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East Ham 1944

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

Published
1945
Pages
90
Tables
76

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76 tables in this report

  • Page 6
    EXTRACTS FROM VITAL STATISTICS.
    For Birth Rate.
    Total.Males.Females.
  • Page 6
    Deaths from Puerperal causes:—
    Deaths.Rate per 1,000 Total (Live and Still Births)
  • Page 7
    BIRTH RATES IN TWO WAR PERIODS.
    191419151916191719181919
  • Page 7
    DEATH RATES IN TWO WAR PERIODS.
    191419151916191719181919
  • Page 8
    Table 1
    Puerperal Infection.Other Causes.TOTAL.
    England and Wales.East Ham.England and Wales.East Ham.England and Wales.East Ham.
  • Page -
    Table 3.—CAUSES OF DEATH IN AGE GROUPS. 9a
    Cause of Death.All Ages.Deaths at different periods of life of residents (civilians), whether occurring within or without the district.
    Under 1 Year.1—5 Y ears.5—15 Years.15—45 Years.45—65 Years.65 and Upwards.
    MFMFMFMFMFMFMF
  • Page 9
    Table 2.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1944.
    Rate per 1,000 Civilian Population.Annual Death Rate per 1,000 Civilian Population.Rate per 1,000 Live Births.
    Live Births.Still Births.All Causes.Typhoid and Paratyphoid Fevers.Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Smallpox.Measles.Total Deaths under one year.Deaths from Diarrhoea and Enteritis (under two years.)
  • Page -
    Table 4.-DEATHS IN WARDS, 1944.
    Manor Park.Little Ilford.Wood-grange.Plashet.Kensington.Castle.Central.Wall End.Great-field.South.Total.
  • Page 10
    TABLE 5—INFANT DEATHS UNDER ONE YEAR OF AGE, 1944.
    Cause of Death.Total deaths.Age and Sex.Total under 1 year.Wards.Deaths in Institutions.
    Under 1 week.1—2 weeks.2—3 weeks.3—4 weeks.1—3 months.3—6 months.6—9 months.9—12 months.Manor Park.Little IlfordWoodgrange.Plashet.Kensington.Castle.Central.Wall End.Greatfield.South.
    MFMFMFMFMFMFMFMFMF
  • Page 11
    Table 6.-PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASE. Notified Cases for the 52 weeks ending 30th December, 1944.
    DISEASE.Cases Notified in Whole District.Ward Distribution of Cases.Number of cases Removed to Hospital.Total Deaths in Borough.
    At all ages - years.Manor ParkLittle Ilford.Wood-grange.Plashet.Kensington.Castle.Central.Wall End.Greatfield.South.
    At all ages.Under 11 to 55 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 and Up.
  • Page 12
    Ages in years:
  • Page 12
    In March 1944, immunisation against Whooping Cough was commenced and up to 31.12.44, the number of children dealt with was as follows:—
    No. of inoculationsNo. of children completely immunised
  • Page 14
    Tabls 7.—CANCER DEATHS—PARTS OF BODY AFFECTED.
    Parts of Ages Body Affected Sex0—11—22—55—1515—2525—3535—4545—5555—8565—7575 and upwardTotal
    MFMFMFMFMFMFMFMFMFMFMFMF
  • Page 16
    T able 8.—SHOWING TYPES OF DIPHTHERIA AND MORTALITY.
    Type.Total.Died.Mortality Rate.
  • Page 16
    T able 9.—SHOWING SERUM ADMINISTRATION.
    8,00016,00024,00032,00064,000128,000—Total.
  • Page 16
    T able 10.—SHOWING AGE INCIDENCE OF DIPHTHERIA.
    0—5—10—15—20—25—Total.
  • Page 17
    Complications.
  • Page 19
    T able 11 .—ADMISSIONS AND DISCHARGES FOR 1944. (After correction for Diagnosis).
    Disease.Remaining at end of 1943.Admitted during 1944.Died During 1944.Discharged during 1944Remaining at end of 1944.
  • Page 20
    Table 12.—DIPHTHERIA PROPHYLAXIS. Return for Period Ending 31st December, 1944.
    Age under 5 years.Age 5 years and over, but under 15Total.
  • Page 21
    East Ham Memorial Hospital.
  • Page 21
    Oldchurch County Hospital.
  • Page 21
    The number of Diphtheria swabs examined at the Infectious Diseases Hospital and the Town Hall Annexe Laboratory, was as follows:—
    Number.Positive.Negative.
  • Page 22
    SOCIAL WELFARE DOMICILIARY MEDICAL SERVICE. Table 13.—Statistical Return fob the Year Ending 31st December, 1944
    Number of Attendances at Homes.Number of Attendances at Surgery.Total Number of Attendances.Number of Occasions Medicines supplied without seeing Patients
  • Page 22
    VENEREAL DISEASES. The same facilities are 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 22
    Pathological Examinations.
  • Page -
    TABLE 14. STATISTICAL RETURN OF REGISTERED BLIND PERSONS AS AT 31st MARCH, 1945. Number of Home Teachers Engaged in Area—One. AGE PERIODS OF REGISTERED BLIND PERSONS.
    Age PeriodAge PeriodAge PeriodAge PeriodAge PeriodAge PeriodAge PeriodAge PeriodAge PeriodAge UnknownTotal of all Age Groups
    0—11—55—1616—2121—4040—5050—6565—7070 and over
    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 23
    Venereal Diseases Rules, 1942—33B. Contacts notified to the Medical Officer of Health during the period 1st January, 1944, to 31st December, 1944:—
    M.F.
  • Page 26
    Statistics. Table 15.—COMPARISON WITH PREVIOUS YEAR :
    1944.1943.
    M.F.Total.M.F.Total.
  • Page 26
    Of the total number of mental defectives known to the local authority:—
    19441943
  • Page 27
    Table 16.—MENTAL DEFICIENCY ACTS, 1913-1938. Statistics—January, 1938-January 1945.
    YEARUnder OrderIn places of safetyUnder statuary supervisionUnder permissive powers.Under Friendly CareTOTAL
    In InstitutionsUnder Guardianship.
  • Page 28
    The types of new cases dealt with in 1944 were as follows:—
  • Page 28
    SCABIES CLINIC AND TREATMENT CENTRE. The following statistics are appended:—
    Number of New Cases Attending.
    194219431944
  • Page 28
    The accommodation of the five war-time nurseries is as follows:—
    No. of Places.
  • Page 29
    Maternity and Child Welfare. TABLE 17.
    Domiciliary MidwivesMidwives in InstitutionsTotals
  • Page 31
    It is interesting to note that during the year the following amounts were collected at the Clinics:—
    £s.d.
  • Page 31
    Cases of Ophthalmia Neonatorum notified during the year in which:—
  • Page 32
    CHILD LIFE PROTECTION. Child Life Protection (Section 206 to 220 of the Public Health Act, 1936). TABLE 18
    (i) Individual foster-mothers .(ii) Persons in charge of Voluntary Homes and Institutions.(iii) Persons in charge of Residential Nurseries, etc. run for profit.(iv) Total
  • Page 33
    Table 19.—REGISTRATION OF NURSING HOMES. (Sections 187 to 194 or the Public Health Act, 1936.) Return of the Work of the Council during 1944.
    Number of HomesNumber of Patients provided for
    Maternity PatientsOthersTotals
  • Page 34
    Dental Treatment—M. & C. W., 1944. Expectant and Nursing Mothers:—
  • Page 35
    Ante-Natal Clinics. During 1944 the number of expectant mothers attending the ante-natal clinics has steadily increased, partly due to the great demand for maternity hospital accommodation.
    19431944
  • Page 36
    Deaths. The number of deaths (1940-1944) from tuberculosis is shown below:—
    Pulmonary.Non-Pulmonary.Of Cases on the Clinic Register.
  • Page 37
    New Cases. The following are the comparative figures for the years 1940-1944:
    19401941194219431944
  • Page 37
    Number of X-Ray Examinations at the Chest Clinic.
    19401941194219431944
  • Page 39
    For the war years the percentage of contacts proved to be tuberculous is as follows:—
    193919401941194219431944
    %%%%%%
  • Page 45
    T able 20.—RETURN RELATING TO THE WORK OF THE TUBERCULOSIS AND CHEST CLINIC DURING THE QUARTER ENDING 31 st DECEMBER, 1944.
    Diagnosis.PulmonaryNon-Pulmonary.TotalGrand Total
    Adults.ChildrenAdults.Children.Adults.Children .
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 46
    T able 21.— PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary or Notifications during the period from 1 st January , 1944, to the 31st December, 1944.
    Age PeriodsFormal NotificationsTotal Notifications
    Number of Primary Notifications of new cases of tuberculosis
    0—1—5—10—15—20—25—35—45—55—65—Total (all ages)
  • Page 46
    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 Periods0-1—5—10—15—20-25—35—45—55—65—Total
  • Page 46
    The source or sources from which information as to the above-mentioned cases was obtained should be stated below:—
    Source of InformationNo. of Cases
    PulmonaryNon-Pulmonary
  • Page -
    Table 22.— TREATMENT OF TUBERCULOSIS. 46a I. Number of beds provided and available in Residential Institutions belonging to the Authority (wholly or jointly with other Local Authorities) on 31st December, 1944.
    (i) Name of Institution(ii) Total number of beds provided(iii) Number of beds (included in ii) temporarily not available(iv) Number of beds vacant and ready for use
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    MFChMFChMFChMFChMFChMFCh
  • Page -
    2. Number of Patients receiving treatment in Residential Institutions under the arrangements of the Authority for treatment of Tuberculosis on 31st December, 1944.
    Type of InstitutionEx-Service Men (Memo. 146/T. Rev. and Circular 2334)OTHER PATIENTS
    PulmonaryNon-PulmonaryPulmonaryNon-Pulmonary
    MalesFemalesChildrenMalesFemalesChildren
  • Page 48
    The extent of work and responsibility can be judged from the following labour statistics:—
  • Page 55
    (c) Adulteration. Details of the various samples obtained by the Sanitary Inspectors and the results are included in the following tabular statement:—
    Number of SamplesPercentage of samples adulterated
    ExaminedFound adulterated or below standard
  • Page 56
    Details of samples adulterated or below standard are described as follows, together with the resultant action:—
    NumberI or FArticleAdulteration or Deficiency.Action Taken
  • Page 59
    COMPARATIVE STATEMENT OF WORK.
    19401941194219431944
  • Page 59
    The following comparative table serves to indicate the number and percentage of children found to be in need of medical or surgical treatment in those scholars inspected during the year 1944.
    Number of Children*Percentage of Children found to require treatment
    Inspected.*Found to require treatment
  • Page 60
    COMPARATIVE TABLE.
    YearNumber ExaminedNumber with NitsNumber with Head VerminNumber of Exclusion Certificates
  • Page 60
    (d) Tuberculosis.
    BoysGirlsTotal
  • Page 61
    The following table gives a comparative statement in regard to the nutrition of school children during the past five years:—
    YearNumber of Children InspectedExcellentNormalSlightly SubnormalBad
    No.%No.%No.%No.%
  • Page 63
    Mr. S. C. Reeve-Flaxman, the Ophthalmic Surgeon, reports as follows:—
    General ClinicBaby Clinic
  • Page 63
    Twenty-eight clinics were held during the year, with a total attendance of 843, 22 per cent. of the cases were, after treatment, discharged cured. The statistical report is as follows:—
  • Page 64
    Maternity and Child Welfare Centres. Details of the dental work done for the Maternity and Child Welfare Centres are shown in the following table:—
    Number of Sessions Devoted to TreatmentNumber of AttendancesNumber of Permanent TeethNumber of Temporary Teeth
    AdultChildrenExtractedFilledExtractedFilled
  • Page 64
    (i) The Light Clinic. The following table furnishes a brief summary of the cases treated by general and local irradiation throughout the year:—
  • Page 65
    PARTICULARS OF THE NUMBER OF CHILDREN WHO WERE RESIDENT IN SCHOOLS OF RECOVERY BETWEEN 1st JANUARY AND 31st DECEMBER, 1944, AND THE PERIODS OF THEIR STAY BETWEEN THOSE TWO DATES.
    SchoolNumber of MonthsTotals
    123456789101112
    BGBGBGBGBGBGBGBGBGBGBOBGBG
  • Page 65
    SYNOPSIS OF CASES REFERRED TO EAST HAM I.C.A.A. BY SCHOOL MEDICAL SERVICE DURING 1943. Diseases from which the Children were Suffering.
  • Page 66
    During the years 1943 and 1944 meals were supplied to school children as follows
    19431944
  • Page 67
    Such cases have been dealt with by the Society's Inspectors as the result of direct reference from the School Medical Service during the year 1944. The following table indicates the work performed by the Society:—
    ConditionNumber of CasesTreatment obtainedTreatment arrangedCases under observationMoved out of area
  • Page 67
    During the year 1944 the number of cases examined for the purposes of the Mental Deficiency Acts was 22. Of these 18 were classified as mentally deficient and 4 as dull and backward, recommendations being made as shown in the following table:—
  • Page 68
    TABLE I. MEDICAL INSPECTIONS OF CHILDREN ATTENDING PUBLIC ELEMENTARY AND SECONDARY SCHOOLS. A.—ROUTINE MEDICAL INSPECTIONS.
    Number of Inspections in the prescribedElementarySecondary
  • Page 68
    B.—OTHER INSPECTIONS.
  • Page 69
    TABLE II. CLASSIFICATION OF THE NUTRITION OF CHILDREN INSPECTED DURING THE YEAR.
    Number of Children InspectedA (Excellent)B (Normal)C (Slightly subnormal)D (Bad)
    No.%No.%No.%No.%
  • Page 69
    TABLE IV. TREATMENT TABLES. GROUP I.—MINOR AILMENTS, (excluding Uncleanliness, for which see Table VI.)
    Disease or DefectNumber of Defects Treated or under Treatment during the Year.
    Under the Authority's SchemeOtherwiseTotal
    (1)(2)(3)(4)
    ElementarySecondaryElementarySecondaryElementarySecondary
  • Page 70
    GROUP II.—DEFECTIVE VISION AND SQUINT, (excluding Minor Eye Defects treated as Minor Ailments—Group I).
    Number of Defects Dealt With
    Under the Authority's SchemeOtherwiseTotal
    ElementarySecondaryElementarySecondaryElementarySecondary
  • Page 70
    GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT. NUMBER OF DEFECTS
    Received Operative TreatmentReceived other forms of TreatmentTotal number Treated
    Under the Authority's Scheme, in Clinic or HospitalBy Private Practitioner or Hospital apart from the Authority's SchemeTotal
    (1)(2)(3)(4)(5)
    ElementarySecondaryElementarySecondary-Ele mentarySecondaryElementarySecondaryElementarySecondary
  • Page 71
    GROUP IV. -ORTHOPAEDIC AND POSTURAL DEFECTS . Postural defects which received non-residential treatment otherwise than at an orthopaedic clinic are not recorded in this Table. A child may be recorded in more than one category and therefore the total number of children treated will not necessarily be the same as the sum of the figures in the separate categories.
    Under the Authority's Scheme (1)Otherwise (2)Total Number Treated (see note above)
    Residential treatment with Education (i)Residential Treatment without Education (ii)Non-residential Treatment at an orthopaedic Clinic (iii)Residential Treatment with Education (i)Residential Treatment without Education (ii)Non-residential Treatment at an orthopaedic Clinic (iii)
  • Page 71
    (a) Routine age-groups.
  • Page 72
    TABLE VI. UNCLEANLINESS AND VERMINOUS CONDITIONS. All cases of uncleanliness, however slight, are recorded. The Return relates to individual children and not to instances of uncleanliness.