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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

Ilford 1949

[Report of the Medical Officer of Health for Ilford]

Published
1950
Pages
92
Tables
77

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77 tables in this report

  • Page 7
    I have investigated the incidence of vaccination amongst children attending the Infant Welfare Centres in Ilford, with interesting results. They are as follows:—
    Per cent.Per cent.Per cent.
  • Page 11
    SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA.
  • Page 11
    The following figures as to unemployment were supplied by the Ministry of Labour:—
    Males.Females.
  • Page 12
    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 12
    Death-rate of Infants under one year of age: —
    19491948
  • Page 12
    The number of patients and resident staff on the 30th June, 1949, at the following public institutions, was: —
  • Page 12
    The number of deaths of non-residents registered in the district (principally in large institutions) was as follows: —
  • Page 13
    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 13
    The ages at death were as follows: —
    Under 1 year1-2 years2-5 years5-15 years15-25 years25-45 years45-65 years65 years and upwards
  • Page 13
    Death-Rates from Tuberculosis and Cancer , 1949. The following Table shows the death-rates for 1949 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 14
    TABLE I.—Vital Statistics of Whole District During 1949 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)
  • Page 15
    TABLE IA Table showing comparison between the Birth.rate, Death.rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1949 (Provisional figures).
    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 1949.
    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 20
    King George Hospital.—The following is a return in respect of bed accommodation: —
    Total number of Beds at 31st December, 1949.Private Patients.Other Patients.Children.
    Medical.Surgical.
    Male.Female.Male.Female.
  • Page 24
    (iii) Collection and Disposal of Refuse .—The Borough Engineer also kindly supplied the following infromation:-
    Tons.
  • Page 24
    (iv) Sanitary Inspection of the Area .—The following is a summary of the work of the Sanitary Inspectors during the year: —
    Houses and premises inspected19,344
  • Page 24
    'Includes 784 nuisances detected before 1st January, 1949.
    Notices served: —Complied with
    Statutory: —Served
  • Page 25
    Complaints. —During the year, 2,496 complaints of nuisances were received and investigated.
    The following is a summary: —
  • Page 30
    The following results were obtained:
    Grade of Milk or Ice CreamTotalSatisfactoryUnsatisfactoryRemarks on unsatisfactory results
  • Page 32
    Eighty-two notifications were received. Two were not verified and a further five were not notified.
    No. of outbreaksNo. of casesNo. of deaths.Organisms or other Agents responsible with No. of outbreaks of each.Suspected foods involved with No. of outbreaks of each.
  • Page 33
    Examination of Officers, Teachers and Servants. The following medical examinations were carried out during 1949: —
    OfficersTeachersServants
  • Page 35
    TABLE III.—C ases of I nfectious D iseases N otified during the Y ear 1949.
    NOTIFIABLE DISEASENumber of Cases Notified At Ages—yearsTotal Cases Notified in each WardTotal Cases Admitted to Hospital.
    At all AgesUnder 11 and under 55 and under 1515 and under 2525 and under 4545 and under 6565 and upwardsCranbrookParkLoxfordClementswoodMayfieldGoodmayesFairlopClayhallBarkingsideN. HainaultSeven KingsS. Hainault
  • Page 36
    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 37
    (d) Ophthalmia Neonatorum. —One case was notified during 1949. The patient was removed to the Ilford Isolation Hospital.
    CasesVision UnimpairedVision ImpairedTotal BlindnessDeaths
    NotifiedTreated At Home In Hospital
  • Page 37
    Thirty-two patients were admitted to Hospital as follows: — Ilford Isolation Hospital, 20; King George Hospital, 3; Rush Green Hospital, 6; Chingford Isolation Hospital, 1; Plaistow Fever Hospital, 1; London Hospital, 1. One case was nursed at home.
    UnderI—55—1515—2525 yearsTotals
    i yearyearsyearsyearsand over
  • Page 38
    Table showing Incidence of Infectious Disease, 1949, 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 39
    Influenza and Pneumonia.—These diseases showed a higher incidence in 1949 as compared with 1948. The incidence of influenzal and primary pneumonia throughout the year is shown by the following table.
    Month, 1949Acute Primary PneumoniaAcute Influenzal Pneumonia
    Hospital AdmissionsNursed at HomeHospital AdmissionsNursed at Home
    CasesDeathsCasesDeathsCasesDeathsCasesDeaths
  • Page 39
    Notifications and Deaths from Tuberculosis of Ilford residents during 1949: —
    Age PeriodsNew CasesDeaths
    RespiratoryNon-RespiratoryRespiratoryNon-Respiratory
    MFMFMFMF
  • Page 40
    During the year 1949 the following deaths occurred from Tuberculosis: —
    PulmonaryNon-Pulmonary
  • Page 41
    The number of patients from Ilford sent to Institutions under the Tuberculosis Scheme during 1949 was as follows: —
    PulmonaryNon-PulmonaryTotal
    MalesFemalesMalesFemales
  • Page 41
    4. V enereal D iseases .—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.
    Premises (1)Number of
    InspectionsWritten NoticesOccupiers prosecuted
    (2)(3)(4)
  • Page 43
    2.—DEFECTS FOUND IN FACTORIES.
    ParticularsNumber of DefectsNo. of defects in respect of which Prosecutions were instituted
    FoundRemediedReferred to H.M. Inspector
  • Page 45
    The figures for the past 44 years were as follows: —
    YearNumberRateYearNumberRate
  • Page 46
    The following table gives the deaths of infants under one year of age, classified according to age : — Infant Deaths —1949.
    Cause of DeathUnder 1 week1—2 weeks2—3 weeks3—4 weeksTotal under 4 weeks1—3 months3—6 months6—9 months9—12 monthsTotal
  • Page 47
    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 47
    The following table shows the birth and death rates of legitimate and llegitimate 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 50
    (/) The following is a table showing the attendances, etc., at the four Day Nurseries during 1949: —
    SituationDate of OpeningAccommodation (Children)Average Dail durin Including Saturdayy Attendance g 1949 Excluding SaturdayNo. of Days in QuarantineReasons for QuarantineNo. on Waiting List at 31st Dec., 1949
  • Page 52
    Paediatric Clinic .—Dr. Warren, the Consultant Paediatrician, con tinued to attend the Clinic at Valentines Mansion during the year. 21 session were held and 74 new cases were referred from the Infant Welfare Centre and Maternity Hospital for the reasons set out in the following table; a tota l of 133 attendances were made.
    DiagnosisDischarged, ImprovingDischarged with advice and for other reasonsDischarged, no TreatmentDischarged, CuredReferred to Dr., Hospital or ClinicStill attendingTotal
  • Page 53
    The 603 children were found by the Orthopaedic Surgeon to be suffering from the following defects: —
    DiagnosisNew CasesOld Cases
    ABAB
  • Page 53
    Rheumatism Clinic.—29 sessions were held during the year at Newbury Hall, at which 38 children under 5 years of age, 16 being new cases, made 62 attendances. The following is a summary of the cases treated: —
    ConditionNewOld.Total
  • Page 54
    The conditions treated were as follows: —
    ConditionsCases
    AB
  • Page 55
    Diphtheria Immunisation.— Tabular Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1949, to 31st December, 1949.
    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 58
    Ante-Natal Clinics .—The following is a summary of the attendances at the Ante-Natal Clinics during the year:-
    Maternity HospitalMayesbrook Clinic
  • Page 59
    Continued from previous page...
    Maternity HospitalMayesbrook Clinic
  • Page 60
    (a) Under Section 22 of the National Health Service Act.—i.e., nursing mothers and young children.
    Name of HomeNo. of weeks' stayRemarks
    1234567
  • Page 60
    (b) Under Section 28 of the Act. —i.e., other persons requiring " a change of air and surroundings to aid recovery and rehabilitation."
    Name of HomeNo. of weeks' stayTotal Cases
    I23456
  • Page 62
    The work undertaken by Home Nurses operating in the Ilford area in 1949 was as follows: —
    Cases attendedVisits paid
  • Page 62
    Children under school age referred from the Infant Welfare Centres receive the necessary treatment at the Mayesbrook Dental Clinic. Usually this consists of conservative work and extractions by general anaesthetic.
    ExaminedNeeding TreatmentTreatedMade Dentally Fit
  • Page 63
    Continued from previous page...
    ExtractionsAnaestheticsFillingsScaling or Scaling and Gum treatmentSilver Nitrate treatmentDressingsRadiographsDentures provided
    LocalGeneralCompletePartial
  • Page 65
    Infectious Disease .—The following table shows the incidence of infectious diseases in the Ilford schools since 1945 :—
    Scarlet Fever.Diphtheria.Measles and German MeaslesChicken Pox.Mumps.Whooping Cough.
  • Page 66
    RINGWORM :—
    No. of cases at beginning of 1949.No. of cases reported during 1949.Total.Remedied during 1949.No. of cases under observation at end of 1949.
  • Page 68
    The children who saw 6/6 (practically normal vision) were suffering from symptoms such as headaches, inflamed eyelids, etc., which rendered further examination necessary. The 1,265 children were found to be suffering from the following defects :—
    Diagnosis.New Cases.Old Cases.
    ABAB
  • Page 69
    The 974 children were found by the Orthopaedic Surgeon to be suffering from the following defects :—
    Diagnosis.New Cases.Old Cases.
    ABAB
  • Page 70
    Continued from previous page...
    Diagnosis.New Cases.Old Cases.
    ABAB
  • Page 70
    A—Newbury Hall. B—Mayesbrook. 13 children of school age were admitted to Hospitals. Particulars as follows
    No. of Cases.Hospital.Defect.
  • Page 71
    The lamp used at each Clinic is a Centrosol Unit. The conditions treated were as follows :—
    Defects Treated.Cases.
    AB
  • Page 72
    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 73
    Rheumatism Clinic. The Physician attended 29 morning sessions during the year, and 252 children (110 of these being new cases) made 450 attendances. The 252 children were found to be suffering from the following conditions :—
    Defects Found.New Cases.Old Cases.Totals.
  • Page 74
    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 78
    Return of Handicapped Pupils in the Area on 31st December, 1949 (Aged 2-16 Years.)
    handicapped pupils.Blind,Partially Blind,Deaf.Partially Deaf.Delicate.Physically Handicapped.Educationally Subnormal.Maladjusted.Epileptic.
    123456789Total
  • Page 79
    Children Examined for Disability of Mind.—During 1949 the following numbers of children were medically examined and reported upon under the Education Act, 1944:-
    Initial ExaminationReexamination
  • Page 79
    The following is a table of work undertaken at the Clinic:—
  • Page 80
    Table Showing the Principal Causes of Death among Children of School Age (i.e. from 5—15 Years) in Ilford for 1947 and 1948. 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.
    1947194819471948
  • Page 81
    TABLE I. Medical Inspection of pupils attending maintained Primary and Secondary Schools.
  • Page 81
    (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).)
  • Page 82
    TABLE II. A.—Return of Defects found by Medical Inspection. (All defects noted as requiring treatment are included in this return.)
    Periodic Inspections.Special Inspections.
    Number of Defects.Number of Defects.
    Defect Code No.Defect or Disease.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 82
    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 83
    TABLE III. Infestation with Vermin.
  • Page 83
    TREATMENT TABLES. TABLE IV. 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 III).
    (a) Skin.Number of defects treated, or under treatment during the year
    Ringworm—Scalp:—
  • Page 84
    Group II.—Defective Vision and Squint. (Excluding Eye Disease treated as Minor Ailments—Group 1.)
    Number of defects dealt with
  • Page 84
    TABLE V. Dental Inspection and Treatment.
    umber of pupils inspected by the Dental Officers:—
  • Page 85
    T able VI.-S ummary of C ases ok I nkectious D iseases among S chool C hildren, and ok C ontacts ok such C ases, excluded from S chool A ttendance during the Y ear ended the 31 st D ecember, 1949
    DISEASES AND CONTACTS
    SCHOOLSNo. on RollScarlet FeverDiphtheriaMeasles and German MeaslesWhooping CoughChicken-poxPolioencephalitis or PoliomyelitisMumpsPneumoniaRheumatism.Totals.
    CasesContactsCasesContactsCasesContactsCasesjContactsCasesCasesContactsCasesCasesCasesCasesContacts
  • Page 87 88
    Table VIIA.—Table Showing the Average Heights and Weights of the BOYS Examined.
    Age Groups. Age Groups.
    5—6 Years6—7 Years7—8 Years8—9 Years9—10 Years10—11 Years11—12 Years12—13 Years13—14 Years14—15 Years15—16 Years16—17 Years17—18 Years
    SchoolNumber 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)Number of Children ExaminedAverage Height (in Centimetres)Average Weight (in Kilogrammes)
  • Page 87 88
    Ilford Boys—Averages for 10 years:—
  • Page 89 90
    Table VI1B.—Table Showing the Average Heights and Weights of the GIRLS Examined.
    Age Groups Age Groups
    5—6 Years6—7 Years7—8 Years 8—9 Years9—10 Years10—11 Years11—12 Years12—13 Years13—14 Years14—15 Years15—16 Years16—17 Years17—18 Years
    SchoolNumber 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 (iD 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 89 90
    Ilford Girls-Averages for 10 years:-