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

Page 9

Social.

Page 9

Extracts from Vital Statistics.

		For Total	Birth Males	Rate Females

Page 9

Deaths from Puerperal causes:—

	Death 2	Rate fer 1,000 Total Live and Still Births)

Page 9

Deaths of infants under one year of age :—

Page 10

Since 1939 the statistics in relation to still births is shewn below:—

	1939	1940	1941	1942	1943	1944	1945

Page 10

A comparison of the statistics for the period since 1939 is appended below:—

	1939	1940	1941	1942	1943	1944	1945

Page 11

If the deaths due to this cause are deducted from the total deaths a true conception is obtained of the death rates from natural causes during the war and the following information is therefore given:—

Year	Total No. of deaths	No. of deaths due to enemy action	Nett deaths	Total death rate	Nett death rate

Page 11

If the deaths due to this cause are deducted from the total deaths a true conception is obtained of the death rates from natural causes during the war and the following information is therefore given:—

	1939	1940	1941	1942	1943	1944	1945

Page 11

Infantile mortality rates since 1939 are as follows:—

	1939	1940	1941	1942	1943	1944	1945

Page 11

Illegitimate births and the illegitimate mortality rates since 1939 are tabulated below:—

	1939	1940	1941	1942	1943	1944	1945

Page 11

These rates from 1939 are indicated below:—

1939	1940	1941	1942	1943	1944	1945

Page 12

In the subjoining table these rates are shown since 1939:—

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

Page 13a

TABLE 2. Causes of Death in AGe Groups, 1945, and Total Deaths for 1939-1945.

Cause of Death	All ages		Deaths at different periods of life of residents (civilians), whether occurring within or without the district.												Institutional Deaths		Total deaths for the years :—
	All ages		Under 1 year		1-5 years		5-15 years		15-45 years		45-65 years		65 and upwards		Total Deaths in Institutions		1945	1944	1943	1942	1941	1940	1939
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 13

TABLE 1.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1945.

	Rate per 1,000 Civilian Population		Annual Death Rates per 1,000 Civilian Population								Rate per 1,000 Live Births
	Live Births	Still Births	All Causes	Typhoid and Paratyphoid Fever	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Smallpox	Measles	Total Deaths under one year	Deaths from Diarrhoea and Enteritis (under 2 years

Page 14

TABLE 3.—Deaths in Wards, 1945.

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

Page 14a

TABLE 4. Infant Deaths Under One. Year of Age, 1945.

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		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 15

SUMMARY OF DEATHS DUE TO ENEMY ACTION.

Age	Males	Females	Total

Page 16

Continued from previous page...

	Males	Females	Total

Page 16

NO. OF CASUALTIES TREATED AT FIRST AID POSTS (Fixed and Mobile).

Page 16

E.M.S. HOSPITALS. The number of patients treated in these hospitals, arising from incidents in this area, were as follows :—

	In-patients	Out-patients	Total

Page 18

During- 1945, 1,230 specimens were examined and the nature of these examinations is shewn below:—

Page 19

The number of diphtheria Swabs examined at the Infectious Diseases Hospital and Town Hall Annexe Laboratory, was as follows—

	Number	Positive	Negative

Page 19

Page 20

Continued from previous page...

Nature or Call	Journeys	Mileage

Page 21

TABLE 5. CLINIC AND TREATMENT CENTRES.

Situation	Purpose used	Sessions

Page 22

TABLE 6. SOCIAL WELFARE DOMICILIARY MEDICAL SERVICE. Statistical Return for the Year Ending 31/12/45.

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

Page 23

New Patients:—

1945	1944	1943	1942	1941	1940	1939

Page 23

Pathological Examinations:— For or at the Centres—

Page 23

For Practitioners—

Page 23

Venereal Diseases Rules, 1912— Regulation 33B. Contacts notified to the Medical Officer of Health during the period 1/1 /45 to 31/12/45.

	M.	F.

Page 24

Continued from previous page...

Page 25

TABLE 7. A. In-Patients Number of Beds and In-Patients.

		Numbers in 1945	Numbers in previous year.

Page 26

B. Out=patients Numbers.

		N umbers in 1945	Numbers in previous year.

Page 26

TABLE 8.

Institution.	No. of Beds	Type.

Page 26

TABLE 9.

Chargeable on 31-12-44	Admitted dining 1945	Total	Discharged	Died	T ransferred to other Institutions	Chargeable on 31-12-45

Page 27

TABLE 10. Cases Admitted to West Ham Institutions from East Ham.

Institution.	Chargeable on 31/12/44	Admitted during 1945	Born during 1945	Total	Discharged	Died	Transf'd. to other Instns.	Chargeable on 31/12/45

Page 28

(k) Aldersbrook Homes and Scattered Homes. I am indebted to Mr. Pitt Steele, Superintendent, for the following information relative to the years ended 31/12/45:—

	This year	Corresonding
	This year	1944/5	1939

Page 29

Continued from previous page...

Page 29

TABLE II.

VISITS
Statutory Supervision	Guardianship	Institution	Training Centre	Friendly Care	Total	Number of Interviews

Page 30

TABLE 12. MENTAL DEFICIENCY ACTS, 1913—1938. ANNUAL REPORT for the year ended 31st December, 1945 (vide Article 12 of the Mental Deficiency Regulations, 1935). STATISTICS (Comparison with previous year):—

A.1.—Under Order:—			1945			1944
(a) (1) In Institutions: (excluding cases on Licence)—			M.	F.	T.	M.	F.	T.

Page 30

CASES REPORTED BY LOCAL EDUCATION AUTHORITIES DURING THE YEAR 1945

	1945			1944	sec.2(2)

Page 30

Of total number of mental defectives known to local authority:—

Page 33

TABLE 13. MENTAL DEFICIENCY ACTS, 1913—38. (STATISTICS for period December 1939—December 1945).

YEAR 31/Dec.	UNDER ORDER		In places of Safety.	Under Statutory Supervision.	Under Permissive Powers.	Under Friendly Care.	Total.
YEAR 31/Dec.	In Institutions.	Under Guardianship.	In places of Safety.	Under Statutory Supervision.	Under Permissive Powers.	Under Friendly Care.	Total.

Page 35a

Note : M = Males. F = Females T = Total. TABLE 15. Blind Persons Acts, 1920/38. Registration. (As at 31.3.46.) Age Periods of Registered Blind Persons.

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							Age Unknown						Total of all Age Groups
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 35b

Physically and Mentally Defective. Unemployable persons resident in Homes for the Blind, Mental Hospitals or Public Assistance Institutions.

(a) Mentally Defective				(b) Physically Defective						(c) Deaf				Combinations of (a) and (b)				Combinations of (a) and (c)						Combinations of (b) and (c)				Combinations of (a), (b), (c)			Total						Deaf Mutes included in (c)				Homes for the Blind				Sunshine Homes					Mental HosDitals				Public Assistance 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.		M.		F.	T.	M.	F.	T.

Page 35b

Since 1939, the number of blind persons on the Register are shown below :—

As at 31.3.40	As at 31.3.41	As at 31.3.42	As at 31.3.43	As at 31.3.44	As at 31.3.45	As at 31.3.46

Page 35

TABLE 14. Work of the V isitor to the Bli nd, 1945.

Year	No. of Blind on Register 31-12-45	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
		Day	Evening						Braille	Moon	Knitting	Crochet	Manual

Page 36

Children referred by:—

Page 36

The children suffered from:—

Page 37

Assistance was given as follows:—

Page 37

Summary of cases, 1945:—

Page 38

The following statistics are appended:—

Page 38

Number of cases attended by them since 1939 is shewn below :—

	1939	1940	1941	1942	1943	1944	1945

Page 39

TABLE 16.

	Domiciliary Midwives	Midwives in Institutions	Totals

Page 41

Note.-—With the exception of East Ham Memorial and Forest Gate Hospitals and the last item, this information has been abstracted from births notified to the Public Health Dept.

Institution	No. of East Ham Cases Admitted	No of cases in which admission was arranged by P.H.D.

Page 42

Maternity Fees and Sales of Dried Milk and Ancillaries. During the year ended 31/12/45, the following amounts were collected at the clinics :—

Page 43

TABLE 17. CHILD LIFE PROTECTION (Sections 206 to 220 of the Public Health Act, 1936).

	Individual Foster Mothers	Homes, Institutions, etc.						Total
		Exempted under Section 219 (i) b, of the Public Health Act, 1936		Exempted from visiting under Section 219 (3) of the Public Health Act, 1936		Not Exempted
		Voluntary	Private and Others	Voluntary	Private and Others	Voluntary	Private and Others

Page 45

TABLE 18.

	Number of Homes	Number of patients provided for
	Number of Homes	Maternity patients	Others	Total

Page 49

Ante=Natal Clinics. During 1945, the number of expectant mothers attending the Ante-Natal Clinics is the highest on record. The large number of applications for Maternity Hospital accommodation continues to be an urgent problem, and has been so great, that it has been found impossible to meet the demand, with the result that many mothers have required to accept domiciliary treatment.

	1944	1945

Page 49

TABLE 19. Children on Register (on last day of month).

	Brampton & Roman Road		Kensington		School Road		Wall-End		St. Stephens
	0—2	2—5	0—2	2-6	0—2	2—5	0—2	2—5	0—2	2—5

Page 50

TABLE 20. Attendance Record.

	Brampton & Roman Road		Kensington		School Road		Wall-End		St. Stephen^s
	1†	2*	1†	2*	1†	2*	1†	2*	1†	2*
January	46	52	28	38	22	31	13	28	37	41
February	50	58	36	38	29	30	24	33	48	55
March	45	57	32	38	20	27	30	40	25	55
April	53	61	27	40	39	44	23	36	43	56
May	63	69	38	43	41	45	33	37	52	59
June	64	73	34	41	42	48	43	48	55	60
July	49	63	28	39	44	49	42	46	53	53
August	51	68	—	—	39	55	44	50	54	69
‡September	69	75	—	—	34	48	38	50	56	72
‡October	72	78	—	—	44	48	49	52	56	67
‡N ovember	64	76	—	—	45	51	47	51	61	74
‡December	72	81	—	—	43	48	32	44	61	76

Page 50

The accommodation of the four nurseries is as follows:—

	No. of Places

Page 50

The quarterly returns to the Registrar General were as follows :—

Disease.	Qtr. ending	Qtr. ending	Qtr. ending	Qtr. ending	Total.
Disease.	31-3-45	30-6-45	30-9-45	31-12-45	Total.

Page 51

The Zymotic death rates, per 1,000 population since 1939, are enumerated below:—

1939	1940	1941	1942	1943	1944	1945

Page 52

The following Statistics shew the notification rates per 1,000 civilian population. TABLE 21.

	England and Wales.	126 County Boroughs & Great Towns including London.	148 Smaller Towns Resident Pop. 25,000-50,000 at 1931 Cen.	London Adm. County.	East Ham.

Page 52a

TABLE 22. Vaccination. Statistics relating to the Vaccination of Children whose births were registered from 1st January to 31st December, 1944, are appended below :—

Registration Sub-Districts comprised in the Vaccination Officer's District.	Number of Births returned in the "Birth List Sheets" as registered from 1st January to 31st December, 1944	Number of these Births duly entered by 31st January, 1946, in Columns I, II, IV and V of the " Vaccination Register " (Birth List Sheets), viz. :					Number of these Births which on 31st January, 1946, remained unentered in the " Vaccination Register " on account (as shown by " Report Book ") of			Number of these Births remaining on 31st January, 1946, neither duly entered in the "Vaccination "Register" (columns 3, 4, 5, 6 and 7 of this Return) nor temporarily accounted for in the "Report Book" (columns 8, 9 and 10 of this Return)	Total number of Certificates and copies of Certificates of Successful Primary Vaccination of Children under 14 received during the Calendar Year 1945	Number of Statutory Declarations of Conscientious Objection actually received by the Vaccination Officer irrespective of the dates of birth of the children to which they relate, during the Calendar Year 1945
		Col. I.	Col. II		Col. IV Number in respect of whom Statutory Declarations of Conscientious Objection have been received.	Col. V.	Postponement by Medical Certificate	Removal to Districts the Vaccination Officers of which have been duly apprised	Removal to places unknown, or which cannot be reached ; and Cases not having been found.
		Successfully Vaccinated	Insusceptible of Vaccination.	Had Small Pox.		Died unvac-cinated	Postponement by Medical Certificate
1	2	3	4	5	6	7	8	9	10	11	12	13

Page 53

Diphtheria Immunisation Clinics. The six monthly returns to the Ministry of Health in respect of immunisation are as follows:— Number of children who completed the full course of immunisation. Age at final injection:—

	0—4 years	5—14 years	Total

Page 54

TABLE 23. I—IMMUNISATION IN RELATION TO CHILD POPULATION

Number of Children who had completed a full course of Immunisation at any time up to 31st December, 1945.
Age at 31.12.45		Under 1	1		2	5			4		5 to 9	10 to 14		Total
i.e., Born in Year		1945	1944		1943	1942			1941		1936—1940	1931—1935		under 15

Page 55

TABLE 24. Prevalence of, and Control over, Infectious Disease Notified Cases for Year ended 31/12/45.

Disease.	Cases notified in whole district.										Ward Distribution of Cases.										No. of Cases removed to Hospital.	Total Deaths.
	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 56

TABLE 25. Total Cases of Notifiable Diseases, 1922-1945.

Disease.	1922	1923	1924	1925	1926	1927	1928	1929	1930	1931	1932	1933	1934	1935	1936	1937	1938	1939	1940	1941	1942	1943	1944	1945

Page 58

TABLE 26. SHOWING TYPES OF DIPHTHERIA AND MORTALITY.

Type	Total	Died	Mortality Rate

Page 60

TABLE 27. FINAL DIAGNOSIS.

Page 61

Classification :—

	1945	1944

Page 62

\ TABLE 28. 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 63

The number of such notifications for the years since 1939 are shewn below :—

1939	1940	1941	1942	1943	1944	1945

Page 63

Clinic Register Statistics from 1939 are appended below:—

31-12-39	31-12-40	31-12-41	31-12-42	31-12-43	31-12-44	31-12-5

Page 63

Deaths. The number of deaths (1939-1945) from tuberculosis is as follows:—

	Pulmonary	Non-Pulmonary	Clinic Register

Page 64

New Cases. The following are the comparative figures for the years 1939—1945 ; —

	1939	1940	1941	1912	1943	1944	1945

Page 64

Number of X=Ray Examinations at the Chest Clinic.

1939	1940	1941	1942	1943	1944	1945

Page 73a

TABLE 30. PUBLIC HEALTH (Tuberculosis) REGULATIONS, 1930. Summary of notifications during- the period from 1/1 /45 to 31/12/45.

Age Periods	Formal Notifications												Total 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 73a

PART II. SUPPLEMENTAL RETURN New cases of Tuberculosis coming to the koowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification.

Age Periods	0-	1—	5 —	10—	15—	20—	25—	35-	45-	55-	65 —	Total

Page 73a

The source or sources from which information as to the above-mentioned cases was obtained should be stated below :—

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

Page 73b

TABLE 31. Tuberculosis-—Institutional Beds and Treatment provided directly or through arrangements with Other Authorities or Voluntary Institutions for the Quarter ending on 31.12.45. Note : Figures are as on the last day of the quarter.

(1)		BEDS PROVIDED FOR INSTITUTIONAL TREATMENT								PATIENTS UNDER INSTITUTIONAL TREATMENT
INSTITUTION		(2) Total Beds Provided				(3) Number of Beds included in Col. (2) temporarily not available		(4) Number of Beds included in Col. (2) vacant but ready for use		(5) Ex-Service cases		(6) Other Patients
NAME*	See Note 1									(5) Ex-Service cases		(6) Other Patients
		Pi	llmonai	y	Non-Pulmonary	Pulmonary	Non-Pulmonary	Pulmonary	Non-Pulmonary	Pulmonary	Non-Pul.	Pulmonary	Non-Pulmcnary

Page 73

TABLE 29. Return relating to the work of the Tuberculosis and Chest Clinic during the quarter ending 31st December, 1945.

—	Pulmonary.				Non-Pulmonary.				Total.
Diagnosis.	Adults.		Children.		Adults.		Children.		Adults.		Children.			Grand Total.
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M,		F.

Page 74a

TABLE 32. METEOROLOGICAL RECORD—YEAR 1945. Rain Gauge 5-in. in diameter, placed 1 foot above ground, 15 feet above sea level. Temperature taken in the shade of a Stevenson's Screen, 5 feet from the ground.

Months.	Temperature of Air during the Month.				Rainfall.
	Mean of				Mean Temperature of Air.	No. of Days on which Rain fell, 0.01 and over.	Amount collected in inches.	Mean rate of fall for Rainy Days.	Greatest fall in 24 hours.	Date of greatest fall.
	Highest Maximum.	Lowest Minimum.	All Highest.	All Lowest.	Mean Temperature of Air.	No. of Days on which Rain fell, 0.01 and over.	Amount collected in inches.	Mean rate of fall for Rainy Days.	Greatest fall in 24 hours.	Date of greatest fall.

Page 81

Details of the various samples obtained by the Sanitary Inspectors and the results are included in the following tabular statement:—

	Number of Samples		Percentagt of samples adulterated
	Examined	Found adulterated or below standard	Percentagt of samples adulterated

Page 82

Details of samples adulterated or below standard are described as follows, together with the resultant action :—

Number	I. or F.	Article	Adulteration or deficiency	Action taken

Page 83

The samples were of satisfactory composition:—

Number	I. or F.		Article		Action Taken

Page 86

COMPARATIVE STATEMENT OF WORK.

	1941	1942	1943	1944	1945

Page 86

The following' comparative table indicates the number and percentage of children inspected during the year 1945, found to be in need of medical or surgical treatment:—

NUMBER OF CHILDREN				*Percentage of children found to require treatment
Inspected		"Found to require treatment		*Percentage of children found to require treatment

Page 87

COMPARATIVE TABLE.

Year	Number Examined	Number with Nits	Number with Head Vermin	Number of Exclusion Certificates	Proceedings nnder tSec. 54

Page 88

No children were found to be suffering from defects of nutrition; the member and percentage of slight subnormality shews a small increase over recent years as indicated by the following tables:-

Year	Number of Children Inspected	Excellent		Normal		Slightly Sub normal		Bad
Year	Number of Children Inspected	No.	%	No.	%	No.	%	No.	%

Page 90

W. S. C. Reeve-Flaxman, the Ophthalmic Surgeon reports as follows :—

	School Clinic	Baby Clinic

Page 90

Mr. Ronald Savege, F.R.C.S., resumed his appointment as Consultant Aural Surgeon on his return from H.M. Forces. The following is the statistical report:—

	Treated	Discharged

Page 92

The following cases have received convalescent home treatment under these arrangements during the year:—

Page 92

Up to 1/4/45, the number of children examined for the purposes of the Mental Deficiency Acts was 6 who were classified as :—

Page 93

Of these:—

Page 93

TABLE I. Medical Inspection of Pupils Attending Maintained Primary and Secondary Schools. (Regulations 49(2) of the Handicapped Pupils and School Health Service Regulations, 1945).

Page 94

TABLE II. Classification of the Nutrition of Pupils Inspected During the Year in the Routine Age Groups.

No. of Pupils I spected	A (Excellent)		B (Normal)		C (Slightly Sun-normoly		D (Bad)
No. of Pupils I spected	No.	%	No	%	No.	%	No.	%

Page 94

TABLE III. GROUP I.— Treatment of Minor Ailments (excluding uncleanliness). Total Number of Defects treated or under treatment during the year under the Authority's Scheme 1531. GROUP II.—Treatment of Defective Vision and Squint.

	Under the Authority's Scheme

Page 95

TABLE IV. DENTAL INSPECTION AND TREATMENT

Page 95

TABLE V.

Page 95

TABLE VI BLIND AND DEAF PUPILS. Number of totally or almost totally blind and deaf pupils who are not at the present time being educated in a Special School.

	1 At a Maintained Primary or Secondary School	2 At an Institution other than a Special School	3 At no School or Institution

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

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East Ham 1945

103 tables in this report

Social.

Extracts from Vital Statistics.

Deaths from Puerperal causes:—

Deaths of infants under one year of age :—

Since 1939 the statistics in relation to still births is shewn below:—

A comparison of the statistics for the period since 1939 is appended below:—

If the deaths due to this cause are deducted from the total deaths a true conception is obtained of the death rates from natural causes during the war and the following information is therefore given:—

If the deaths due to this cause are deducted from the total deaths a true conception is obtained of the death rates from natural causes during the war and the following information is therefore given:—

Infantile mortality rates since 1939 are as follows:—

Illegitimate births and the illegitimate mortality rates since 1939 are tabulated below:—

These rates from 1939 are indicated below:—

In the subjoining table these rates are shown since 1939:—

TABLE 2. Causes of Death in AGe Groups, 1945, and Total Deaths for 1939-1945.

TABLE 1.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1945.

TABLE 3.—Deaths in Wards, 1945.

TABLE 4. Infant Deaths Under One. Year of Age, 1945.

SUMMARY OF DEATHS DUE TO ENEMY ACTION.

Continued from previous page...

NO. OF CASUALTIES TREATED AT FIRST AID POSTS (Fixed and Mobile).

E.M.S. HOSPITALS. The number of patients treated in these hospitals, arising from incidents in this area, were as follows :—

During- 1945, 1,230 specimens were examined and the nature of these examinations is shewn below:—

The number of diphtheria Swabs examined at the Infectious Diseases Hospital and Town Hall Annexe Laboratory, was as follows—

Continued from previous page...

TABLE 5. CLINIC AND TREATMENT CENTRES.

TABLE 6. SOCIAL WELFARE DOMICILIARY MEDICAL SERVICE. Statistical Return for the Year Ending 31/12/45.

New Patients:—

Pathological Examinations:— For or at the Centres—

For Practitioners—

Venereal Diseases Rules, 1912— Regulation 33B. Contacts notified to the Medical Officer of Health during the period 1/1 /45 to 31/12/45.

Continued from previous page...

TABLE 7. A. In-Patients Number of Beds and In-Patients.

B. Out=patients Numbers.

TABLE 8.

TABLE 9.

TABLE 10. Cases Admitted to West Ham Institutions from East Ham.

(k) Aldersbrook Homes and Scattered Homes. I am indebted to Mr. Pitt Steele, Superintendent, for the following information relative to the years ended 31/12/45:—

Continued from previous page...

TABLE II.

TABLE 12. MENTAL DEFICIENCY ACTS, 1913—1938. ANNUAL REPORT for the year ended 31st December, 1945 (vide Article 12 of the Mental Deficiency Regulations, 1935). STATISTICS (Comparison with previous year):—

CASES REPORTED BY LOCAL EDUCATION AUTHORITIES DURING THE YEAR 1945

Of total number of mental defectives known to local authority:—

TABLE 13. MENTAL DEFICIENCY ACTS, 1913—38. (STATISTICS for period December 1939—December 1945).

Note : M = Males. F = Females T = Total. TABLE 15. Blind Persons Acts, 1920/38. Registration. (As at 31.3.46.) Age Periods of Registered Blind Persons.

Physically and Mentally Defective. Unemployable persons resident in Homes for the Blind, Mental Hospitals or Public Assistance Institutions.

Since 1939, the number of blind persons on the Register are shown below :—

TABLE 14. Work of the V isitor to the Bli nd, 1945.

Children referred by:—

The children suffered from:—

Assistance was given as follows:—

Summary of cases, 1945:—

The following statistics are appended:—

Number of cases attended by them since 1939 is shewn below :—

TABLE 16.

Note.-—With the exception of East Ham Memorial and Forest Gate Hospitals and the last item, this information has been abstracted from births notified to the Public Health Dept.

Maternity Fees and Sales of Dried Milk and Ancillaries. During the year ended 31/12/45, the following amounts were collected at the clinics :—

TABLE 17. CHILD LIFE PROTECTION (Sections 206 to 220 of the Public Health Act, 1936).

TABLE 18.

TABLE 19. Children on Register (on last day of month).

TABLE 20. Attendance Record.

The accommodation of the four nurseries is as follows:—

The quarterly returns to the Registrar General were as follows :—

The Zymotic death rates, per 1,000 population since 1939, are enumerated below:—

The following Statistics shew the notification rates per 1,000 civilian population. TABLE 21.

TABLE 22. Vaccination. Statistics relating to the Vaccination of Children whose births were registered from 1st January to 31st December, 1944, are appended below :—

Diphtheria Immunisation Clinics. The six monthly returns to the Ministry of Health in respect of immunisation are as follows:— Number of children who completed the full course of immunisation. Age at final injection:—

TABLE 23. I—IMMUNISATION IN RELATION TO CHILD POPULATION

TABLE 24. Prevalence of, and Control over, Infectious Disease Notified Cases for Year ended 31/12/45.

TABLE 25. Total Cases of Notifiable Diseases, 1922-1945.

TABLE 26. SHOWING TYPES OF DIPHTHERIA AND MORTALITY.

TABLE 27. FINAL DIAGNOSIS.

Classification :—