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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 1947

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

Published
1948
Pages
134
Tables
129

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129 tables in this report

  • Page 9
    Statistical and Social Conditions of the Area Social.
  • Page 9
    Extracts from Vital Statistics.
    Birth Rate
    TotalMalesFemales
  • Page 9
    Deaths from Puerperal causes:—
    DeathsRate per 1,000 Total (Live and Still) Births
  • Page 9
    Deaths of infants under one year of age:—
  • Page 10
    Since 1943 the statistics in relation to still births is shewn below:—
    19431944194519461947
  • Page 10
    A comparison of the statistics for the period since 1943 is appended below:—
    19431944194519461947
  • Page 10
    For the period 1943—1947 the rates for England and Wales and East Ham are shewn:—
    19431944194519461947
  • Page 11
    Infantile mortality rates since 1943 are as follows:—
    19431944194519461947
  • Page 11
    Illegitimate births and the illegitimate mortality rates since 1943 are tabulated below:—
    19431944194519401947
  • Page 11
    These rates from 1943 are indicated below
    19431944194519461947
  • Page 11
    In the subjoining tables these rates are shown since 1943:— Per 1,000 total births, live and still.
    Puerperal InfectionsOther CausesTotal
    England & WalesEast HamEngland & WalesEast HamEngland & WalesEast Ham
  • Page 12
    TABLE 1. PROVISIONAL POPULATION PROJECTIONS. (Natural Growth only.)
    AreaMid-1947 civilian estimates1962 projections (exclusive of 500,000 non-civilians in England and Wales)
    All agesUnder Age 15Over Age 15All AgesUnder Age 15Over Age 15
  • Page -
    TABLE 2.—CAUSES OF DEATH IN AGE GROUPS, 1947, AND TOTAL DEATHS FOR 1943-1947.
    Cause.Deaths at different periods of life of residents (civilians) whether occurring within or without the district.Institutional DeathsTotal 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 Instns.
    19471946194519441943
    MFMFMFMFMFMFMFMF
  • Page 13
    TABLE 3.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1947.
    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 14
    Table 4.—INFANT DEATHS UNDER ONE YEAR OF AGE, 1947.
    Cause of Death.Total deaths.Age and Sex.Total under 1 year.Wards.Deaths in Institutions.
    Under 1 week.1—2 weeks.1 2—3 weeks.3—4 weeks.1—3 months.3—6 months.6—9 months.9—12 months.Manor Park.Little Ilford.Woodgrange.Plashet.Kensington.Castle.Central.Wall End.Greatfield.South.
    MFMFMFMFMFMFMFMFMF
  • Page 17
    East Ham Memorial Hospital.
    SpecimenNumber
  • Page 17
    The number of diphtheria Swabs examined at the Infectious Diseases Hospital and Town Hall Annexe Laboratory, was as follows:-
    NumberPositiveNegative
  • Page 18
    Ambulance Facilities. Details of the work carried out by the Public Ambulance section of the Health Department are appended below, shewing comparison with the year 1946:—
    19471946
    Nature of Call—TourneysMileageJourneysMileage
  • Page 19
    Clinics and Treatment Centres. These are all provided by the Council. The sessions at the Centres (as on 31/12/47) were as follows:— TABLE 5.-CLINICS AND TREATMENT CENTRES.
    SituationPurpose usedSessions
  • Page 20
    TABLE 6. SOCIAL WELFARE DOMICILIARY MEDICAL SERVICE. Statistical Return for the Year Ending 31/12/47.
    No. of Individual PatientsNo. of Attendances at Homes.No. of Attendances at Surgery.Total No. of Attendances.No. of occasions Medicines supplied without seeing Patients.
  • Page 20
    Venereal Diseases. The facilities available for the treatment of these diseases are the same as in recent years and from the official tables supplied by the London County Council Centres the following figures are abstracted:—
    New Patients.194519461947
  • Page 20
    Pathological Examinations.
    For, or at the Centres:—1947
  • Page 21
    For Practitioners:—
  • Page 21
    Contacts notified to the Medical Officer of Health during the period 1/1/47 to 31/12/47.
    M.F.
  • Page 23
    TABLE 7. A. In-patients. Number of Beds and In-patients.
    Numbers in 1940Numbers in 1947
  • Page 23
    B. Out-Patients. Number.
    Numbers in 1946Numbers in 1947
  • Page 24
    TABLE 8.
    Institution.No. of Beds.Type.
  • Page 24
    TABLE 9.
    Chargeable on 31/12/46Admitted during 1947TotalDischargedDiedTransferred to other InstitutionsChargeable on 31/12/47
  • Page 25
    TABLE 10. Cases Admitted to West Ham Institutions from East Ham.
    Institution.Chargeable on 31/12/46Admitted during 1947Born during 1947TotalDischargedDiedTransferred to other Institutions.Chargeable on 31/12/47
  • Page 26
    ( l ) Aldersbrook Homes and Scattered Homes. I am indebted to Mr. Pitt Steele, Superintendent, for the following information relative to the six month period 1/7/47 to 31/12/47 and for comparable statistics for corresponding periods in 1946 and 1939.
    STATISTICAL6 months endedCorresponding Half-year
    31/12/4719461939
  • Page 27
    Continued from previous page...
    STATISTICAL6 months endedCorresponding Half-year
    31/12/4719461939
  • Page 27
    TABLE 11.
    VisitsNumber of Interviews
    Statutory SupervisionGuardianshipInstitutionTraining CentreFriendly CareTotal
  • Page 28
    TABLE 12. MENTAL DEFICIENCY ACTS, 1913-1938. Particulars of Mental Defectives as on 1st January, 1948. STATISTICS.—Comparison with Previous Year. A.—Number of Mental Defectives ascertained to be " Subject to be Dealt With."
    19471946
    M.F.TotalM.F.Total
  • Page 29
    CASES REPORTED BY LOCAL EDUCATION AUTHORITIES. (Section 57, Education Act, 1944.)
    19471946
    M.F.TotalM.F.Total
  • Page 29
    Of total number of mental defectives known to local authority:—-( a ) Number who have given birth to children during:—
    19471940
  • Page 31
    TABLE 13. MENTAL DEFICIENCY ACTS, 1913—38. (Statistics for 1942—1947.)
    YEAR 31 Dec.UNDERORDERIn places of SafetyUnder Statutory SupervisionUnder Permissive PowersUnder Friendly CareTotal
    In InstitutionsUnder Guardianship
  • Page 31
    The attendances during 1947 are indicated below:— Morning Session:—
  • Page 32
    TABLE 14. Work of the Visitor to the Blind, 1947.
    YearNo. of Blind on Register 31/12/47No. of Visits to sameNo. of partially Blind PersonsNo. of Visits to sameOther VisitsTotal VisitsNo. of Lessons givenLessons given in
    DayEveningBrailleMoonKnittingCrochetManual
  • Page -
    TABLE 15. BLIND PERSONS ACTS, 1920/38. REGISTRATION AS AT 31st MARCH, 1948. AGE PERIODS OF REGISTERED BLIND PERSONS. Mole : M=Males. F=Female. T= Total.
    Age Period 0—1Age Period 1—5Age Period 5—16Age Period 16—21Age Period 21—40Age Period 40—50Age Period 50—455Age Period 65—70Age Period 70 and overAge UnknownTotal of all Age Groups
  • Page 33
    The number of cases dealt with during 1947 was 365. The following are the particulars:— Children referred by:—
  • Page 34
    Assistance was given as follows:—
  • Page 34
    East Ham District Nursing Association.
    Summary of Cases:—194519461947
  • Page 35
    Scabies and Treatment Centre. The following statistics are appended:—
  • Page 36
    Number of cases attended by them since 1943 is shewn below:—
    19431944194519461947
  • Page 37
    TABLE 10.
    Domiciliary MidwivesMidwives in InstitutionsTotals
  • Page 38
    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 38
    Maternity Hospital Accommodation. The following statistical information in respect of the year ended 31/12/47 is given:— East Ham Memorial Hospital.
  • Page 39
    Statistics for the year ended 31/12/47 are appended below:—
  • Page 40
    During 1947, maternity patients were also admitted to the following hospitals as Council cases:—
    Institution.No. of cases.
  • Page 41
    Maternity Fees and Sales of Dried Milk and Ancillaries. During the year ended 31/12/47, the following amounts were collected at the clinics:—
    £s.d.
  • Page 41
    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 41
    Ophthalmia Neonatorum. Two cases of Ophthalmia Neonatorum were notified during the year, with the following results:—
  • Page 42
    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 43
    ( c ) Number of Child Protection Visitors at the end of the year who were:—
  • Page 44
    Adoption of Children (Section 7 of the Adoption of Children (Regulation) Act, 1939).
  • Page 44
    TABLE 18.
    Number of HomesNumber of Patients provided for
    Maternity PatientsOthersTotals
  • Page 44
    Home and Domestic Helps.
  • Page 49
    Throughout 1947, the following nurseries were open :—
    No. of places.
  • Page 49
    Statistics are shewn below :
    Nursery.Total Attendances.Daily A verage.
  • Page 49
    The quarterly returns to the Registrar-General were as follows:—
    DiseaseQtr. ending 31/3/47Qtr. ending 30/6/47Qtr. ending 30/9/47Qtr. ending 31/12/47Total.
  • Page 50
    The Zymotic death rates, per 1,000 population since 1943, are enumerated below :—
  • Page 50
    TABLE 19.
    England and Wales126 County Boroughs & Great Towns including London148 Smaller Towns Resident Population 25,000-50,000 at 1931 CensusLondon Adm. CountyEast Ham
  • Page 51
    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. Age at final injection.Total number of children who were given a secondary or reinforcing injection (i.e. subsequent to complete full course).
    Under 55—14Total
  • Page 52
    T able 20.—DIPHTHERIA IMMUNISATION, 1947.
    Age at 31/12/47Under 112345 to 910 to 14Total
    i.e. Born in Year194719461945194419431938-19421933-1937under 15
  • Page 52
    Diphtheria Notifications and Deaths in Relation to Immunisation.
    notificationsDeaths
    Age at date of NotificationNumber of Cases NotifiedNumber of cases included in preceding column in which the child had completed a full course of immunisationAge at date of DeathNumber of DeathsNumber of cases included in preceding column in which the child had completed a full course of immunisation
  • Page -
    Table 21.—VACCINATION. Statistics relating to the Vaccination of Children whose births were registered from 1st January to 31st December, 1946, are appended below :— 52a
    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, 1946Number of these births duly entered by 31st January, 1948, in Columns I, II, IV and V of the "Vaccination Register" (Birth List Sheets), viz. :Number of these Births which on 31st January, 1948, remained unentered in the "Vaccination Register" on account (as shown by "Report Book") ofNumber of these Births remaining on 31st January, 1948, 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 1947Number 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 1947
    Col. I Successfully VaccinatedCol. IICol. IV Number in respect of whom Statutory Declarations of Conscientious Objection have been receivedCol. V Died unvac-einatedPostponement 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 VaccinationHad Small Pox
  • Page -
    Table 22.—PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASE. Notified Cases for Year ended 31/12/47. 52b
    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 agesUnder 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, 1924-1947.
    Disease.192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947
  • Page 54
    Showing types of Diphtheria and Mortality.
    Type.Total.Died.
  • Page 54
    Showing Serum Administration.
    8,00016,00024,00032,00048,000 +Total.
  • Page 54
    Showing age incidence of Diphtheria.
    0 +5 +10 +15 +20 +25 +Total.
  • Page 55
    Complications.
  • Page 56
    Showing age incidence of Scarlet Fever.
    0 +5 +10 +15 +20 +Total
  • Page 57
    Gastro- Enteritis.
  • Page 57
    Acute Anterior Poliomyelitis.
  • Page 57
    Bacteriological examinations, carried out at St. Margaret's Hospital, Epping.
  • Page 57
    Final table of admissions during 1947 after correction for diagnosis.
  • Page 58
    Continued from previous page...
  • Page 58
    Cancer. Cancer deaths, 1947 :—
  • Page 59
    Table 24.—CANCER DEATHS—PARTS OF BODY AFFECTED.
    Parts of Body AffectedAges0-11-22-55-1515-2525-3535-4545-5555-6565-7575 and upwardsTotal
    SexM.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 60
    The number of such notifications for the years since 1943 are shewn below :—
  • Page 60
    Clinic register statistics from 1943 are appended below :—
  • Page 60
    Deaths. The number of deaths (1943-1947) from tuberculosis is as follows :—
    PulmonaryNon-PulmonaryClinic Register
  • Page 61
    New Cases. The following are the comparative figures for the years 1943—1947 :—
    194319441945 19461947
  • Page 61
    Number of X-Ray Examinations at the Chest Clinic.
    19431944194519461947
  • Page 70
    Table 25. ALL FORMS OF TUBERCULOSIS—NOTIFIED CASES ON CLINIC REGISTER.
    TotalNo. per 1,000 Pop.PulmonaryNon-PulmonaryDeathsNew Cases & Contacts%age found T.B.AttendancesMed. Exam.Visits to homes by Drs.X-ray Exam.A.P. Refills
    M.F.MCFCMFMCFCPul.Non-Pul.
  • Page 76
    Dental Department. STATISTICS.
    SessionsCases InspectedCases "Fit" (Dentally)Cases CompletedTotal ExtractionsTotal FittingsOther Treatment
  • Page 78
    Continued from previous page...
  • Page 78
    Details of Treatment and Investigations for 1947 as compared with 1937.
    19471937
  • Page 79
    TABLE 26.—PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from 1st January, 1947, to the 31st December, 1947.
    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 79
    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 80
    Table 27.—RETURN RELATING TO THE WORK OF THE TUBERCULOSIS AND CHEST CLINIC DURING THE QUARTER ENDING 31st DECEMBER, 1947.
    DiagnosisPulmonaryNon-PulmonaryTotalGrand Total
    AdultsChildrenAdultsChildrenAdultsChildren
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page -
    Table 28.-—TUBERCULOSIS.—Institutional beds and treatment provided directly or through arrangements with other Authorities or Voluntary Institutions 80a for the Quarter ending on 31/12/47. Note : Figures are as on the last day of the quarter.
    InstitutionBEDS PROVIDED FOR INSTITUTIONAL TREATMENTPATIENTS UNDERINSTITUTIONAL TREATMENT
    Total Beds ProvidedNumber of Beds included in previous Column temporarily not availableNumber of Beds included in second Column vacant but ready for useEx-Service casesOther Patients
    NamePulmonaryNon-PulmonaryPulmonaryNon-PulmonaryPulmonaryNon-PulmonaryPulmonaryNon-Pul.PulmonaryNon-Pulmonary
    MFCh.MFCh.MFCh.MFCh.MFCh.MFCh.MFMFMFCh.MFCh.
  • Page 82
    TABLE 29. 1. INSPECTIONS.
    PremisesNumber on RegisterNumber of
    InspectionsWritten noticesOccupiers prosecuted
  • Page 83
    Table 30.—METEOROLOGICAL RECORD—YEAR 1947. 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 MaximumLowest 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 88
    TABLE 31. 2. CASES IN WHICH DEFECTS WERE FOUND.
    ParticularsNumber of cases in which defects were foundNumber of cases in which prosecutions were instituted
    FoundRemediedReferred
    To H.M. InspectorHy H.M. Inspector
  • Page 89
    (k) Shops Acts 1912-1936.—The following is a summary of the work carried out:—
  • Page 89
    HOUSING. Survey of premises for the Housing Department was continued and during the year 2,377 premises were visited and reports submitted to that Department on the housing circumstances of applicants for rehousing.
  • Page 90
    Continued from previous page...
  • Page 91
    Continued from previous page...
  • Page 91
    HOUSING STATISTICS. Position at 31st December, 1947.
  • Page 92
    Continued from previous page...
  • Page 92
    INSPECTION AND SUPERVISION OF FOOD. (a) Milk Supply. Graded Milk.—The licences in force on 31st December, 1947, were as follows:—
  • Page 93
    The following is a summary of milk samples submitted for examination
    Unsatisfactory
  • Page 94
    TABLE 32.
    Number of SamplesPercentage of samples adulterated
    ExaminedFound adulterated or below standard
  • Page 95
    Details of samples adulterated or below standard are described as follows, together with the resultant action:— TABLE 33.
    NumberInformal or FormalArticleAdulteration or DeficiencyAction taken
  • Page 98
    TABLE 34.
    Type.Number of Schools.Number on Roll.
  • Page 98
    School Clinic Premises and Purposes served:—
    Address.Types of Clinic.
  • Page 99
    TABLE 35.—SCHOOL CLINICS.
    MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY
  • Page 100
    TABLE 36.
    19431944194519461947
  • Page 102
    Summary of Inspections and Re-inspections.
  • Page 103
    Medical Inspection and Re-inspection at Schools. TABLE 37.
    SchoolInfantJuniorSecondary
    IRSIRS.IRS
  • Page 103
    Age Groups, General Condition, Co-operation of Parents. TABLE 38.
    GroupTotal inspectedParents presentRequiring treatment*General Condition.
    ABC
    No.%No.%No.%No.%No.%
  • Page 104
    TABLE 39.
    CategoryNumber ascertainedRecommendation
    Day Special SchoolBoarding Special SchoolOrdinary School with special treatment
  • Page 105
    MEDICAL TREATMENT. Summary of Defects treated at School Health Clinics.
    Skin:
  • Page 105
    TABLE 40.
    DefectNumber Observed _ __Number TreatedReferred for OperationDischarged after treatment
  • Page 106
    The following statistics shew the work carried out:—
  • Page 107
    Physiotherapy and Light Clinic. Attendances continue to increase. Many forms of radiation and electrical treatment are now given for diverse conditions, together with massage, corrective and developmental exercise.
    Cases.Treatments.
  • Page 113
    TABLE 41.
  • Page 113
    C.— Pupils found to Require Treatment. Number of individual pupils found at periodic medical inspection to require treatment (excluding dental diseases and infestation with vermin).
    GroupFor defective vision (excluding squint)For any of the other conditions recorded in Table 42ATotal individual pupils
  • Page 114
    TABLE 42. A.— Return of Defects found, by Medical Inspection in the year ended 31 st December 1947.
    Defect or DiseasePeriodic InspectionsSpecial Inspections
    No. of defectsNo. of defects
    Requiring treatmentRequiring to be kept under observation, but not requiring treatmentRequiring treatmentRequiring to be kept under observation, but not requiring treatment
  • Page 114
    B.— Classification of the General Condition of Pupils Inspected during the year in the Age Groups.
    Age GroupsNumber of Pupils InspectedA (Good)B (Fair)c (Poor)
    No.%No.%No.%
  • Page 115
    TABLE 43. TREATMENT TABLES. GROUP I.—Minor Ailments (excluding Uncleanliness). (a)
    Number of Defects treated or under treatment during the year
  • Page 115
    GROUP II.—Defective Vision and Squint (excluding Eye Disease treated as Minor Ailments—Group I.)
    No. of Defects dealt with.
  • Page 116
    GROUP III.—Treatment of Defects of Nose and Throat.
    Total number treated.
  • Page 116
    GROUP IV.—Orthopaedic and Postural Defects.
  • Page 116
    TABLE 44. DENTAL INSPECTION AND TREATMENT.
  • Page 117
    Continued from previous page...
  • Page 117
    TABLE 45. INFESTATION WITH VERMIN.