[Report of the Medical Officer of Health for Ilford]

Page 7

The following figures as to unemployment were supplied by the Ministry of Labour:—

Page 7

Deaths from puerperal causes (Headings 29 and 30 of the Registrar-General's Short List):—

	Deaths,		Rate per 1,000 total (live and still) births

Page 8

Death-rate of Infants under one year of age:—

	1943	1942

Page 8

The number of patients and resident staff on the 30th June, 1943, at the following public institutions, was:—

Page 8

3. Births .—The number of births registered during the year was 2,621.

	Males	Females

Page 8

The ages at death were as follows:—

Under 1 year	1-2 years	2-5 years	5-15 years	15-25 years	25-45 years	45-65 years	65 years and upwards

Page 8

The following Table shows the death-rates for 1943 for Ilford, compared with the provisional death-rates for England and Wales for the same period, per 1,000 population; the figures having been supplied by the Registrar-General:—

	Ilford	England and Wales

Page 10

TABLE I.—Vital Statistics of Whole District During 1943 and Previous Years.

Year	Births			Total Deaths Registered in the District		Transferable Deaths		Net Deaths Belonging to the District
	Uncorrected Number	Net		Total Deaths Registered in the District		of Non-Residents registered in the District	of Residents not registered in the District	Under 1 Year of Age		At all Ages
		Number	Rate	Number	Rate			Under 1 Year of Age		At all Ages
		Number	Rate	Number	Rate			Number	Rate per 1,000 Net Births	Number	Rate
1	2	3	4	5	6	7	8	9	10	1	12

Page 11

TABLE 1 A Table showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1943 (Provisional figures).

	Rate per 1,000 Total Population		Annual Death-rate per 1,000 Population								Rate per 1,000 Live Births
	Rate per 1,000 Total Population		All Causes	Typhoid and Paratyphoid Fevers	Smallpox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Diarrhoea and Enteritis (under 2 Yrs.)	Total Deaths under 1 Year
	Live Births	Stillbirths	All Causes	Typhoid and Paratyphoid Fevers	Smallpox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Diarrhoea and Enteritis (under 2 Yrs.)	Total Deaths under 1 Year

Page 12

TABLE II Causes of, and Ages at, Death during the Year 1943

Causes of Death		Net Deaths at the subjoined ages of "Residents," whether occurring within or without the District
Causes of Death		All Ages	Under 1 year	1 and under 2 years	2 and under 5 years	5 and under 15 years	15 and under 25 years	25 and under 35 years	35 and under 45 years	45 and under 55 years	55 and under 65 years	65 and under 75 years	75 years and upwards

Page 14

(ii) Drainage and Sewerage .—The Borough Engineer regrets that owing to the pressure of work and the shortage of staff he is unable to supply the usual information regarding (a) Drainage and Sewerage and (b) Closet Accommodation, but has kindly supplied me with the following statement as regards Refuse and Salvage Collection:—

Collection and Disposal of Refuse:—	Tons	Cwts.

Page 14

Notices served:—

Statutory:—	Served	Complied with

Page 15

The following is a summary:—

Page 15

(iii) HOUSING STATISTICS. 1. Inspection of Dwelling-houses during the Year:—

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Continued from previous page...

Page 17

Milk Supply.

Page 18

(iii) Sampling .—The routine practice of sampling was given in the 1938 Report, the following gives the results for 1943:—

Grade of milk or ice cream	Total	Satisfactory	Unsatisfactory	Remarks ,

Page 20

The following medical examinations were carried out during 1943:—

	Officers	Teachers	Servants

Page 21

TABLE III—Cases of Infectious Diseases Notified during the Year 1943

NOTIFIABLE DISEASE	At all Ages	Number of Cases Notified At Ages—years							Total Cases Notified in each Ward									Total Cases Admitted to Hospital
NOTIFIABLE DISEASE	At all Ages	Under 1	1 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and upwards	Cranbrook	Park	Seven Kings	Barkingside	North Hainault	Loxford	Clement8wood	South Hainault	Goodmayes	Total Cases Admitted to Hospital

Page 22

The total number of deaths of Ilford residents from the following infectious diseases during 1943 was 215 as against 170 in 1942.

	1942	1943

Page 22

(a) Smallpox.—No case of Smallpox occurred.

Page 22

The following "return" cases have occurred during the past five years, a "return" case being one which arises within 28 days of the freedom of the primary case from isolation:—

Year	Cases notified (including Institutions)	Admitted to Ilford Isolation Hospital	"Return" Hospital Cases	Per Cent.	Home Cases	Cases arising in same house	Per Cent.

Page 23

Diphtheria Immunisation.— Tabulae Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1943, to 31st December, 1943.

	Newbury Hall Clinic			Mayesbrook Clinic			Grand Totals Both Clinics
	School Children (Various Schools)	Children under 5 years of age	Total	School Children (Various Schools)	Children under 5 years of age	Total	Grand Totals Both Clinics

Page 25

Table showing Incidence of Infectious Disease, 1943, in age groups; and total Deaths.

Disease	Total cases notified	Under 1 year	1—2	2—3	3—4	4—5	5—10	10—15	15—20	i 20—35	35—45	45—65	Over 65	* Cases admitted to Hospital	Total Deaths

Page 26

Notifications and Deaths from Tuberculosis of Ilford residents during 1943:

Age Periods	New Cases				Deaths
	Respiratory		Non-Respiratory		Respiratory		Non-Respiratory
	M	F	M	F	M	F	M	F

Page 26

Of the above new cases, the following were notified from Institutions in the district:—

	Respiratory Tuberculosis	Non-Respiratory Tuberculosis

Page 26

During the year 1943 the following deaths occurred from Tuberculosis:—

	Pulmonary	Non-Pulmonary

Page 27

Continued from previous page...

			Pulmonary	Non-Pulmonary	Total

Page 27

Cases of Tuberculosis, on notification, are visited by the Tuberculosis Nurse of the Essex County Council. 993 of the cases of longer standing were visited by the Sanitary Inspectors during the year, a visit being made to each patient every six months. The following reports were obtained:—

	Pulmonary Cases	Other Cases

Page 27

The number of patients from Ilford sent to Institutions under the Essex County Tuberculosis Scheme during 1943 was as follows:—

	Pulmonary		Non-Pulmonary		Total
	Males	Females	Males	Females	Total

Page 28

Including Inspections made by Sanitary Inspectors.

Premises	Number of
Premises	Inspections	Written Notices	Occupiers prosecuted
(i)	(2)	(3)	(4)

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2.—DEFECTS FOUND IN FACTORIES.

Particulars.	Number of Defects			No. ol defects in respect of which Prosecutions were instituted
	Found	Remedied	Referred to H.M. Inspector

Page 30

Number of patients in Hospital on 1st January, 1943 and 1944. respectively:—

	1st Jan., 1943	1st Jan., 1944

Page 30

The arrangements entered into with the Essex County Council, whereby beds were allocated to the use of Tuberculosis patients, were as follows during 1943:—

Block.	No. of Beds.	Period occupied.	Charges per bed per week.

Page 31

The following table shows the number of the Staff at the Isolation Hospital who were Schick and Dick tested during 1943, and also the number inoculated:—

Numbers Schick Tested:—	Nurses	Domestics

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Infant Mortality.

Cause of Death	Under 1 week	1-2 weeks	2-3 weeks	3-4 weeks	Total under 4 weeks	4 weeka and under 3 months	3 months and under 6 months	6 months and under 9 months	9 months and under 12 months	Total Deaths under 1 year

Page 35

Special Clinics .¡ªAttendances of children under 5 years of age and expectant and nursing mothers at the various Clinics during 1943 are set out in the following table:¡ª

Clinic.	Number of Sessions.				Attendances. Individual Expectant and Nursing Mothers.				Attendances. Individual Children.				Total Attendances,
	A.	B.	C.	D.	A.	B.	C.	D.	A.	B.	C.	D.	A.	B.	C.	D.

Page 36

War-time Day Nitrseries .—The following War-time Day Nurseries for children under 5 years of age. whose mothers are in employment, have been opened:—

Situation.	Date of Opening	Accommodation (Children)	Average Dai durin Including Saturday	y Attendance g 1943 Excluding Saturday	No. of Days in Quarantine	Reasons for Quarantine

Page 46

Infectious Disease .—The following table shows the incidence of infectious diseases in the Ilford schools since 1938:—

	Scarlet Fever.	Diphtheria .	Measles and German Measles	Chicken Pox.	Mumps	Whooping Cough.

Page 47

Diphtheria Prevention Clinics. —The following shows the work carried out at Newbury Hall (106 sessions) and Mayesbrook (68sessions) Clinics for children of school age during 1943:—

	Newbury	Hall.	Mayes	brook.

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(a) Minor Ailments Clinics. —The attendances during 1943 were as follows:—

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Deformities:—

Page 49

S pecial C linics .—Attendances at the various Clinics during 1943, are set out in the following table:—

Clinic.	Number of Sessions.			Attendances Individual Children.			Total Attendances.
Clinic.	A.	B.	C.	A.	B.	C.	A.	B.	C.

Page 50

The amount of dental disease present in children at various ages is shown by the following table relating to school children inspected by the school Dentists:—

Age groups (in years)	No. of inspections of children	No referred for treatment.	Percentage

Page 50

The percentages for the past 5 years were as follows:—

Page 53

Deaf Children. —Recommended special school for Totally

Page 54

Idiots, Imbeciles, Feeble-Minded, Dull and Backward Children. Summary of cases at end of 1943:—

	Idiots.	Imbeciles.	Feeble-Minded.	Dull and Backward

Page 54

Examination of Officers, etc.—In accordance with the Education Committee's regulations, the undermentioned teachers and other officers were medically examined and reported upon during the year by the School Medical Officer:—

Page 55

Infection at the Camp Schools in 1943 (in addition to Epidemics on Page 5).

	Kenny lands.	Finnamore Wood	Elmbridge.

Page 55

The following is a brief summary of the work carried out:—

Immunisation.	Elmbridge	Finnamore Wood.	Kenny lands.

Page 55

Table Showing the Principal Causes of Death among Children or School Age ( i.e ., from 5—15 years) in Ilford for 1941 and 1942. The Table also gives a Comparative Percentage of Deaths Registered at all Ages, from 5—15 Years.

Disease.	Ilford, Percentage of total deaths (all ages).		Ilford, Percentage of total deaths at ages 5—15
Disease.	1941	1942	1941	1942

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Table I.—Return of Medical Inspections. A.—Routine Medical Inspections.

Page 56

Table II. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

Age Groups	No. of Children Inspected	A. (Excellent)		B. (Normal)		C. (Slightly Subnormal)		D. (Bad)
Age Groups	No. of Children Inspected	No.	%	No.	0/ /o	No.	%	No.	0/ /o

Page 56

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

Defect or Disease (1)	No. of Defects dealt with
Defect or Disease (1)	Under the Authority's Scheme (2)	Otherwise (3)	Total (4)

Page 57

Number of Defects

Received Operative Treatment.	Received other forms of Treatment.	Total Number treated.

Page 57

Table IV.— Dental Inspection and Treatment. (1) Number of Children inspected by the Dentists:—

(a)Routine Age Groups—
Age 5	6	7	8	9	10	11	12	13	14	Total.

Page 57

Table V.— Uncleanliness and Verminous Conditions.

Page 58

Table VI. Blind and Deaf Children.

	(1) At a Public Elementary School	(2) At an Institution other than a Special School	(3) At no School or Institution	(4) Total not receiving suitable Education

Page 59

Table VII. School Medical and Dental Staff.

Name of Officer	Proportion of whole School Medical Service	time devoted to— Public Health

Page 60 61

Table VI. A.—Table Showing the Average Heights and Weights of the BOYS Examined.

School	5—6 Years			6—7 Years			7—8 Years			8—9 Years			9—10 Years			10—11 Years			11—12 Years			12—13 Years			13—14 Years
School	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)

Page 62 63

Table VI B.¡ªTable Showing the Average Heights and Weights of the GIRLS Examined.

School	5-6 Years			6-7 Years			7-8 Years			8-9 Years			9-10 Years			10-11 Years			11-12 Years			12-13 Years				13-14 Years
School	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	umber of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)		Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)		Average Weight (in Kilogrammes)

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Table VI C. Heights and Weights—(Four-year Period = 1940, 1941, 1942 and 1943). Comparison of Camp with other Ilford Schools.

Camp School.	11—12			12—13			13—14
Camp School.	No. Ex'd.	Ht.	Wt.	No. Ex'd.	Ht.	Wt.	No. Ex'd.	Ht.	Wt.

Page 65

Table VII.—Summary of Cases of Infectious Diseases among School Children, and of Contacts of such Cases, excluded from School Attendance during the Year ended the 31st December, 1943.

SCHOOLS	DISEASES AND CONTACTS
	No. on Roll	Scarlet Fever		Diphtheria		Measles & German Measles		Chicken-pox	Whooping Cough		Mumps	Totals, 1943		Totals, 1942
	No. on Roll	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Cases	Contacts	Cases	Cases	Contacts	Cases	Contacts

Page 66

Table I.—Return of Medical Inspections. A.—Routine Medical Inspections. (1) Number of Inspections in the prescribed Groups:—

Page 66

Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

Age Groups	No. of Children Inspected	A. (Excellent)		B. (Normal)		C (Slightly Subnormal)		D. (Bad)
Age Groups	No. of Children Inspected	No.	%	No.	%	No.	%	No.	%

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

Defect or Disease. (1)	No. of Defects dealt with
Defect or Disease. (1)	Under the Authority's Scheme (2)	Otherwise (3)	Total (4)

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Group III.—Treatment of Defects of Nose and Throat. Number of Defects.

Received Operative Treatment.	Received other forms of Treatment.	Total Number treated.

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Table IV.— Dental Inspection and Treatment. (1) Number of Children inspected by the Dentists:— (a) Routine Age Groups—

Age	11	12	13	14	15	16	17	18	Total.

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The amount of dental disease present in children at various ages is show by the following table, relating to schoolchildren inspected by the School Dental Surgeons:—

Age Groups (in years).	No. of Inspections of Children.	No. referred for Treatment.	Percentage.

Page 68

Attendances at Specialists' Clinics.

Clinic.	Individual Children.	Total Attendances.

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Ilford 1943

70 tables in this report

The following figures as to unemployment were supplied by the Ministry of Labour:—

Deaths from puerperal causes (Headings 29 and 30 of the Registrar-General's Short List):—

Death-rate of Infants under one year of age:—

The number of patients and resident staff on the 30th June, 1943, at the following public institutions, was:—

3. Births .—The number of births registered during the year was 2,621.

The ages at death were as follows:—

The following Table shows the death-rates for 1943 for Ilford, compared with the provisional death-rates for England and Wales for the same period, per 1,000 population; the figures having been supplied by the Registrar-General:—

TABLE I.—Vital Statistics of Whole District During 1943 and Previous Years.

TABLE 1 A Table showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1943 (Provisional figures).

TABLE II Causes of, and Ages at, Death during the Year 1943

Notices served:—

The following is a summary:—

(iii) HOUSING STATISTICS. 1. Inspection of Dwelling-houses during the Year:—

Continued from previous page...

Milk Supply.

(iii) Sampling .—The routine practice of sampling was given in the 1938 Report, the following gives the results for 1943:—

The following medical examinations were carried out during 1943:—

TABLE III—Cases of Infectious Diseases Notified during the Year 1943

The total number of deaths of Ilford residents from the following infectious diseases during 1943 was 215 as against 170 in 1942.

(a) Smallpox.—No case of Smallpox occurred.

The following "return" cases have occurred during the past five years, a "return" case being one which arises within 28 days of the freedom of the primary case from isolation:—

Diphtheria Immunisation.— Tabulae Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1943, to 31st December, 1943.

Table showing Incidence of Infectious Disease, 1943, in age groups; and total Deaths.

Notifications and Deaths from Tuberculosis of Ilford residents during 1943:

Of the above new cases, the following were notified from Institutions in the district:—

During the year 1943 the following deaths occurred from Tuberculosis:—

Continued from previous page...

Cases of Tuberculosis, on notification, are visited by the Tuberculosis Nurse of the Essex County Council. 993 of the cases of longer standing were visited by the Sanitary Inspectors during the year, a visit being made to each patient every six months. The following reports were obtained:—

The number of patients from Ilford sent to Institutions under the Essex County Tuberculosis Scheme during 1943 was as follows:—

Including Inspections made by Sanitary Inspectors.

2.—DEFECTS FOUND IN FACTORIES.

Number of patients in Hospital on 1st January, 1943 and 1944. respectively:—

The arrangements entered into with the Essex County Council, whereby beds were allocated to the use of Tuberculosis patients, were as follows during 1943:—

The following table shows the number of the Staff at the Isolation Hospital who were Schick and Dick tested during 1943, and also the number inoculated:—

Infant Mortality.

Special Clinics .¡ªAttendances of children under 5 years of age and expectant and nursing mothers at the various Clinics during 1943 are set out in the following table:¡ª

War-time Day Nitrseries .—The following War-time Day Nurseries for children under 5 years of age. whose mothers are in employment, have been opened:—

Infectious Disease .—The following table shows the incidence of infectious diseases in the Ilford schools since 1938:—

Diphtheria Prevention Clinics. —The following shows the work carried out at Newbury Hall (106 sessions) and Mayesbrook (68sessions) Clinics for children of school age during 1943:—

(a) Minor Ailments Clinics. —The attendances during 1943 were as follows:—

Deformities:—

S pecial C linics .—Attendances at the various Clinics during 1943, are set out in the following table:—

The amount of dental disease present in children at various ages is shown by the following table relating to school children inspected by the school Dentists:—

The percentages for the past 5 years were as follows:—

Deaf Children. —Recommended special school for Totally

Idiots, Imbeciles, Feeble-Minded, Dull and Backward Children. Summary of cases at end of 1943:—

Examination of Officers, etc.—In accordance with the Education Committee's regulations, the undermentioned teachers and other officers were medically examined and reported upon during the year by the School Medical Officer:—

Infection at the Camp Schools in 1943 (in addition to Epidemics on Page 5).

The following is a brief summary of the work carried out:—

Table Showing the Principal Causes of Death among Children or School Age ( i.e ., from 5—15 years) in Ilford for 1941 and 1942. The Table also gives a Comparative Percentage of Deaths Registered at all Ages, from 5—15 Years.

Table I.—Return of Medical Inspections. A.—Routine Medical Inspections.

Table II. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

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

Number of Defects

Table IV.— Dental Inspection and Treatment. (1) Number of Children inspected by the Dentists:—

Table V.— Uncleanliness and Verminous Conditions.

Table VI. Blind and Deaf Children.

Table VII. School Medical and Dental Staff.

Table VI. A.—Table Showing the Average Heights and Weights of the BOYS Examined.

Table VI B.¡ªTable Showing the Average Heights and Weights of the GIRLS Examined.

Table VI C. Heights and Weights—(Four-year Period = 1940, 1941, 1942 and 1943). Comparison of Camp with other Ilford Schools.

Table VII.—Summary of Cases of Infectious Diseases among School Children, and of Contacts of such Cases, excluded from School Attendance during the Year ended the 31st December, 1943.

Table I.—Return of Medical Inspections. A.—Routine Medical Inspections. (1) Number of Inspections in the prescribed Groups:—

Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

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

Group III.—Treatment of Defects of Nose and Throat. Number of Defects.

Table IV.— Dental Inspection and Treatment. (1) Number of Children inspected by the Dentists:— (a) Routine Age Groups—

The amount of dental disease present in children at various ages is show by the following table, relating to schoolchildren inspected by the School Dental Surgeons:—

Attendances at Specialists' Clinics.