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

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East Ham 1949

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

Published
1950
Pages
110
Tables
91

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91 tables in this report

  • Page 13
    Statistical and Social Conditions of the Area Social.
  • Page 13
    Extracts from Vital Statistics.
    TotalMalesFemales
  • Page 13
    Deaths from Puerperal causes :—
    DeathsRate per 1,000 Total (Live and Still) Births
  • Page 13
    Deaths of infants under one year of age :—
  • Page 14
    The still birth mortality rates for England and Wales and East Ham are shewn in the following table :—-
    194419451946194719481949
  • Page 14
    The rates for East Ham per 1,000 total (live and still) births for the past five years are indicated below :—
    19451946194719481949
  • Page 14
    A comparison of the statistics for the period since 1945 is appended below:—
    19451946194719481949
  • Page 16
    These rates from 1945—1949 are compared below :—
    19451946194719481949
  • Page 16
    The causes of death of these children under one month of age were as follows :—
    Cause.No. of Deaths
  • Page 17
    TABLE 1.
    AgeMalesFemalesTotal
  • Page 17
    NOTE.—For females, the age group 55—64 has been sub-divided as follows :—
  • Page 17
    The percentage of the total population (East Ham) divided into age-groups as on 31/12/47, was as follows
  • Page 20
    Table 3.— BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1949.
  • Page -
    T able 4.—CAUSES OF DEATH IN AGE GROUPS, 1949, AND TOTAL DEATHS FOR 1945-1949. 20a
    Cause.Deaths at different periods of life of residents (civilians) whether occurring within or without the district.Institutional DeathsTotal deaths for the years
    A11 Ages.Under l Year.1—5 Years.5—15 Years.15—4,5 Years.45—65 Years.65 and Upwards.Total deaths in Instns.
    19491948194719461945
    MFMFMFMFMFMFMFMF
  • Page 21
    T able 5.— INFANT DEATHS UNDER ONE YEAR OF AGE, 1949.
    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.
    MFMFMFMFMFMFMFMFMF
  • Page 23
    TABLE 6.—CLINICS AND TREATMENT CENTRES.
    SituationPurpose usedSessions
  • Page 24
    Patients dealt with for the first time during 1949
    SyphilisGonorrhoeaOther ConditionsTotal
  • Page 25
    Scabies and Treatment Centre. The following statistics are appended for the year under review:—
    19451946194719481949
  • Page 26
    Infectious Diseases. The quarterly returns to the Registrar-General were as follows:—
    DiseaseQtr. endingQtr. endingQtr. endingQtr. endingTotal.
    31/3/4930/6/4930/9/4931/12/49
  • Page 26
    TABLE 7.
    NotificationsEngland and Wales126 County Boroughs & Great Towns including London148 Smaller Towns Resident Population 25,000-50,000 at 1931 CensusLondon Adm. CountyEast Ham
  • Page -
    T able 8.—TOTAL CASES OF NOTIFIABLE DISEASES, 1926-1949. 26 a
    Disease.192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949
  • Page 27
    T ablk 9 —PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASE. Notified Cases for Year ended 31/12/49.
    Diskask.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 28
    The hospitals to which the 304 cases of notifiable infectious disease were admitted are named below:—
    Name of HospitalNo. of cases admitted
  • Page 29
    T able 10.—CANCER DEATHS—PARTS OF BODY AFFECTED.
    Parts of Body AffectedAges15-2525-3535—4545-5555-6565-7575 and upwardsTotal
    SexM.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page -
    Table 11.—PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. 30a Summary of Notifications during the period from 1st January, 1949, to the 31st December, 1949.
    Formal Notifications
    Number of Primary Notifications of new cases of tuberculosis
    Age Periods0—1—2—5—10—15—20—25—35—45—55—65—75—Total (all ages)
  • Page -
    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 InformationNumber of cases in age Groups
    0—1—2—5—10—15—20—25—35—45—55—65 —75—Total
  • Page 32
    FILM SHOW ATTENDANCES (approx.).
    Town Hall Annexe—week commencing 24/10/49.Manor Park Clinic—week commencing 31/10/49.
    a.m.p.m.Totalsa.m.p.m.Totals
  • Page 34
    TABLE 12. METEOROLOGICAL RECORD—YEAR 1949. 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-mumfLowest MinimumMean of
    All HighestAll LowestNo. 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
  • Page -
    Table 13. FACTORIES ACTS, 1937 AND 1948. PART I OF THE ACT 1.—INSPECTIONS for purposes of provisions as to health (including inspections made by Sanitary Inspectors)
    PremisesNumber on RegisterNumber of
    InspectionsWritten noticesOccupiers prosecuted
  • Page -
    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 ")
    ParticularsNumber of cases in which defects were foundNumber of cases in which prosecutions were instituted
    FoundRemediedReferred
    To H.M. InspectorBy H.M. Inspector
  • Page -
    PART VIII OF THE ACT OUTWORK (S ections 110 and 111)
    Nature of WorkSection 110Section 111
    No. of out-workers in August list required by Sect. 110(l)(c)No. of cases of default in sending lists to the CouncilNo. of prosecutions for failure to supply listsNo. of instances of work in unwholesome premisesNotices servedProsecutions
  • Page 37
    Table 14. NUMBERS PROVIDED WITH DENTAL CARE, 1949.
    ExaminedNeeding treatmentTreatedMade dentally fit
  • Page 37
    Table 15. FORMS OF DENTAL TREATMENT PROVIDED, 1949.
    ExtractionsAnaestheticsKillingsScalings or scaling and gum treatmentSilver Nitrate treatmentDressingsRadiographsDentures provided
    LocalGeneralCompletePartial
  • Page 37
    TABLE 16 Premature babies born in area (whether their mothers normally reside in area or not) excluding those born in maternity homes and hospitals in the National Health Service:—
    Born at Home
    Transferred to hospitalNursed entirely at homeTotalGrand Total
    Died in first 24 hoursDied on 2nd to 7th dayDied on 8th to 28th daySurvived 28 days
  • Page 38
    TABLE 17.
    Ophthalmia NeonatorumPemphigus NeonatorumPuerperal Pyrexia
    Domiciliary ConfinementsInstitutional ConfinementsDomiciliary ConfinementsInstitutional ConfinementsDomiciliary ConfinementsInstitutional Confinements
  • Page 38
    Table 18. ANTE-NATAL AND POST-NATAL CLINICS, 1949.
    No. of clinics provided at end of yearNo. of women in attendanceTotal No. of attendances made during the year
    No. whom attended during the yearNo. of new cases included in previous column who had not previously attended any clinic during current pregnancy and for post-natal clinics women who had not previously attended any post-natal clinic after last confinement
  • Page 39
    Table 19. INFANT WELFARE CENTRES, 1949.
    No. of centres provided at end of yearNo. of children who attended during yearNo. of children who first attended the centres during the year and whom on the date of their first attendance were :No. of children in attendance at the end of the year who were then:—Total No. of attendances made by children during the year :—
    Under 1 year of ageOver 1 year of ageUnder 1 Year of ageBetween the ages of 1 and 5Under 1 year of ageOver 1 year of age
  • Page 39
    Table 20. DAY NURSERIES, 1949.
    Provided byNumberNo. of approved placesNo. of children on the register at the end of the yearAverage daily attendance during the year
    0—2 years2—5 years0—2 years2—5 years0—2 years2—5 years
  • Page 42
    Table 21. PREMATURE INFANTS BORN. Aldersbrook Maternity Hospital, 1949.
    Weight in lbs.Died in first 24 hoursDied between 2nd & 8th dayDied between 8th & 28th daySurvived 28 daysTotal
  • Page 42
    Table 22. MIDWIVES ACTS, 1902—1936.
    Number of midwives practising in the area at 31st December, 1949.
    Domiciliary MidwivesMidwives in InstitutionsTotal
  • Page 43
    TABLE 28. MATERNITY CASES ATTENDED.
    Number of maternity cases in the area attended by Midwives during the year ended 31/12/49.
    Domiciliary CasesCases in Institutions.Total.
    As Mid-wives.As Maternity Nurses.As Mid- wives.As Maternity Nurses.As Mid-wives.As Maternity Nurses.
  • Page 44
    Table 24. GAS AND AIR ANALGESIA. Domiciliary Midwives.
    Domiciliary Midwives employed directly by CouncilDomiciliary Midwives employed under Sec. 23 by voluntary organisations as agents of CouncilDomiciliary Midwives employed under Sec. 23 by hospital authorities as agents of CouncilDomiciliary Midwives in private practiceTotal
  • Page 45
    Table 25. HEALTH VISITING, 1949.
    Provided byNumber of Health Visitors employed at end of yearEquivalent Whole-time Health Visitor Services provided under Col. (3) (all classes including attendance at Infant Welfare Centres)Number of visits paid by Health Visitors during the year
    Expectant MothersChildren under 1 year of ageChildren between the ages of 1 and 5Other Classes
    Wholetime on Health VisitingParttime on Health VisitingFirst VisitsTotal VisitsFirst VisitsTotal VisitsFirst VisitsTotal VisitsFirst VisitsTotal Visits
    (1)(2)(8)(4)(5)(6)(7)(8)(9)(10)(11)(12)
  • Page 46
    Table 26. HOME NURSING, 1949.
    Provided byNo. of home nurses employed at 31/12/49Equivalent of whole-time service provided by part-time home nursesNo. of cases attended by home nurses during the yearNo. of visits paid by home nurses during the year
    Whole-time on home nursingPart- time on home nursing
  • Page 46
    Table 27. HOME NURSING.
    East Ham District Nursing AssociationSilvertown and North Woolwich District Nursing AssociationTotals
  • Page 47
    Table 28. DIPHTHERIA IMMUNISATION, 1949.
    No. of children who completed a full course of primary immunisation (including temporary residents)Total number of children who were given a secondary or re-inforcing injection (i.e., subsequent to complete full course)
    Age at date of final injection
    Under 55—14Total
  • Page 47
    Table 29. WHOOPING COUGH. Prophylaxis with Pertussis Vaccines for Year ending 31/12/49.
    No. of children who completed a course of inoculation with pertussis vaccines (including alum-precipitated vaccines and vaccines combined with diphtheria prophylactic).Total
    Age at date of final injection.
    Under 1 year1—4 years5—14 years
  • Page 48
    Table 30. DIPHTHERIA IMMUNISATION. Number of Children at 31st December, 1949, who had completed a course of Immunisation at any time before that date (i.e. at any time since 1st January, 1935)
    Age at 31/12/49 i.e. Born in YearUnder 1 19491 19482 19473 19464 19455 to 9 1940-194410 to 14 1935-1939Total under 15
  • Page 48
    Table 31. SMALLPOX VACCINATION.
    Age at 31/12/49, i.e. born in years.No. of persons vaccinated or re-vaccinated during 1949.Total
    Under 1 19491—4 1945 to 19485—14 1935 to 194415 or over before 1935
  • Page 50
    Table 32. AMBULANCE SERVICES.
    No. of vehicles at 31st December 1949Total No. of journeys during the yearTotal No. of patients carried during the yearNo. of accident and other emergency journeys included in total No. of journeys during the yearTotal mileage during the yearNo. of paid whole-time staff at 31/12/49
  • Page 50
    Table 33. AMBULANCE SERVICES. Journeys and Mileage Analysis, 1949.
    Nature of .JourneyAmbulancesCars
    No. of journeysMileageNo. of journeysMileage
  • Page 51
    Removal by L.C.C. of typhus and smallpox patients within a radius of 25 miles. During 1949, these ambulances were used to remove 11 contacts of Smallpox from the S.S. " Mooltan."
    West Ham and Essex C.C.Cars.Ambulances.Total.
  • Page 52
    Table 34. TUBERCULOSIS, 1949.
    No. of visits to homes of patients by nurses during 1949No. of notified cases on East Ham Chest Clinic register on 31/12/49No. of occasions on which free extra nourishment supplied to patients during the yearNo. of occasions financial help given for purchase of bedding and clothing
    AdultsChildrenTotalMilkFoodTotal
  • Page 52
    Table 35. CONVALESCENT HOME TREATMENT. Number Treated, 1949.
    Name of HomeChildren 0—5 yearsSchool-ChildrenAdultsTotal
    M.FM.F.M.F.M.F.
  • Page 52
    TABLE 36. CONVALESCENT HOME TREATMENT. Period of Treatment, 1949.
    Age GroupSexUp to 1 week1-2 wks.2-3 wks.3-4 wks.4-5 wks.5-6 wks.6-7 wks.7-8 wks.8-9 wks.9-10 wks.10-11 wks.11-12 wks.Over 12 wks.Total
  • Page 53
    The recommendations for this form of treatment were submitted by :— TABLE 37.
    red byChildren 0—5School ChildrenAdultsTotal
  • Page 53
    The cost (including fares where granted) of convalescent treatment, as provided under the Authority's scheme, for the period 1/1/49 to 31/12/49, is as follows:—
    £s.d.
  • Page 56
    Table 38. MENTAL PATIENTS—Lunacy and Mental Treatment Acts.
    Type of patientNumber on register on 1 /I /49Admissions to institutions during the year 1949Discharges from institutions during the year 1949Deaths in institutions during the year 1949Number on register on 31/12/49
  • Page 57
    Table 39. MENTAL DEFICIENCY ACTS, 1913-1938. Particulars of Mental Defectives as on 1/1/50.
    MalesFemalesTotal
  • Page 58
    Table 40. PARTICULARS OF MENTAL DEFECTIVES REPORTED DURING 1949.
    MalesFemalesTotal
  • Page 59
    Table 41. MENTAL DEFECTIVE OCCUPATION CENTRE. Sessions and Attendances, 1940.
    MorningAfternoon
    No. of sessions held during the year233233
    MaleFemaleMaleFemale
  • Page 59
    Table 42. DULY AUTHORISED OFFICERS. Details of Visits, etc., 1949.
    Mental Deficiency Acts 1913-38Lunacy and Mental Treatment ActsGrand Total of visits and attendances
    GuardianshipStatutory SupervisionFriendly CareHome reports for patients detained in institutionsOccupation CentreTotal visits orattendancesPatients reported to be in need of treatmentAfter-CarePark View Therapeutic Social ClubTotal visits or attendances
  • Page 60
    Table 43. HOME HELP SERVICE. Tabulation of Cases, 1949.
    Illness or other cause for which help providedPeriod of service providedTotal
    Under 1 week1—2 weeks2—3 weeks3—4 weeks1—3 months3—6 months6—9 months9—12 months
  • Page 62
    SANITARY CIRCUMSTANCES. Sanitary Inspection. Details of the work of the inspectors in general sanitary administration are contained in the following statements:—
    (a) Inspections.
  • Page 65
    (k) Shops Acts, 1912-1936.—Particulars as to shop premises in the Borough, inspections, etc., are summarised as follows :—
  • Page 66
    Shop premises classified in trades are set out below:—
  • Page 69
    1. Accommodation made available—family units:—
  • Page 69
    5. N ew Housing:—
    Dwellings ProjectedUnder ConstructionCompleted
  • Page 72
    were graded by the Council's bacteriologist in accordance with the Ministry of Health's Provisional Grading as follows:—
  • Page 72
    In most cases the sale of ice-cream is incidental to the main business carried on at the registered premises, which comprise the following trades:—
  • Page 73
    The manufacture of ice-cream in the Borough although in every case carried on as a separate activity is in fact associated with the following trades:—
  • Page 74
    The number of samples taken and the Public Analyst's findings are set forth in the following Table TABLE 44.
    Number of SamplesPercentage of samples unsatisfactory
    ExaminedFound adulterated or below standard
  • Page 75
    Details of samples adulterated or below standard are described as follows, together with resultant action:— TABLE 45.
    No.Informal or FormalArticleAdulteration or DeficiencyAction taken
  • Page 78
    TABLE 46.
    Type.Number of Schools.Number on Roll.
  • Page 78
    Estimated number of children aged 5-14 inclusive (mid 1949) 14,770 School Clinic premises and purposes served
    Address.Types of Clinic.
  • Page 79
    TABLE 47.—SCHOOL CLINICS.
    MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY
  • Page 80
    TABLE 48.
    19451946194719481949
  • Page 83
    TABLE 49
    SchoolInfantJunior iSecondary
    IRSIRSIRS
  • Page 84
    Age Groups, General Condition, Co-operation of Parents. TABLE 50.
    GroupTotal inspectedParents presentRequiring treatmentGeneral Condition.
    ABC
    No.%No.%No.%No.%No.%
  • Page 84
    TABLE 51.
    CategoryNumber ascertainedRecommendation
    Day Special SchoolBoarding Special SchoolOrdinary School with special treatment
  • Page 85
    Summary of Defects treated at School Health Clinics.
    Skin:
  • Page 86
    TABLE 52.
    DefectNumber observedNumber treatedReferred for operationDischarged after treatment
  • Page 88
    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 93
    TABLE 53.
  • Page 93
    TABLE 54
    GroupFor defective vision (excluding squint)For any of the other conditions recorded in Table 55ATotal individual pupils
  • Page 94
    TABLE 55. A. — Return of Defects found by Medical Inspection in the year ended 31st December 1949.
    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 94
    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 95
    TABLE 56. TREATMENT TABLES. GROUP I.—Minor Ailments (excluding Uncleanliness). (a)
    Number of Defects treated or under treatment during the year
  • Page 96
    GROUP III.—Treatment of Defects of Nose and Throat.
    Total number treated.
  • Page 96
    TABLE 57. DENTAL INSPECTION AND TREATMENT.
  • Page 97
    Continued from previous page...