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

Page 12

The still birth mortality rates for England and Wales and East Ham are shewn in the following table:—

	Still births per 1,000 population.
	1938	1944	1945	1946	1947	1948

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T able 1.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1948.

	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 Para-Typhoid Fevers.	Acute Poliomyelitis & Polioencephalitis.	Pneumonia.	Whooping Cough.	Diphtheria.	Influenza.	Smallpox.	Tuberculosis.	Total Deaths under one year.	Deaths from Diarrhoea and Enteritis (under 2 years).

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Table 2.—CAUSES OF DEATH IN AGE GROUPS, 1948, AND TOTAL DEATHS FOR 1944-1848.

Cause.		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 l Year.		1—5 Years.		5—15 Years.		15—45 Years.		45—65 Years.		65 and Upwards.		Total deaths in Instns.		1948	1947	1946	1945	1944
		M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	1948	1947	1946	1945	1944

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T ABLE 3.— INFANT DEATHS UNDER ONE YEAR OF AGE, 1948.

Cause of Death.	Total deaths.	Age and Sex.																Total under 1 year.
		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.

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TABLE 4.—CLINICS AND TREATMENT CENTRES.

Situation	Purpose used	Sessions

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Continued from previous page...

Situation	Purpose used	Sessions

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(b) District Nursing. Statistics from 1/1/48 to 4/7/48:—

	East Ham District Nursing Assoc.	Silvertown & North Woolwich District Nursing Assoc.

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The services of one temporary midwife were terminated on 31/12/48. TABLE 0.

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Institution No. of Cases

Page 31

Day Nurseries. The following nurseries were open throughout the year under review :—

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Statistics are shewn below :—

Nursery.	Total Attendances.	Daily Average.

Page 32

Infectious Diseases. The quarterly returns to the Registrar-General were as follows :—

Disease	Qtr. ending 31/3/48	Qtr. ending 30/6/48	Qtr. ending 30/9/48	Qtr. ending 31/12/48	Total.

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In the following table the notification rates per 1,000 civilian population are shewn :— TABLE 7.

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Table 8.—PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASE. Notified Cases for Year ended 31/12/48.

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.

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Table 9.—TOTAL CASES OF NOTIFIABLE DISEASES, 1925-1948 . 34a

Disease.	1925	1920	1927	1928	1929	1930	1931	1932	1933	1934	1935	1936	1937	1938	1939	1940	1941	1942	1943	1944	1945	1946	1947	1948

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Continued from previous page...

Classification :—	1948	1947	1946	1945	1944

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Table 10.—CANCER DEATHS—PARTS OF BODY AFFECTED.

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Table 11.—PUBLIC HEALTH (TUBEBCULOSIS) REGULATIONS, 1930. 38A Summary of Notifications during the period from 1st January, 1918, to the 31st December, 1948.

Age Periods	Formal Notifications
	Number of Primary Notifications of new cases of tube										rculosis
	0—	1—	2—	5—	10—	15—	20—	25—	35—	45—	55—	65—	75—	Total (all ages)

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

Source of Information		Number of cases in age Groups
Source of Information		0—	1—	2—	5—	10—	15—	20—	25—	35—	45—	55—	65 —	75—	Total

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The number of tuberculous patients receiving in-patient treatment and the institutions concerned as on 30/6/48, are shewn below :—

	Adults	Children

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T able 12. 40 a PART I OF THE ACT 1.—INSPECTIONS for purposes of provisions as to health (including inspections made by Sanitary Inspectors)

Premises	Number on Register	Number of
Premises	Number on Register	Inspections	Written notices	Occupiers prosecuted

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2.— C ases in which DEFECTS were found (If defects are discovered at the premises on two, three or more separate occasions they should be reckoned as two, three or more " cases ")

Particulars	Number of cases in which defects were found				Number of cases in which prosecutions were instituted
	Found	Remedied	Referred
	Found	Remedied	To H.M. Inspector	By H.M. Inspector

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T able 13. PART VIII OF THE ACT OUTWORK (Sections 110 and 111)

Nature of Work		Section 110			Section 111
Nature of Work		No. of out-workers in August list required by Sect. 110(l)(c)	No. of cases of default in sending lists to the Council	No. of prosecutions for failure to supply lists	No. of instances of work in unwholesome premises	Notices served	Prosecutions

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TABLE 14. METEOROLOGICAL RECORD—YEAR 1948. 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 Maxi-mumf	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 Maxi-mumf	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

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TABLE 15.

Local Health Authority Clinics	Number of clinics provided at end of year (whether held at Infant Welfare Centres or other premises)	Number of sessions held on 31st December, 1948 per month at clinics included in column (2)	Number of women who attended during the period 5th July, 1948 to 31st December, 1948	Number of women included in column (4) who had not previously attended an ante-natal clinic during current pregnancy or a postnatal clinic after last confinement	Total number of attendances made by women included in column (4) in period 5th July, 1948 to 31st December, 1948
(1)	(2)	(3)	(4)	(5)	(6)

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TABLE 16.

Provided by	Number of Centres provided at end of year	Number of Infant Welfare Sessions now held per month at Centres in column (2)	Number of children who attended Centres in column (2) during period 5/7/48 to 31/12/48	Number of children who first attended the Centres during the period 5/7/48 to 81/12/48 and who, on the date of their first attendance were :—		Number of children included in column (4) who at the end of the year were :—		Total number of attendances made by Children included in column (4) in the period 5/7/48 to 31/12/48
Provided by	Number of Centres provided at end of year			Under 1 year of age	Over 1 year of age	Under 1 year of age	Over 1 year of age	Under 1 year of age	Over 1 year of age
(1)	(2)	(8)	(4)	(5)	(6)	(7)	(8)	(9)	(10)

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TABLE 17.

Provided by	No.	No. of Approved Places		No. of children on the Register at the end of the year		Average daily attendance since 5th July, 1948
(1)	(2)	0-2 (3)	2-5 (4)	0-2 (5)	2-5 (6)	0-2 (7)	2-5 (8)

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TABLE 18.

	Number of maternity cases in the area of the Local Supervising Authority attended by Midwives during the period 5/7/48 to 31/12/48.
	Domiciliary Cases		Cases in Institutions.		Total.
	As Mid-wives.	As Maternity Nurses.	As Mid-wives.	As Maternity Nurses.	As Mid-wives.	As Maternity Nurses.

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Section 24—Statistics for period 5/7/48 to 31/12/48. TABLE 19.

Provided by	Number of Health Visitors employed at end of year		Equivalent of Whole-time Services devoted by Health Visitors included in Cols. (2) & (3) to Health Visiting (all classes including attendance at Infant Welfare	Number of visits paid by Health Visitors included in columns (2) and (3) during period 5th July, 1948, to 31st December, 1948
	Number of Health Visitors employed at end of year			Expectant Mothers		Children under 1 year of age		Children between the ages of 1 and 5		Other Classes
	Whole-time on Health Visiting	Part-time on Health Visiting		Expectant Mothers		Children under 1 year of age		Children between the ages of 1 and 5		Other Classes
	Whole-time on Health Visiting	Part-time on Health Visiting		First Visits	Total Visits	First Visits	Total Visits	First Visits	Total Visits	First Visits	Total Visits
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)

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TABLE 20.

Provided by	Number of Home Nurses employed at 31st December, 1948		Equivalent of whole-time services devoted by Home Nurses included in Cols. (2) & (3) to Home Nursing	Number of visits paid by Home Nurses included in Cols. (2) & (3) during the period 5/7/48 to 31/12/48	Number of cases attended by Home Nurses included in Cols. (2) & (3) during the period 5/7/48 to 31/12/48
Provided by	Whole-time on Home Nursing	Part-time on Home Nursing
(1)	(2)	(3)	(4)	(5)	(6)

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TABLE 21.

	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 5	5—14	Total

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T ABLE 21 A —DIPHTHERIA IMMUNISATION. Number of children at 31/12/48 who had completed a course of immunisation at any lime before that date (i.e. at any time since 1/1/34).

Age at 31/12/48 i.e. born in year	Under 1, 1948	1 1947	2 1040	3 1045	4 1044	5—0 1939—1043	10—14 1934—1938	Total under 15

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With reference to Table 21, the children immunised were apportioned between the Authority's medical staff and general practitioners as follows:-

	Age at final injection.			Reinforcing injections.
	Under 5	5—14	Total	Reinforcing injections.

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For the period 5/7/48 to 31/12/48, 2 males and 8 females received periods of treatment as follows :—

	M.	F.

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TABLE 22.

Age Group	Sex	Up to 1 week	1-2 wks.	2-3 wks.	3-4 wks.	4-5 wks.	5-0 wks.	0-7 wks.	7-8 wks.	8-9 wks.	9-10 wks.	10-11 wks.	11-12 wks.	Over 12 wks.	Total

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Table 23. MENTAL HOSPITALS FOR PERIOD 5/7/48 TO 31/12/48.

Hospital	On Register at 5/7/48		Admissions		Discharges		Deaths		On Register at 31/12/48
Hospital	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

Page 62

(b) Mental defectives—Mental Deficiency Acts, 1913-1938. A. Particulars of mental defectives as on 1/1/49:—

(1) No. of mental defectives "subject to be dealt with" :—		M.	F.	Total

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Continued from previous page...

C. Number of mental defectives under community care including voluntary supervision or in "places of safety" on 1/1/48, who have ceased to be under community care or in "places of safety" during 1948:—	M	F	Total

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TABLE 24.—Helps provided in Sickness eases from 5/7/48 to 31/12/48.

No. of weeks Service provided	No. of hours per week												Totals
No. of weeks Service provided	Under 4 hours	Over 4 and under 8	Over 8 and under 12	Over 12 and under 16	Over 16 and under 20	Over 20 and under 24	Over 24 and under 28	Over 28 and under 32	Over 32 and under 36	Over 36 and under 40	Over 40 and under 44	Over 44 and up to 48	Totals

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TABLE 25.

	2nd Jan. 1949 to 29th Jan. 1949		30th Jan. 1949 to 26th Feb. 1949		27th Feb. 1949 to 26th Mar. 1949		27th Mar. 1949 to 11th June 1949		Totals
	Maternity	Sickness	Maternity	Sickness	Maternity	Sickness	Maternity	Sickness	Totals

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HOUSING STATISTICS. Position at 31st December, 1948.

1. Accommodation made available—family units:—

Page 72

5. New Housing:—

	Dwellings projected	Under construction	Completed

Page 74

Milk samples submitted for examination are summarised as follows:—

		Unsatisfactory

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TABLE 26

	Place of Manufacture
	Within the Borough	Other Districts	Total

Page 76

TABLE 27

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

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TABLE 28

Number	Informal or Formal	Article	Adulteration or Deficiency	Action taken

Page 79

TABLE 29.

Type.	Number of Schools.	Number on Roll.

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TABLE 30.—SCHOOL CLINICS.

		MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY

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TABLE 31.

	1944	1945	1946	1947	1948

Page 84

TABLE 32

School	Infant			Junior			Secondary
School	I	R	S	I	R	S	I	R	S

Page 85

TABLE 33.

Group	Total inspected	Parents present		Requiring treatment		General Condition.
		Parents present		Requiring treatment		A		B		C
		No.	%	No.	%	No.	%	No.	%	No.	%

Page 85

TABLE 34.

Category	Number ascertained	Recommendation
Category	Number ascertained	Day Special School	Boarding Special School	Ordinary School with special treatment

Page 86

MEDICAL TREATMENT. Summary of Defects treated at School Health Clinics. Skin :

Page 87

TABLE 35.

Defect	Number observed	Number treated	Referred for operation	Discharged after treatment

Page 89

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 92

TABLE 36.

A.—Periodic Medical Inspections.

Page 92

Number of individual pupils found at periodic medical inspections to require treatment (excluding dental diseases and infestation with vermin).

Group	For defective vision (excluding squint)	For any of the other conditions recorded in Table 37A	Total individual pupils

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TABLE 37. A.— Return of Defects found by Medical Inspection in the year ended 31st December 1948.

Defect or Disease	Periodic Inspections		Special Inspections
	No. of defects		No. of defects
	Requiring treatment	Requiring to be kept under observation, but not requiring treatment	Requiring treatment	Requiring to be kept under observation, but not requiring treatment

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B.— Classification of the General Condition of Pupils Inspected during the year in the Age Groups.

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TABLE 38. TREATMENT TABLES. GROUP I.—Minor Ailments (excluding Uncleanliness). (a)

	Number of Defects treated or under treatment during the year

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GROUP II. —Defective Vision and Squint (excluding Eye Disease treated as Minor Ailments—Group I.)

	No. of Defects dealt with

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GROUP III.—Treatment of Defects of Nose and Throat.

	Total number treated.

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TABLE 39. DENTAL INSPECTION AND TREATMENT.

(1) Number of pupils inspected by the Authority's Dental Officers :—

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

View report tables

East Ham 1948

65 tables in this report

The still birth mortality rates for England and Wales and East Ham are shewn in the following table:—

T able 1.—BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1948.

Table 2.—CAUSES OF DEATH IN AGE GROUPS, 1948, AND TOTAL DEATHS FOR 1944-1848.

T ABLE 3.— INFANT DEATHS UNDER ONE YEAR OF AGE, 1948.

TABLE 4.—CLINICS AND TREATMENT CENTRES.

Continued from previous page...

(b) District Nursing. Statistics from 1/1/48 to 4/7/48:—

The services of one temporary midwife were terminated on 31/12/48. TABLE 0.

Institution No. of Cases

Day Nurseries. The following nurseries were open throughout the year under review :—

Statistics are shewn below :—

Infectious Diseases. The quarterly returns to the Registrar-General were as follows :—

In the following table the notification rates per 1,000 civilian population are shewn :— TABLE 7.

Table 8.—PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASE. Notified Cases for Year ended 31/12/48.

Table 9.—TOTAL CASES OF NOTIFIABLE DISEASES, 1925-1948 . 34a

Continued from previous page...

Table 10.—CANCER DEATHS—PARTS OF BODY AFFECTED.

Table 11.—PUBLIC HEALTH (TUBEBCULOSIS) REGULATIONS, 1930. 38A Summary of Notifications during the period from 1st January, 1918, to the 31st December, 1948.

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

The number of tuberculous patients receiving in-patient treatment and the institutions concerned as on 30/6/48, are shewn below :—

T able 12. 40 a PART I OF THE ACT 1.—INSPECTIONS for purposes of provisions as to health (including inspections made by Sanitary Inspectors)

2.— C ases in which DEFECTS were found (If defects are discovered at the premises on two, three or more separate occasions they should be reckoned as two, three or more " cases ")

T able 13. PART VIII OF THE ACT OUTWORK (Sections 110 and 111)

TABLE 14. METEOROLOGICAL RECORD—YEAR 1948. 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 15.

TABLE 16.

TABLE 17.

TABLE 18.

Section 24—Statistics for period 5/7/48 to 31/12/48. TABLE 19.

TABLE 20.

TABLE 21.

T ABLE 21 A —DIPHTHERIA IMMUNISATION. Number of children at 31/12/48 who had completed a course of immunisation at any lime before that date (i.e. at any time since 1/1/34).

With reference to Table 21, the children immunised were apportioned between the Authority's medical staff and general practitioners as follows:-

For the period 5/7/48 to 31/12/48, 2 males and 8 females received periods of treatment as follows :—

TABLE 22.

Table 23. MENTAL HOSPITALS FOR PERIOD 5/7/48 TO 31/12/48.

(b) Mental defectives—Mental Deficiency Acts, 1913-1938. A. Particulars of mental defectives as on 1/1/49:—

Continued from previous page...

TABLE 24.—Helps provided in Sickness eases from 5/7/48 to 31/12/48.

TABLE 25.

HOUSING STATISTICS. Position at 31st December, 1948.

5. New Housing:—

Milk samples submitted for examination are summarised as follows:—

TABLE 26

TABLE 27

TABLE 28

TABLE 29.

TABLE 30.—SCHOOL CLINICS.

TABLE 31.

TABLE 32

TABLE 33.

TABLE 34.

MEDICAL TREATMENT. Summary of Defects treated at School Health Clinics. Skin :

TABLE 35.

Attendances continue to increase. Many forms of radiation and electrical treatment are now given for diverse conditions, together with massage, corrective and developmental exercise.

TABLE 36.

Number of individual pupils found at periodic medical inspections to require treatment (excluding dental diseases and infestation with vermin).

TABLE 37. A.— Return of Defects found by Medical Inspection in the year ended 31st December 1948.

B.— Classification of the General Condition of Pupils Inspected during the year in the Age Groups.

TABLE 38. TREATMENT TABLES. GROUP I.—Minor Ailments (excluding Uncleanliness). (a)

GROUP II. —Defective Vision and Squint (excluding Eye Disease treated as Minor Ailments—Group I.)

GROUP III.—Treatment of Defects of Nose and Throat.

TABLE 39. DENTAL INSPECTION AND TREATMENT.

Continued from previous page...

TABLE 40. INFESTATION WITH VERMIN.