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

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Ilford 1948

[Report of the Medical Officer of Health for Ilford]

Published
1949
Pages
102
Tables
85

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85 tables in this report

  • Page 10
    STATISTICS AND SOCIAL CONDITIONS OF THE AREA.
  • Page 10
    The following figures as to unemployment were supplied by the Ministry of Labour:—
    Males.Females.
  • Page 11
    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.
    1948194719481947
  • Page 11
    Death-rate of Infants under one year of age:—
    19481947
  • Page 11
    The number of patients and resident staff on the 30th June, 1948, at the following public institutions, was:—
  • Page 11
    3. Births. The number of births registered during the year was 2,848.
    MalesFemales
  • Page 11
    The number of deaths of non-residents registered in the district (principally in large instituitions) was as follows:—
  • Page 12
    The number of deaths of Ilford residents registered as having died in other districts during the year was as follows, and includes deaths at the following Institutions:—
  • Page 12
    The ages at death were as follows —
    Under 1 year1-2 years2-5 5-15 years years15-25 years25-45 years45-65 years65 years and upwards
  • Page 12
    The following Table shows the death-rates for 1948 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:—
    IlfordEngland and Wales
  • Page 13
    During the period 5th July to 31st December the number of persons admitted to Institutions under Part III of the National Assistance Act, 1948, was as follows:—
    MenWomen Children
  • Page 14
    TABLE I.—Vital Statistics of Whole District During 1948 and Previous Years.
    YearGross Population, estimated to middle of each Year.Net Population estimated to middle of each Year.BirthsTotal Deaths Registered in the DistrictTransferable DeathsNet Deaths Belonging to the District
    Uncorrected NumberNet (6)of Non-Residents registered in the Districtof Residents not registered in the DistrictUnder 1 year of AgeAt all Ages
    NumberRate (c)NumberRate (d)
    NumberRate per 1,000 Net BirthsNumberRate (e)
    122a345678910111213
  • Page 15
    TABLE 1A Table showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1948 (Provisionalfigures).
    Rate per 1,000 Total PopulationAnnual Death-rate per 1,000 PopulationRate per 1,000 Live Births
    All CausesTyphoid and Paratyphoid FeversSmallpoxTuberculosis (all forms)PneumoniaWhooping CoughDiphtheriaInfluenzaAcute Poliomyelitis and PolioencephalitisDiarrhoea and Enteritis (under 2 Yrs.)Total Deaths under 1 Year
    Live BirthsStillbirths
  • Page 16
    Registrar-General's Short List of Deaths and Causes: — TABLE II. Causes of, and Ages at, Death during the Year 1948.
    Causes of DeathNet Deaths at the subjoined ages of " Residents," whether occurring within or without the District
    All AgesUnder 1 year1 and under 2 years2 and under 5 years5 and under 15 years15 and under 25 years25 and under 35 years35 and under 45 years45 and under 55 years55 and under 65 years65 and under 75 years75 years and upwards
  • Page 19
    King George Hospital.—The following is a return in respect of bed accommodation:—
    Total number of Beds at 31st December, 1948.Private Patients.Other Patients.Children.
    Medical.Surgical.
    Male.Female.Male.Female.
  • Page 23
    The following is a summary:—
  • Page 28
    The following results were obtained:
    Grade of Milk or Ice CreamTotalSatisfactoryUnsatisfactoryRemarks on unsatisfactory results
  • Page 30
    Thirty-eight notifications were received.
    No. of outbreaksNo. of casesNo. of deaths.Organisms or other Agents responsible with No. of outbreaks of each.Foods involved with No. of outbreaks of each.
  • Page 31
    The following medical examinations were carried out during 1948:—
    OfficersTeachersServants
  • Page 33
    TABLE III.—C ases of I nfectious D iseases N otified during the Y ear 1948.
    NOTIFIABLE DISEASEAt all AgesNumber of Cases Notified At Ages—yearsTotal Cases Notified in each WardTotal Cases Admitted to Hospital.
    Under 11 and under 55 and under 1515 and under 2525 and under 4545 and under 6565 and upwardsCranbrookParkLoxfordClementswoodMayfieldGoodmayesFairlopClayhallBarkingsideN. HainaultSeven KingsS. Hainault
  • Page 34
    The total number of deaths of Ilford residents from the following infectious diseases during 1947 and 1948 were as follows:—
    19471948
  • Page 34
    The following "return" cases have occurred during the past five years, a "return" case being one which arises within 28 days of the release of the primary case from isolation :—
    YearCases notified (including Institutions)Admitted to Ilford Isolation Hospital"Return" Hospital CasesPer Cent.Home CasesCases arising in same housePer Cent.
  • Page 35
    Of these 1 was treated at home by a private medical practitioner; 2 at the Isolation Hospital; and 1 at White Oak Hospital, Swanley.
    CasesVision UnimpairedVision ImpairedTotal BlindnessDeaths
    NotifiedTreated
    At HomeIn Hospital
  • Page 36
    Table showing Incidence of Infectious Disease, 1948 in age groups; and total Deaths.
    DiseaseTotal cases notifiedUnder 1 year1—22—33—44—55—1010—1515—2020—3535—4545—65Over 65* Cases admitted to HospitalTotal Deaths
  • Page 37
    The incidence of influenzal and primary pneumonia and the fatality rates throughout the year is shown by the following table.
    Month, 1948Acute Primary PneumoniaAcute Influenzal Pneumonia
    Hospital AdmissionsNursed at HomeHospital AdmissionsNursed at Home
    Isolation HospitalOther HospitalsIsolation HospitalOther Hospitals
    CasesDeathsCasesDeathsCasesDeathsCasesDeathsCasesDeathsCasesDeaths
  • Page 37
    Notifications and Deaths from Tuberculosis of Ilford residents during 1948:—
    Age PeriodsNew CasesDeaths
    RespiratoryNon-RespiratoryRespiratoryNon-Respiratory
    MFMFMFMF
  • Page 38
    Of the foregoing new cases, the following were notified from Institutions in the district:—
    Respiratory TuberculosisNon-Respiratory Tuberculosis
  • Page 38
    During the year 1948 the following deaths occurred from Tuberculosis:—
    PulmonaryNon-Pulmonary
  • Page 38
    The following reports were obtained:—
    Pulmonary Cases.Other Cases.
  • Page 39
    The number of patients from Ilford sent to Institutions under the Tuberculosis Scheme during 1948 was as follows:—
    PulmonaryNon-PulmonaryTotal
    MalesFemalesMalesFemales
  • Page 39
    Venereal Diseases .—In the following table are classified the deaths notified as due to (1) Syphilis; (2) Locomotor Ataxy and General Paralysis of the Insane, which are certainly due to Syphilis; and (3) Aortic Aneurysm, which is very frequently caused by this disease:—
    Ilford Residents—AgesNon-Residents in InstitutionsTotal
    0—11—55—1515—2525—3535—4545—5555—6565—7575—8585 up
  • Page 43
    1.—INSPECTION OF FACTORIES AND OTHER PREMISES. Including Inspections made by Sanitary Inspectors.
    PremisesNumber of
    InspectionsWritten NoticesOccupiers prosecuted
    (1)(2)(3)(4)
  • Page 44
    2.—DEFECTS FOUND IN FACTORIES.
    ParticularsNumber of DefectsNo. of defects in respect of which Prosecutions were instituted
    FoundRemediedReferred to H.M. Inspector
  • Page 46
    The 934 patients admitted during the year suffered from the following complaints:—
    IlfordBarking
    AdmissionsDeathsAdmissionsDeaths
  • Page 47
    Number of patients in Hospital on 1st January, 1948 and 1949 respectively:—
    1st January 19481st January 1949
  • Page 47
    Diphtheria. —The following table shows the percentage death-rate of cases of diphtheria admitted to the Ilford Isolation Hospital during the past five years, the rate being calculated each year only on those admissions which proved to be clinically diphtheria.
    1944|1945194619471948
  • Page 47
    The four years are compared:—
    1945194619471948
  • Page 48
    The following table shows the number of the Staff at the Isolation Hospital who were Schick and Dick tested during 1948, and also the number inoculated:—
    NursesDomestics
  • Page 48
    In 1948 examinations were conducted as follows:—
    Primary examination on engagementRe-examinations
  • Page 50
    The figures for the past 44 years were as follows:—
    YearNumberRateYearNumberRate
  • Page 51
    The following table gives the deaths of infants under one year of age, classified according to age:— Infant Deaths—1948.
    Cause of DeathUnder 1 week1—2 weeks2—3 weeks3—4 weeksTotal under 4 weeks1—3 months3—6 months6—9 months9—12 monthsTotal
  • Page 51
    The comparative figures for the past 10 years are as follows:—
    YearNo. of Deaths under 1 yearRate per 1,000 Registered Live Births
  • Page 52
    The following table shows the comparison for Ilford, England and Wales, London, and Towns having a population exceeding 50,000 for the past 10 years:—
    Year.IlfordEngland and Wales.LondonTowns with population over 50,000
  • Page 52
    The following table shows the birth and death rates of legitimate and illegitimate infants for the past ten years:—
    Legitimate InfantsIllegitimate Infants
    Year.Live BirthsPercentage of Registered BirthsDeathsRate per 1,000 Legitimate Live BirthsLive BirthsPercentage of Registered BirthsDeathsRate per 1,000 Illegitimate Live Births
  • Page 55
    ( e ) The following is a table showing the attendances, etc., at the four Day Nurseries during 1948:—
    SituationDate of OpeningAccommodation (Children)Average Daily during Including SaturdayAttendance 1948 Excluding SaturdayNo. of Days in QuarantineReasons for QuarantineNo. on Waiting List at 31st. Dec. 1948
  • Page 56
    The following is a comparison of the attendances at the Infant Welfare Centres for the past five years:—
    Total No. of attendances of InfantsFirst attendancesTotal No. of children on roll on 31st December
  • Page 57
    24 sessions were held and 87 new cases were referred from the Infant Welfare Centres and Maternity Hospital for the following reasons; a total of 204 attendances were made.
    Diagnosis.Discharged, Improving.Discharged, Other reasons.Discharged, no treatment.Discharged cured.Referred to Dr. Hospital or clinic.Still attending.Total.
  • Page 58
    The following is a summary of the work carried out:—
    (a) Treatment of Mothers:Valentines Clinic.Mayesbrook Clinic.
  • Page 58
    The following are the figures for the past 5 years:—
  • Page 59
    The 486 children were found to be suffering from the following defects:—
    DiagnosisNew CasesOld Cases
    ABAB
  • Page 60
    Rheumatism Clinic.—29 sessions were held during the year at Newbury Hall, at which 14 children under 5 years of age, 4 being new cases, made 19 attendances. The following is a summary of the cases treated:—
    ConditionNewOld.Total
  • Page 60
    The conditions treated were as follows:—
    ConditionsCases
    AB
  • Page 61
    Diphtheria Immunisation.— Tabular Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1948, to 31st December, 1948.
    Valentines ClinicMayesbrook ClinicGrand Totals Both Clinics
    School Children (Various Schools)Children under 5 years of ageTotalSchool Children (Various Schools)Children under 5 years of ageTotal
  • Page 63
    The following is a summary of the cases examined by Dr. K. Playfair:—
    Condition.Post-Natal.Ante-Natal.
  • Page 65
    Ante-Natal Clinics.- —The following is a summary of the attendances at the Ante-Natal Clinics during the year:—
    Maternity HospitalMayesbrook Clinic
  • Page 66
    Two Clinics are held, one at the Maternity Hospital each week and the other at Mayesbrook Clinic once monthly. The following attendances were recorded:—
    Maternity HospitalMayesbrook Clinic
  • Page 73
    Infectious Disease .—The following table shows the incidence of infectious diseases in the Ilford schools since 1944:—
    Scarlet Fever.Diphtheria.Measles and German MeaslesChicken Pox.Mumps.Whooping Cough.
  • Page 75
    The following table shows the conditions dealt with at both the Clinics during the year:—
  • Page 76
    Continued from previous page...
  • Page 76
    The following table shows the vision in the worst eye, as tested by Snellen's Type:—
  • Page 76
    The 1,464 children were found to be suffering from the following defects:-
    Diagnosis.New Cases.Old Cases.
    ABAB
  • Page 77
    The 1,083 children were found to be suffering from the following defects:—
    Diagnosis.New Cases.Old Cases.
    ABAB
  • Page 78
    Continued from previous page...
    Diagnosis.New Cases.Old Cases.
    ABAB
  • Page 78
    8 children of school age were admitted to Hospitals. Particulars as follows :—-
    No. of Cases.Hospital.Defect.
  • Page 79
    The lamp used at each Clinic is a Centrosol Unit. The conditions treated were as follows :—
    Defects Treated.Cases.
    AB
  • Page 80
    AURAL CLINIC
    Nature of Disease.Still under treatment.Recommended Hospital treatment.Discharged as cured.Discharged as improved.Discharged as no treatment required.Discharged as left district.Discharged as left school.Discharged. Children whose parents refused to continue attendance or treated elsewhere.Totals.
    NewOldNewOldNewOldNewOldNewOldNewOldNewOldNewOldNewOld
  • Page 81
    Rheumatism Clinic. The Physician attended 29 morning sessions during the year, and 223 children (73 of these being new cases) made 441 attendances. The 223 children were found to be suffering from the following conditions :—
    Defects Found.New Cases.Old Cases.Totals.
  • Page 82
    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 childrenNo referred for treatmentPercentage
  • Page 83
    Treatment for Uncleanliness. — The School Nurses paid 185 visits to the schools (an average of 6 visits to each school during the year), for the purpose of inspecting the heads and clothing of the children with the following results:—
    Number of Examinations of Children.Number Infected.Per cent.
  • Page 86
    Return of Handicapped Pupils in the Area on 31st December, 1948 (Aged 2-16 Years.)
    In Special Schools.In Maintained Primary and Secondary Schools.In Independent Schools.Not at School.Total.
    BoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirls
  • Page 86
    Children Examined for Disability of Mind .— During 1948 the following numbers of children were medically examined and reported upon under the Education Act. 1944 :—•
    Initial ExaminationReexamination
  • Page 87
    Table Showing the Principal Causes of Death among Children of School Age (i.e. from 5—15 Years) in Ilford for 1946 and 1947. The Table also gives a Comparative Percentage of Deaths Registered at all Ages, and from 5—15 Years.
    Disease.Percentage of total deaths (all ages).Percentage of total deaths at ages 5—15.
    1947194619471946
  • Page 88
    TABLE I. Medical Inspection of pupils attending maintained Primary and Secondary Schools. A.— Periodic Medical Inspections. Number of Inspections in the prescribed Groups :—
  • Page 88
    (No individual pupil is recorded more than once in any column of this Table, and therefore the total on column (4) will not necessarily be the same as the sum of columns (2) and (3).)
    Group. (1)For defective vision (excluding squint). (2)For any of the other conditions recorded in Table IIa. (3)Total individual pupils. (4)
  • Page 89
    TABLE II. A.— Return of Defects found by Medical Inspection. (All defects noted as requiring treatment are included in this return.)
    Defect Code No.Defect or Disease.Periodic Inspections.Special Inspections.
    Number of Defects.Number 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.
    (1)(2)(3)(4)(5)
  • Page 89
    B.— Classification of the General Condition of Pupils Inspected in the Age Groups.
    Age Groups.Number of Pupils Inspected.A.—(Good).B.—(Fair).C.—(Poor).
    No.% of Col. 2.No.% of Col. 2.No.% of Col. 2.
    (1)(2)(3)(4)(5)(6)(7)(8)
  • Page 90
    TREATMENT TABLES. TABLE III. Notes. — These Tables deal with all defects treated, or under treatment, during the year, however they were brought to the Authority's notice, i.e. whether by periodic inspection, special inspection, or otherwise, during the year in question or previously. Group I.— Minor Ailments (Excluding Uncleanliness, for which see Table V).
    Number of defects treated, or under treatment during the year
    (a) Skin. Ringworm—Scalp :—
  • Page 92
    TABLE VI. School Medical and Dental Staff.
    Names of Medical Officers.Proportion of whole time (expressed as a percentage) devoted to—
    School Health Service.Public Health
  • Page 93
    T able VIII.— S ummary of C ases of I nfectious D iseases among S chool C hildren, and of C ontacts of such C ases excluded from S chool A ttendance during the Y ear ended the 31 st D ecember , 1948
    SCHOOLSNo. on RollDISEASES AND CONTACTS
    Scarlet FeverDiphtheriaMeasles and German MeaslesWhooping CoughChicken-poxPoliomyelitisMumpsPneumoniaRheumatism.Totals.
    CasesContactsCasesContactsCasesContactsCasesContactsCasesCasesContactsCasesContactsCasesCasesContacts
  • Page 94 95
    Table IX A.— Table Showing the Average Heights and Weights of the BOYS Examined.
    School5—6 Years6—7 Years7—8 Years8—9 Years9—10 Years10—11 Years11—12 Years12—13 Years13—14 Years14—15 Years15—16 Years
    Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)
  • Page 94 95
    Ilford Boys—Averages for 10 years :—
  • Page 96 97
    Table IX B.— Table Showing the Average Heights and Weights of the GIRLS Examined.
    School5—6 Years6—7 Years7—8 Years8—9 Years9—10 Years10—11 Years11—12 Years12—13 Years13—14 Years14—15 Years15—16 Years16—17 Years
    Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)
  • Page 96 97
    Ilford Girls—Averages for 10 years :—
  • Page 98 99
    Table IX C. Table showing the Average Heights and Weights of Grammar School BOYS.
    Age GroupsAge Groups
    School11—12 Years12—13 Years13—14 Years14—15 Years15—16 Years16—17 Years17—18 Years
    Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)
  • Page 98 99
    Table IX D. Table showing the Average Heights and Weights of Grammar School GIRLS.
    Age GroupsAge Groups
    School11—12 Years12—13 Years13—14 Years14—15 Years15—16 Years16—17 Years17—18 Years
    Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)