1932	1933	1934	1935	1936

Page 64

Attendances and Medical Examinations.

	Total Attendances.	Medical Examinations.

Page 69

TABLE 24. Return showing the work of the Tuberculosis and Chest Clinic, 1936.

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 -

TABLE 25. 70a Pulmonary Tuberculosis. Supplementary Annual Return showing in summary form (a) the condition at the end of 1936 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register. The table is arranged according to the years in which the patients were first entered on the Dispensary Register as definite cases of pulmonary tuberculosis, and their classification at tha t 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	Tot«l(Class \| T.B. Plus)	Class T.B. minus	Group 1	Group 2	Group 3	TotaKClass i T.B. Plui)	Class T.B. minus	Group 1	Group 2	Group 3	Tot»(ICIass T.B. Plus)	Class T.B. minus	Group 1	Group 2	Group 3	Tot»l(Class T.B. Plus)	Class T.B. minus	Group 1	Group 2	Group 3	Totalckass T.B. Plus)

Page -

TABLE 26Non-pulmonary Tuberculosis. Supplementary Annual Return showing in summary form (a) the co ndition at the end of 1936 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

Condition at the time of the last record made during the year to which the return relates						Previous to 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 J oints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and J oints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and J oints	Abdominal	Other Organs	Peripheral Glands	Total

Page -

TABLE 27. CHART SHOWING HISTORY FOR FIVE YEARS OF 263 NEW CASES OF TUBERCULOSIS REPORTED FROM ALL SOURCES IN 1931.

Page 73

Dental Treatment of Uninsured Tuberculous Patients. TABLE 28.

Case No.	Date.	Treatment.	Cost. £ s. d.

Page 78

TABLE 29. HARTS SANATORIUM.—Year ended 31st March, 1937.

	Expenditure	Cost per Patient per week
	£	s.	d.

Page 78

TABLE 30. Number of Beds available for the Treatment of Tuberculosis on the 31st December 1936 in Institutions belonging to the Council.

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

Page 79

TABLE 31. Return showing the extent of Residential Treatment and Observation during the Year 1936 in Harts Sanatorium.

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

Page 79

TABLE 32. RETURN SHOWING THE RESULTS OF DOUBTFULLY TUBERCULOUS CASES DISCHARGED DURING THE YEAR 1936 FROM HARTS SANATORIUM.

Diagnosis 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 80

TABLE 33. Return showing the immediate Results of Treatment of definitely Tuberculous patients discharged during the year 1936 from H arts sanatorium.

Classification on admission to the Institution.		Condition at time of discharge.				Duration of Residential Treatment in the Institution.												Grand Totals.
			Under 3 months, but exceeding 28 days.			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 81

TABIvB 33— continued.

Classification on admission to the institution.		Condition at time of discharge.	Duration of Residential Treatment in the Institution.															Grand Totals.
			Under 3 months, but exceeding 28 days.			3-6 months.			6-12 months.			More than 12 months.			Totals.			Grand Totals.
			M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.

Page 82

TABLE 34. Return showing the extent of Residential Treatment and Observation during the Year 1936 in Institutions (other than Poor Law Institutions) approved for the Treatment of Tubercu losis (including Harts Sanatorium).

			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 82

TABLE 35. Return showing the extent of Residential Treatment provided during the year 1936 in poor Law institutions for Persons Chargeable to the Council.

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

Page 83

TABLE 36. Return showing the immediate results of Treatment of definitely tuberculous patients discharged during the year 1936 from institutions approved for the treatment of tuberculosis (including "harts" Sanatorium)

Classification on admission to the Institution.			Duration of Residential Treatment in the Institution.
		Condition at time of discharge.	Under 3 months, but exceeding 28 days.			3-6 months.			6-12 months.			More than 12 months.			Totals.			Grand Totals.
			M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	M.	F.	Ch.	Grand Totals.

Page 84

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, but exceeding 28 days.			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 85

TABLE 37. P ublic H ealth (T uberculosis ) R egulations , 1930. S ummary of N otifications D uring the period 1.1.36 to 31.12.36.

Age periods.	Formal Notifications. Number of Primary Notifications of new cases of tuberculosis.												Total notifications.
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 86

TABLE 37— 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 87

TABLE 38. Notified Cases of Tuberculosis, 1936.

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 88

T able 39. Tuberculosis. New Cases and Mortality, 1936.

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

Page -

TABLE 40—Number of Persons Registered as Unemployed during 1936 at East Ham Employment Exchange.

(1) Live Register.	January.				February.				March.				April.				May.				June.
(1) Live Register.	Men	Boys	Wmn.	Girls	Men	Boys	Wmn.	Girls	Men	Boys	Wmn.	Girls	Men	Boys	Wmn.	Girls	Men	Boys	Wmn.	Girls	Men	Boys	Wmn.	Girls

Page 101

TABLE 41.

1936	Men	Women	Children	Total 1936	Total 1935

Page 102

TABLE 42. METEOROLOGICAL RECORD—YEAR 1936. 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 103

TABLE 43. Inspection of Factories, Workshops and Workplaces, 1936. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

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

Page 106

The number of notices complied with numbered 4,042. The ward classification of notices served is as follows:—

Page 112

The incidence of overcrowding in the various wards is set out in the following statement:—

Ward	FAMILIES
	Overcrowded	Likely to become Overcrowded within 2 years	Uncrowded	Total	Percentage Overcrowded

Page 117

Bacteriological Examination of Milk Samples.

	Total	Ungraded	Sterilised.	Pasteurised.	Grade A	Grade A I.T.

Page 119

taken, and adulterations are included in the following tables :—

	Number of Samples.		Percentage samples adulterated.
	Examined.	Found adulterated or below standard.	Percentage samples adulterated.

Page 120

DETAILS OF ADULTERATION.

No.	I. or F.	Article.	Adulteration or Deficiency.	Action Taken.

Page 126

COMPARATIVE STATEMENT OF WORK.

	1932.	1933.	1934.	1935.	1936

Page 128

FINDINGS OF MEDICAL INSPECTION.

Group.	NUMBER OF CHILDREN.												Percentage of Children found to require Treatment.
	Inspected.						Found to require Treatment.						Percentage of Children found to require Treatment.
	1931	1932	1933	1934	1935	1936	1931	1932	1933	1934	1935	1936	1931	1932	1933	1934	1935	1936

Page 130

Comparative table:—

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

Page 142

Continued from previous page...

No. of Sessions devoted to Treatment	No. of Attendances		No. of Permanent Teeth		No. of Temporary Teeth
No. of Sessions devoted to Treatment	Adults	Children	Extracted	Filled	Extracted	Filled

Page 143

The opening of the Church Road Clinic has provided for the inclusion of a large number of children hitherto precluded from treatment by ultra-violet rays.

Condition	Boys	Girls	Babies

Page 144

Bronchial Catarrh and

Page 146

Particulars of the number of Children who were resident in Schools of Recovery between 1st January and 31st December, 1936, and the periods of their stay between those two dates.

School	No. of Months																								Totals
	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.	Totals

Page 146

No. of Weeks

Russell-Cotes	4		12		14		24		26		Total
	B.	G.	B.	G.	B.	G.	B.	G.	B.	G.	B.	G.

Page 150

STATISTICS AND CLASSIFICATION OF SCHOLARS WHO WOULD BENEFIT BY ATTENDANCE AT A DAY SPECIAL SCHOOL FOR PHYSICALLY DEFECTIVE CHILDREN.

Heart defects due to Rheumatism, Chorea, Scarlet Fever, Dip-theria, etc.		Rheumatic Cases			Congenital Heart Defects				Congenital & Infantile Paralysis				Tubercular Cases (Quiescent)
		Rheumatic Cases			Congenital Heart Defects				Congenital & Infantile Paralysis				Joints				Glands				Abdominal			Pulmonary
G	B	G		B	G		B		G		B		G		B		G		B		G		B	G	B

Page 152

The Inspectors have made 601 visits in regard to these cases and the following table indicates the work performed by the Society

Condition	Number of Cases	Treatment Obtained	Treat-ment arranged	Cases under Observation

Page 153

During the year 1936, the number of cases examined for purposes of the Mental Deficiency Acts was 38 (24 in 1935). Of these, ten were classified as mentally deficient and 28 as dull and backward, recommendations being made as shown in the following table:—

Page 155

TABLE I. RETURN OF MEDICAL INSPECTIONS. CHILDREN ATTENDING PUBLIC ELEMENTARY SCHOOLS. A.—ROUTINE MEDICAL INSPECTIONS. Number of Inspections in the prescribed Groups—

Page 155

C.—CHILDREN FOUND TO REQUIRE TREATMENT. Number of individual children found at Routine Medical Inspection to Require Treatment (excluding defects of Nutrition, Uncleanliness and Dental Diseases).

Group	For defective vision (xcluding squint)	For all other conditions recorded in Table IIA	Total
(l)	(2)	(3)	(4)

Page 156

TABLE II. A. Return of Defects found by Medical Inspection in the Year ended 31 st December , 1936.

Defect or Disease		No. of Defects.		No. of Defects.
Defect or Disease		Requiring Treatment.	Requiring to be kept under obser vation, but not requiring Treatment.	Requiring Treatment.	Requiring to be kept under obser vation, but not requiring Treatment.

Page 157

TABLE II.— continued.

Defect or Disease.		Routine Inspections.		Special Inspections.
		No. of Defects		No. of Defects.
		Requiring Treatment.	Requiring to be kept under obser vation, but not requiring Treatment.	Requiring Treatment.	Requiring to be kept under obser vation, but not requiring Treatment.

Page 158

B. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

Age-groups	Number of Children Inspected	A (Excellent		B (Normal)		C (Slightly subnormal)		D (Bad)
Age-groups	Number of Children Inspected	No.	%	No.	%	No.	%	No.	%

Page 158

TABLE III. RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA. Blind Children. A blind child is defined by Section 69 of the Education Act, 1921, as one who is "too blind to be able to read the ordinary school books used by children." This definition covers some children who are totally, or almost totally, blind and can only be appropriately taught in a school for blind children, and others who have partial sight and can be appropriately taught in a school for partially sighted children. Only the first class is included in this section.

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

Page 159

Table III— continued. 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 are not 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 159

Deaf Children. A deaf child is defined by Section 69 of the Education Act, 1921, as one who is "too deaf to be taught in a class of hearing children in an elementary school." This definition covers some children who are totally, or almost totally, deaf and can only be appropriately taught in a school for deaf children, and others who have partial hearing and can be appropriately taught in a school for partially deaf children. Only the first class is included in this Section.

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

Page 159

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

Page 160

Table III— continued. defect of receiving proper benefit from the instruction in the ordinary Public Elementary Schools but are not incapable by reason of that defect of receiving benefit from instruction in Special Schools for mentally defective children. The following Table includes 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.

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

Page 160

Epileptic Children. Children Suffering from Severe Epilepsy. In this part of the Table only those children are included who are epileptic within the meaning of the Act, i.e., children who, not being idiots or imbeciles, are unfit by reason of severe epilepsy to attend the ordinary Public Elementary Schools.

Page 161

Table III— continued.

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

Page 161

II.—Children Suffering from Non-Pulmonary Tuberculosis. (This category includes tuberculosis of all sites other than those shown in I. above.)

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

Page 161

B. Delicate Children. This Section is 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

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

Page 162

T able III—continued Section 55 of the Education Act, 1921, that they are incapable by reason of such 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 162

D. Children with Heart Disease. This Section is confined to children in whose case the Medical Officer would be prepared to certify, under Section 55 of the Education Act, 1921, that they are incapable by reason of such 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 162

Children Suffering from Multiple Defects. Information is given in respect of children suffering from any combination of the following types of defect :— Blindness (excluding partially sighted children). Deafness (excluding partially deaf children). Mental Defect (Feeble-minded). Severe Epilepsy. Active Tuberculosis. Crippling (as defined in Section C above). Heart Disease.

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

Page 163

TABLE IV. TREATMENT TABLES. GROUP I.—MINOR AILMENTS (excluding Uncleanliness, for which see Table 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 163

GROUP II.—DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments—Group I.).

	No. of Defects dealt with.
	Under the Authority's Scheme	Otherwise.	Total.

Page 164

TABLE IV.— continued. GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT.

Number of Defects.
Received Operative Treatment.			Received other forms of of Treatment.	Total number treated
Under the Authority's Scheme, iu Clinic or Hospital	By Private Practitioner or Hospital, apart from the Authority's Scheme.	Total.	Received other forms of of Treatment.	Total number treated
(1)	(2)	(3)	(4)	(5)

Page 164

GROUP IV.—ORTHOPAEDIC AND POSTURAL DEFECTS.

	Under the Authority's Scheme. (1)			Otherwise. (2)			Total number treated
	Residential treatment with education. (i)	Residen-tialtreat- ment without education. (ii)	Non-residential treatment at an orthopaedic clinic. (iii)	Residential treatment with education. (i)	Residentialtreatment without education. (ii)	Non-residential treatment at an orthopaedic clinic (iii)	Total number treated

Page 166

TABLE I. RETURN OF MEDICAL INSPECTIONS CHILDREN ATTENDING SECONDARY SCHOOLS. A.—ROUTINE MEDICAL INSPECTIONS. Number of Inspections in the Prescribed Groups—

Page 166

B.—OTHER INSPECTIONS.

Page 166

C.—CHILDREN FOUND TO REQUIRE TREATMENT. Number of individual children found at Routine Medical Inspection to Require Treatment (excluding defects of Nutrition, Uncleanliness and Dental Diseases).

Group (1)	For defective vision (excluding squint; (2)		For all other conditions recorded in Table IIA (3)		Total (40)

Page 167

TABLE II. A. Return of Defects found by Medical Inspection in the Year ended 31 st December , 1936.

Defect of Disease. (1)		Routine Inspections.				Special Inspections.
		No. of Defects.				No. of Defects.
		Requiring Treatment. (2)		Requiring to be kept under obser vation, but not requiring Treatment. (3)		Requiring Treatment. (4)		Requiring to be kept under obser vation, but not requiring Treatment. (5)

Page 168

TABLE IX.— continued.

Defect or Disease. (1)		Routine Inspections.				Special Inspections.
		No. of Defects.				No. of Defects.
		Requiring Treatment. (2)		Requiring to be kept under obser vation, but not requiring Trea tmnt. (3)		Requiring Treatment. (4)		Requiring to be kept under obser vation but not requiring Treatment. (5)

Page 169

B. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

Age-groups.	Number of children Inspected	A (Excellent)		B (Normal)		C (Slightly subnormal)		D (Bad)
Age-groups.	Number of children Inspected	No.	%	No.	%	No.	%	No.	%

Page 169

TABLE IV. TREATMENT TABLES GROUP I.—MINOR AILMENTS (excluding Uncleanliness, for which see Table 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 170

GROUP II—DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments—Group I.).

	No. of Defects dealt with.
	Under the Authority's Scheme		Otherwise.		Total.

Page 170

GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT.

Number of Defects.
Received Operative Treatment.												Received other forms of Treatment.	Total number treated.
Under the Authority's Scheme, in Clinic 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)
(i)	(ii)	(iii)	(iv)	(i)	(ii)	(iii)	(iv)	(i)	(ii)	(iii)	(iv)

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

View report tables

East Ham 1936

117 tables in this report

Extracts from Vital Statistics.

The live birth rates in the various Wards were as follows

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

TABLE 1.

Particulars are given below :—-

TABLE 3. C auses of D eath in A ge G roups, 1936.

TABLE 2.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1936.

TABLE 4.—W ard D istribution of D eaths, and W ard D eath R ates, 1936.

TABLE 5. 18a Infant Deaths Under One Year of Age, 1936.

Ambulance Facilities. General. The two ambulances operating from the Fire Station carried out the following work during ,1936:—

The number and nature of these examinations for 1936 are shown below:—

TABLE 6. Public Assistance Domiciliary Medical Service. Statistical Return for the Year Ending 31.12.36.

TABLE 7. Clinics and Treatment Centres.

TABLE 8 Disposition of East Ham Mental Patients on 31.12.1936

TABLE 9. 1. —In-Patients. Number of Beds and In-Patients.

2.—Out-Patients. Numbers.

(j) Whipps Cross Hospital and Institutions controlled by West Ham. Beds Allocated on User Basis to East Ham.

TABLE 10. Cases Admitted to West Ham Corporation Public Assistance Institutions from East Ham.

TABLE 11.

TABLE 12.

1. In Institutions or under Guardianship— dealt with under sec.3:-

DURING THE YEAR 1936.

3. Of the total number of mental defectives known to the Local Authority:—

TABLE 14. Statistics of Training Centre, 1936.

TABLE 15. Work of the Visitor to the Blind.

TABLE 16. Welfare of the Blind.—Registration. As at 31.3.37. M=Males. In the following tables, the registration of the blind, ages at which blindness occurred, training and employment and occupations, as at 31.3.37, are set out:— M=Males F=Female. T = Total.

Ages at which Blindness occurred.

Training and Employment. Age period 16 and upwards.

Occupations of Employed Blind Persons.

Unemployable persons resident in Homes Physically and Mentally Defective (including those children 5-16). for the Blind Mental Hospitals or Poor Law Institutions.

Children of School Age 5-16

TABLE 16.— Continued. Number of persons over 70 years of age

Blind Persons Registered as New Cases (Not Transfers from other Registers) during the year ended 31. 3. 37. Arranged in Age Periods.

Blind Persons Registered as New Cases (Not Transfers from other Registers) During the Year ended 31. 3. 37, arranged according to the age at which blindness occurred.

The following is abstracted from the Annual Report for the year 1936:—

Vaccinations 1936. The following figures shew the vaccinations carried out by the Public Vaccinators from 1/1/36 to 31/12/36:—

Number inoculated in the various age groups:—

TABLE 17. Total Cases of Notifiable Diseases, 1913-1936.

TABLE 18. Prevalence of and Control over Infectious Disease.—Notified Cases for the 53 Weeks ending 2nd January,, 1937.

TABLE 19. Ophthalmia Neonatorum.

TABLE 20 Admissions, Discharges, Etc., 1936 —Borough Infectious Diseases Hospital.

TABLE 21. Borough Infectious Diseases Hospital Year ended 31st March, 1937.

Table 22. Cancer Deaths.—Parts of the Body Affected.

TABLE 23. Cancer Deaths—1921-1935—Sex and Age Groups.

Deaths: The number of deaths (1931-1936) from tuberculosis is shown below.

New Cases: The following are the comparative figures for the years 1932-36:—

Attendances and Medical Examinations.

TABLE 24. Return showing the work of the Tuberculosis and Chest Clinic, 1936.

TABLE 26Non-pulmonary Tuberculosis. Supplementary Annual Return showing in summary form (a) the co ndition at the end of 1936 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

TABLE 27. CHART SHOWING HISTORY FOR FIVE YEARS OF 263 NEW CASES OF TUBERCULOSIS REPORTED FROM ALL SOURCES IN 1931.

Dental Treatment of Uninsured Tuberculous Patients. TABLE 28.

TABLE 29. HARTS SANATORIUM.—Year ended 31st March, 1937.

TABLE 30. Number of Beds available for the Treatment of Tuberculosis on the 31st December 1936 in Institutions belonging to the Council.

TABLE 31. Return showing the extent of Residential Treatment and Observation during the Year 1936 in Harts Sanatorium.

TABLE 32. RETURN SHOWING THE RESULTS OF DOUBTFULLY TUBERCULOUS CASES DISCHARGED DURING THE YEAR 1936 FROM HARTS SANATORIUM.

TABLE 33. Return showing the immediate Results of Treatment of definitely Tuberculous patients discharged during the year 1936 from H arts sanatorium.

TABIvB 33— continued.

TABLE 34. Return showing the extent of Residential Treatment and Observation during the Year 1936 in Institutions (other than Poor Law Institutions) approved for the Treatment of Tubercu losis (including Harts Sanatorium).

TABLE 35. Return showing the extent of Residential Treatment provided during the year 1936 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 1936 from institutions approved for the treatment of tuberculosis (including "harts" Sanatorium)

TABLE 36— continued.

TABLE 37. P ublic H ealth (T uberculosis ) R egulations , 1930. S ummary of N otifications D uring the period 1.1.36 to 31.12.36.

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

TABLE 38. Notified Cases of Tuberculosis, 1936.

T able 39. Tuberculosis. New Cases and Mortality, 1936.

TABLE 40—Number of Persons Registered as Unemployed during 1936 at East Ham Employment Exchange.

TABLE 41.

TABLE 42. METEOROLOGICAL RECORD—YEAR 1936. 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.

TABLE 43. Inspection of Factories, Workshops and Workplaces, 1936. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

The number of notices complied with numbered 4,042. The ward classification of notices served is as follows:—

The incidence of overcrowding in the various wards is set out in the following statement:—