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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

East Ham 1946

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

Published
1947
Pages
114
Tables
84

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84 tables in this report

  • Page 9
    Statistical and Social Conditions of the Area. Social.
  • Page 9
    Extracts from Vital Statistics.
    TotalFor Birth Rate Males Females
  • Page 11
    In the subjoining tables these rates are shown since 1942:—
    Puerperal InfectionsOther CausesTotal
    England & WalesEast HamEngland & WalesEast HamEngland & WalesEast Ham
  • Page 12
    Table 1.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1946.
    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 Fevers.Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Smallpox.Measles.Total Deaths under one year.Deaths from Diarrhoea and Enteritis (under two years.)
  • Page -
    Table 2.—CAUSES OF DEATH IN AGE GROUPS, 1946, AND TOTAL DEATHS FOR 1942-1946.
    Deaths at different periods of life of residents (civilians) whether occurring within or without the district.Institutional DeathsTotal deaths for the years
    Under 1 Year.1—5 Years.5—15 Years.15—45 Years.45—65 Years.65 and Upwards.All Ages.Total deaths in Instns.19461945194419431942
    MFMFMFMFMFMFMFMF
  • Page -
    Table 3.—DEATHS IN WARDS, 1946.
    Cause of Death.Manor Park.Little Ilford.Wood-grange.Plashet.Kensington.Castle.Central.Wall End.Great -field.South.Total.
  • Page 13
    Table 4—INFANT DEATHS UNDER ONE YEAR OF AGE, 1946.
    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 15
    During 1946, 1,688 specimens were examined and the nature of these examinations is shewn below:—
    SpecimenNumber.
  • Page 15
    The number of diphtheria Swabs examined at the Infectious Diseases Hospital and Town Hall Annexe Laboratory, was as follows:
    NumberPositiveNegative
  • Page 17
    TABLE 5. CLINIC AND TREATMENT CENTRES.
    SituationPurpose usedSessions
  • Page 18
    TABLE 6. SOCIAL WELFARE DOMICILIARY MEDICAL SERVICE. Statistical Return for the Year Ending 31/12/46.
  • Page 18
    From the official tables supplied by the London County Council the following figures are abstracted and are compared with statistics for the year 1945:—
    New Patients.19451946
  • Page 19
    Pathological Examinations. For, or at the Centres:—
  • Page 19
    For Practitioners:—
  • Page 19
    Venereal Diseases Rules, 1942—Regulation 33B. Contacts notified to the Medical Officer of Health during the period 1/1/46 to 31/12/46.
    M.F.
  • Page 21
    TABLE 7. A. In-Patients. Number of Beds and In-Patients.
    Numbers in 1946Numbers in previous year.
  • Page 21
    B. Out-Patients. Number.
    Numbers in 1946Numbers in previous year.
  • Page 22
    TABLE 8.
    Institution.No. of BedsType.
  • Page 22
    TABLE 9.
    Chargeable on 31-12-45Admitted during 1946TotalDischargedDiedTransferred to other InstitutionsChargeable on 31-12-46
  • Page 23
    TABLE 10. Cases Admitted to West Ham Institutions from East Ham.
    Institution.Chargeable on 31/12/45Admitted during 1946Born during 1946TotalDischargedDiedTransferred to other Instutions.Chargeable on 31/12/46
  • Page 24
    ( k ) Aldersbrook Homes and Scattered Homes. I am indebted to Mr. Pitt Steele, Superintendent, for the following information relative to the year ended 31/12/46 and for the half-years 1945 and 1939:—
    6 months endingCorresponding.
  • Page 25
    6 months endingC orresponding
    31-12-4619451939
  • Page 26
    TABLE 11.
    VisitsNumber of Interviews
    Statutory SupervisionGuardianshipInstitutionTraining CentreFriendly CareTotal
    311121107334962118
  • Page 26
    MENTAL DEFICIENCY ACTS, 1913-1938. Particulars of Mental Defectives as on 1st January, 1947. STATISTICS.—Comparison with Previous Year. A.—Number of Mental Defectives ascertained to be "Subject to be Dealt With".
    19451946
    M.F.Total.M.F.Total.
  • Page 27
    CASES REPORTED BY LOCAL EDUCATION AUTHORITIES. (Section 57, Education Act, 1944.)
    19451946
    M.F.TotalM.F.Total
  • Page 27
    Of total number of mental defectives known to local authority:— (a) Number who have given birth to children during:—
    19451946
  • Page 29
    TABLE 13. MENTAL DEFICIENCY ACTS, 1913—38. (Statistics for 1942—1946).
    YEAR 31 Deo.UNDER ORDERIn places of SafetyUnder Statutory SupervisionUnder Permissive PowersUnder Friendly Care.Total
    In InstitutionsUnder Guardianship
  • Page 29
    Training Centre. The arrangements outlined in the report for 1945, have continued The attendances during 1946 are indicated below:—
  • Page 30
    TABLE 14. Work of the Visitor to the Blind, 1946.
    YearNo. of Blind on Register, 31-12-46No. of visits to sameNo. of partially Blind PersonsNo. of Visits to sameOther VisitsTotal VisitsNo. of Lessons givenLessons given in
    DayEveningBrailleMoonKnittingCrochetManua
  • Page -
    TABLE 15. BLIND PERSONS ACTS, 1920/38. REGISTRATION AS AT 31st MARCH, 1947, Note: M=Males. F=Females. T=Total. AGE PERIODS OF REGISTERED BLIND PERSONS.
    Age Period 0—1Age Period 1—5Age Period 5—16Age Period 16—21Age Period 21—40Age Period 40—50Age Period 50—65Age Period 65—70Age Period 70 and overAge UnknownTotal of all Age Groups
    M.F.T.M.F.T.M.F.TM.FT.M.FT.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.
  • Page 31
    The number of cases dealt with during 1946 was 289.
  • Page 32
    Assistance was given as follows:—
  • Page 32
    Summary of cases, 1946 :—
  • Page 33
    Scabies and Treatment Centre. The following statistics are appended :— Number of new cases attending
    19421943194419451946
  • Page 33
    Number of cases attended by them since 1942 is shewn below:—
    19421943194419451946
  • Page 34
    TABLE 16.
    Domiciliary MidwivesMidwives in InstitutionsTotals
  • Page 35
    Number of cases in which medical aid was summoned during the year under Section 14 (i) of the Midwives' Act, 1918, by a midwife :—
  • Page 36
    The number of cases (officially admitted by the Council) and the hospitals or homes to which they were admitted is shewn below:—
    Institution NoNo. of cases.
    Forest Gate Hospital401
    East Ham Memorial Hospital412
    Aldersbrook Hospital68
    East End Maternity Hospital44
    Howards Road Hospital6
    Queen Mary's Hospital, Stratford5
    Maycroft Nursing Home, Woodfood19
    Devonia Nursing Home, Ilford2
    High Chase Nursing Home, Chingford1
    Emergency Maternity Homes84
    Total1,042
  • Page 37
    Maternity Fees and Sales of Dried Milk and Ancillaries. During the year ended 31/12/46, the following amounts were collected at the clinics:—
    £s.d.
  • Page 37
    In addition the following H.S.A., H.S.F., and other Societies Vouchers were collected and taken as full or part payment for services rendered:—
  • Page 38
    Table 17.—CHILD LIFE PROTECTION. (Sections 206 to 220 of the Public Health Act, 1936).
    Individual Foster MothersHomes, Institutions, etc.Total
    Exempted under Section 219 (i) b, of the Public Health Act, 1936Exempted from visiting under Section 219(3) of the Public Health Act, 1936Not Exempted
    VoluntaryPrivate and OthersVoluntaryPrivate and OthersVoluntaryPrivate and Others
  • Page 45
    Statistics for 1946 are shown below:—
    Nursery.Total Attendances.Daily Average*Daily Average† (excluding Saturdays)
  • Page 45
    The quarterly returns to the Registrar General were as follows:—
    DiseaseQtr. ending 31-3-46Qtr. ending 30-6-46Qtr. ending 30-9-46Qtr. ending 31-12-46Total
  • Page 46
    Table 19.
    England and Wales.126 County Boroughs & Great Towns including London148 Smaller Towns Resident Population 25,000-50,000 at 1931 Census.London Adm. County.East Ham
  • Page 46
    Diphtheria Immunisation Clinics. The six-monthly returns to the Ministry of Health in respect of immunisation are as follows:—
    Number of children who completed a full course of primary immunisation.Total number of children who were given a secondary or reinforcing injection (i.e. subsequent to complete full course).
    Age at final injection.
    Under 55—14Total
  • Page -
    Table 20.—VACCINATION. Statistics relating to the Vaccination of Children whose births were registered from 1st January to 31st December, 1045, are appended below:— 46a
    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, 1945Number of these births duly entered by 31st January, 1947, in Columns I, II, IV and V of the "Vaccination Register" (Birth List Sheets), viz.:Number of these Births which on 31st January, 1947, remained unentered in the ''Vaccination Register" on account (as shown by "Report Book") ofNumber of these Births remaining on 31st January, 1947, 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 1946Number 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 1946
    Col. I. Successfully VaccinatedCol. IICol. IV Number in respect of whom Statutory Declarations of Conscientious Objection have been received.Col. V. Died unvaccinated.Postponement by Medical CertificateRemoval to Districts the Vaccination Officers of which have been duly apprisedRemoval to places unknown, or which cannot be reached; and Cases not having been found.
    Insusceptible of Vaccination.Had Small Pox.
    12345678910111213
  • Page 47
    Table 21.—DIPHTHERIA IMMUNISATION, 1946.
    Year of Birth194619451944194319421941194019391938193719361935193419331932All AgesNo. given secondary or re-inforcing injection.
    Age01234567891011121314
  • Page 48
    Table 22.—PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASE. Notified Cases for Year ended 31/12/46.
    Disease.Cases notified in whole district.Ward Distribution of Cases.No. of Cases removed to Hospital.Total Deaths.
    At all ages—years.Mano Park.Little Ilford.Wood-grange.Plashet.Kensington.Castle.Central.Wall End.Great-field.South.
    At all agesUn-der 11 to 55 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 and Up
  • Page -
    Table 23.—TOTAL CASES OF NOTIFIABLE DISEASES, 1923-1946. 48a
    Disease.192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946
  • Page 53
    Table 24.—CANCER DEATHS—PARTS OF THE BODY AFFECTED.
    Parts of Body AffectedAges Sex0-11-22-55-1515-2525-3535-4545-5555-6565-7575 and upwardsTotal
    MFMFMFMFMFMFMFMFMFMFMFMF
  • Page 54
    Deaths. The number of deaths (1942-1946) from tuberculosis is as follows:—
    PulmonaryNon-PulmonaryClinic Register
  • Page 55
    New Cases. The following are the comparative figures for the years 1942— 1946:—
    19421943194419451946
  • Page 56
    EXAMINATION OF HOME CONTACTS OF TUBERCULOUS PERSONS.
    Age Group 0—4.Age Group 15—25.
    YearNumber ExaminedNotified T.B.% T.B.Number ExaminedNotified T.B.% T.B.
  • Page 63
    T able 25.— PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from 1st January, 1946, to the 31st December, 1946.
    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 63
    PART II. 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 63
    The source or sources from which information as to the above-mentioned cases was obtained is stated below:—
    Source of InformationNo. of Cases
    PulmonaryNon-Pulmonary
  • Page 64
    Table 26.—RETURN RELATING TO THE WORK OF THE TUBERCULOSIS AND CHEST CLINIC DURING THE QUARTER ENDING 31st DECEMBER, 1946.
    DiagnosisPulmonaryNon-PulmonaryTotalGrand Total
    AdultsChildrenAdultsChildrenAdultsChildren
    MFMFMFMFMFMF
  • Page -
    Table 27.—TUBERCULOSIS.—Institutional beds and treatment provided directly or through arrangements with other Authorities or Voluntary Institutions 64a for the Quarter ending on 31-12-46. Note: Figures are as on the last day of the quarter.
    (1) InstitutionBEDS PROVIDED FOR INSTITUTIONAL TREATMENTPATIENTS UNDER INSTITUTIONAL TREATMENT
    (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
    NamePulmonaryNon-PulmonaryPulmonaryNon-PulmonaryPulmonaryNon-PulmonaryPulmonaryNon-Pul.PulmonaryNon-Pulmonary
    MFCh.MFCh.MFCh.MFCh.MFCh.MFCh.MFMFMFCh.MFCh.
  • Page 66
    Table 28.—METEOROLOGICAL RECORD—YEAR 1946. 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 MinimumMean ofNo. of Days on which Rain fell, 0.01 and overAmount collected in inchesMean rate of fall for Rainy DaysGreatest fall in 24 hoursDate of greatest fall
    All HighestAll Lowest
  • Page 73
    (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 74
    Details of samples adulterated or below standard are described as follows, together with the resultant action:—
    NumberI or FArticleAdulteration or Deficiency.Action taken
  • Page 74
    The wrappers of the undermentioned samples did not comply with the requirements of the Labelling of Food (No. 2) Order 1944 in that the appropriate designation of each ingredient was not stated:—
    NumberI or FArticleAction taken.
  • Page 78
    GENERAL INFORMATION. Schools and Numbers on Roll (mid 1946).
    Type.Number of Schools.Number on Roll.
  • Page 78
    School Clinic Premises and Purposes served:—
    Address.Types of Clinic.
  • Page 79
    SCHOOL CLINICS.
    MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY
  • Page 80
    The following table indicates briefly the work of the School Health Service during the year 1946 and shows the comparative statistics for previous years.
    19421943194419451946
  • Page 83
    Summary of Defects found at Medical Inspection.
    Defect.Periodic InspectionsSpecial Inspections
    Requiring TreatmentRequiring Obs'vationRequiring TreatmentRequiring Obs'vation
  • Page 83
    Medical Inspection and Re-inspection at Schools.
    SchoolInfantJuniorSecondary
    IRSIRSIRS
  • Page 84
    Age Groups, Nutrition, Co-operation of Parents.
    GroupTotal inspectedParents presentRequiring treatmentNutrition
    ABCD
    No.%No.%No.%No.%No.%No.%
  • Page 84
    Under the provisions of Sec. 34 of the Education Act, 1944, 199 special examinations have been carried out by approved medical officers, as a result of which, 76 children, ascertained to be within the various categories were recommended for special educational treatment as indicated in the following table:—
    Category.Number ascertainedRecommendation
    Day Special SchoolBoarding Special SchoolOrdinary School with special treatment
  • Page 85
    MEDICAL TREATMENT. Summary of Defects treated at School Health Clinics.
    Skin:-
  • Page 85
    The following are the statistical details:¯
  • Page 86
    Continued from previous page...
    Defects and Treatment
    DefectNumber ObservedNumber TreatedReferred for OperationDischarged after treatment
  • Page 86
    The following statistics shew the work carried out:—
  • Page 87
    Continued from previous page...
    Defective Vision and SquintEye Disease
    New cases287Treated at Clinic107
    Glasses prescribed221Referred to Hospital10
    Glasses obtained221
    Glasses not required67
    Referred to Hospital3
    Re-examinations887
  • Page 88
    Attendances for artificial sunlight have been the highest for some years.
    Cases.Treatments.
  • Page 89
    Details of the cases treated are given in the following summary:—
    Type of caseIn-patientsOut-patients
    Number of childrenDays maintenanceNumber of childrenNumber of attendances
  • Page 90
    Such treatment has been provided in the following 107 cases:—
  • Page 91
    Continued from previous page...
  • Page 93
    TABLE I. Medical inspection of pupils attending Maintained Primary and Secondary Schools.
    A—Routine Medical Inspections.
  • Page 93
    TABLE II. Classification of the nutrition of pupils inspected during the year in the routine age groups.
    Number of Pupils InspectedA (Excellent)B (Normal)C (Slightly subnormal)D (Bad)
    No.%No.%No.%No.%[
  • Page 94
    TABLE III. (Authority's Scheme).
    Group II.—Treatment of Defective Vision and Squint.Group III.—Treatment of Defects of Nose and Throat.
  • Page 94
    TABLE IV. DENTAL INSPECTION AND TREATMENT.
    (1)Number of pupils inspected by the Dentist:
  • Page 94
    TABLE V. VERMINOUS CONDITIONS.