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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

Walthamstow 1931

[Report of the Medical Officer of Health for Walthamstow]

Published
1932
Pages
108
Tables
90

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90 tables in this report

  • Page 9
    At the moment of writing only the .Preliminary Report of the Census is to hand and the full available comparisons with the 1921 figures are given below:—
    Year.Persons.Males.Females.Parliamentary Electors Autumn Register, 1930.
    Persons.Males.Females.
  • Page 9
    The following data refer to the whole Exchange Area:—
    Date.No. remaining on Register.Amount of benefit paid. £
    Men.Women.Total.
  • Page 10
    Mr. Dempsey states that the following were the registrations at the Juvenile Employment Bureau:—
    Fresh Applications:—
    Boys.Girls.Total.
  • Page 10
    Extracts from Vital Statistics.-The Registrar-General's mid-year, 1931, estimate of population (viz., 134,420) has been used for the calculation of all vital statistics:—
    Males.Females.
  • Page 12
    Birth-rate, Death-rate, and Analysis of Mortality during the Year 1931. (Provisional figures.) (The mortality rates for England and Wales refer to the whole population, but for London and the Towns to civilians only.)
    Rate per 1,000 Total Population .Annual Death-rate pee 1,000 Population.Rate per 1,000 Live BirthsPercentage of Total Deaths.
    All Causes.Enteric Fever.Smallpox. _ _Measles.Scarlet Fever.Whooping CoughDiphtheria.Influenza.Violence.Diarrhoea and Enteritis (under 2 years).Total Deaths under 1 year.Certified by Registered Medical PractitionersInquest Cases.Certified by Coroner after P.M. No Inquest.Uncertified Causes of Death.
    Live Births.still- Births.
  • Page 14
    Causes of and Ages at Death during the year 1931. Whole District and Wards.
    Causes or DeathNet Deaths at the subjoined ages of "Residents" whether occurring within or without the districtWards
    All AgesUnder 1 year1 and under 2 years2 and under 5 years5 and under 15 years15 and under 25 years25 and under 45 years45 and under 65 years65 and upward*St. James StreetHigh StreetHoe StreetWood StreetHale EndHigham Hill
    No.1M.F.345678910
  • Page 17
    Mr. Pegram, the Clerk to the Committee, has kindly supplied the following particulars of Walthamstow residents admitted to the various Institutions during the year ended the 31st December, 1931:—
    Institution.Men.Women.Children.Total.
  • Page 17
    ''The following comparative figures show the progress of the Hospital from the year 1927 to 1931:—
    Patients admitted.Average stay in Hospital.Beds occupied daily.Out-patients Department
    New Cases.Attendances.
  • Page 20
    The following table gives information required by the Ministry of Health
  • Page 21
    11. Clinic and Treatment Centres.—In addition to the Clinics detailed in the 1930 Report, all of which were continued, the following were provided during 1931:—
    Nature.Day and Time.Situation.Accommodation.By whom provided.
  • Page 23
    The actual gross cost of each treatment was 2s. 6d.
    Equipment, etc.Maintenance (15 weeks).
    £s.d.£s.d.
  • Page 26
    Sanitary Inspection of the Area.
    No. of inspections made.No. of nuisances detected.No. of complaints received.No. of Informal Notices.No. of Statutory Notices served.Total visits.
    Served.Complied with.
  • Page 26
    The nature and variety of the work done during 1931 is shown in the following tables:—
  • Page 27
    Conntinued from previuose page...
  • Page 27
    Special Premises.
    Number.Visits paid.
  • Page 30
    (a) Total (including numbers given separately under (b):-
    1.1.31 to 26.4.31.27.4.31 to 31.12.31.1.1.31 to 31.12.31.
  • Page 34
    By the 11th January, 1932, the Category A cases had increased to 106 out of a total of 1931 applications and an analysis of these cases made by Mr. West on this date was as follows:—
  • Page 35
    The samples taken are summarised below:—
    Grade of Milk.No. of Samples.No. tested for T. B.
  • Page 36
    BACTERIOLOGICAL ANALYSIS OF MILK SAMPLES.
    Date.Grade of Milk.Total Bacteria per c.c.Bacillus Coli absent in.Presence of Tubercle Bacillus (biological test).Remarks.
  • Page 37
    Continued from previous page...
    Date.Grade of Milk.Total Bacteria per c.c.Bacillus Coli absent in.Presence of Tubercle Bacillus (biological test).Remarks.
  • Page 37
    The following were the analyses of the samples:—
    Date.Total Bacteria per c.c.Remarks.
  • Page 39
    A total of 576 visits were paid to slaughterhouses. The following were condemned and destroyed:—
    (1) Tuberculosis.(2) Other Reasons.
  • Page 40
    suspicion were pork, veal, and ducks eggs, and the relevant information is set out in tabular form below.
    Deceased.Deceased's wife.Deceased's single daughter.Deceased's married daughter.Deceased's son-in-law.Deceased's granddaughter.
  • Page 43
    Including I nspections made by S anitary Inspectors or I nspectors of N uisances.
    Premises. (i)Number of
    Inspections. (2)Written Notices. (3)Occupiers Prosecuted. (4)
  • Page 44
    2.— DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars.Number of Defects.Number of offences in respect to which Prosecutions were instituted.
    Found.Remedied.Referred to H M. Inspector.
  • Page 45
    General.—The accompanying tables show the age and ward incidence of the various infectious diseases which are discussed separately in later pages of the Report:—
    Disease.All agesUnder 1 yr.1-5 yrs.5-15 yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.
  • Page 46
    Continued from previous page...
    Disease.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.
  • Page 49
    The table shows the monthly incidence by ages and wards:—
    All ages.Under 1 yr.1-5 years.5-15 years.15-25 years.25-45 years.45-65 years.65 & over.
  • Page 50
    Continued from previous page...
    St. James' Street.High StreetHoe Street.Wood Street.Hale End.Higham Hill.
  • Page 53
    Detailed vaccinal returns were obtained in respect of the three school outbreaks and the findings were as follows:—
    School.No. on Books.No. Vaccinated.Percentage Vaccinated.
  • Page 53
    The tables following show the incidence by months, ages and wards:—
    Month.All ages.Under 1 yr.1-5 yrs.5-15 yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.
  • Page 54
    Continued from previous page...
    Month.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.
  • Page 56
    The monthly incidence is given in the following table:—
    Month.All ages.Under 1 yr.1-5 yrs.5-15 yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.
  • Page 56
    The monthly incidence by Wards was as follows:—
    Month.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.
  • Page 58
    The 38 cases were treated at the following Institutions, etc.:—
    Chingford Sanatorium.L.C.C. Hospitals.Connaught Hospital.Whipps Cross Hospital.Prince of Wales Hospital.Home Isolation.
  • Page 58
    A total of 157 specimens were examined in connection with Enteric Fever and the results are summarised below:—
    Public Health DepartmentSanatorium.Private Practitioners.
    Blood.Faeces.Blood.Faeces.Urine.Blood.Faeces.
    Pos.Neg.Pos.Neg.Neg.Neg.Neg.Pos.Neg.Pos.Neg.
  • Page 59
    The following table shows the ward and age incidence during the year:—
    All ages.Under 1 yr.1-5 yrs.5-15 yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.Removed to Hospital.
  • Page 59
    (E) PNEUMONIA. The tables following show the incidence by months, ages and wards:—
    Month.All ages.Under 1 yr.1-5 yrs.5—15 yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.
  • Page 60
    Continued from previous page...
    Month.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.
  • Page 60
    The tables following show the incidence by months, ages and wards:—
    Month.All ages.Under 1 yr-1-5 yrs.5-15 yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.
  • Page 61
    Continued from previous page...
    Month.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.
  • Page 61
    The following tables show the incidence during the year:—
    Month.All ages.Under 1 yr.1-5 yrs.5-15 yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.
  • Page 62
    Continued from previous page...
    Month.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.
  • Page 62
    The following table gives information as to cases of associated Shingles and Chicken Pox which were found:—
    Primary Case.Secondary Case.
  • Page 63
    (N) TUBERCULOSIS. The table given below shows particulars of new cases of Tuberculosis and of all deaths from the disease in the Borough during 1931:—
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulmonary .Pulmonary.Non-Pulmonary.
    mfmf11fmf
  • Page 64
    The returns for the past two years are compared below:-
    Year.New Cases.Total.Deaths.Total.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    m.f.m.f.m.f.m.f.
  • Page 64
    The periods elapsing between notification and death, and the number of cases not notified were as follows:—
    Under 3 months.3 to 6 months.6 to 9 months.9 to 12 months.Over 12 months.Not Notified.Notified after death.
    Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.
  • Page 64
    The table given below shows the number of cases on the Register at the beginning and end of 1931:—
    Pulmonary.Total.Non-Pulmonary.Total.Gkand Total.
    M.F.M .F.
  • Page 65
    The 118 removals from the Register were made up as follows:—
    Deaths.Removals.
    Pulmonary.Non-Pulmonary .Pulmonary.Non-Pulmonary.
    m.F.m.F.m .F.m .f.
  • Page 65
    Treatment of Tuberculosis .—Treatment is given under the Essex County Council's scheme. The admissions to Hospital during 931 were:—
    Pulmonary.Non-Pulmonary.Total.
    M .F.M.F.
  • Page 67
    Financial Statement. —A financial statement for the year ending 31st March, 1931, is given below:—
    Loan Charges.£s.d.
  • Page 67
    The following table shows the admissions, discharges and deaths during 1931:—
    Scarlet Fever.Diphtheria.Enteric Fever.Other Diseases.Tuberculosis.Totals.
  • Page 68
    DAILY AVERAGE NUMBER OF PATIENTS IN HOSPITAL (including Tuberculosis cases).
  • Page 68
    Dr. Hamilton has contributed the following report:— AGES AND SEX OF PATIENTS ADMITTED DURING 1931.
    Disease.Under 5 years.5 to 10 years.10 to 15 years.Over 15 years.Total.Total.
    M.F.M .F.M.F.M .F .M.F.
  • Page 68
    AGE AND SEX AT DEATH.
    Under 5 years.5-10 years.10-15 years.Over 15 years.Total.Total.
    M.F.M.F.M.F.M .F.M.F.
  • Page 69
    MONTHLY ADMISSIONS OF DIPHTHERIA CASES.
    Under 5 years.5 to 10 years.10 to 15 years.Over 15 years.Total.Total.
    MFMFMFMFMF
  • Page 69
    MONTHLY ADMISSIONS OF SCARLET FEVER CASES.
    Under 5 years.5 to 10 years.10 to 15 years.Over 15 years.Total.Total.
    MFMFMFMFMF
  • Page 70
    Number of Outside Authorities' Cases and Nature:—
    Diphtheria.Scarlet Fever.Enteric Fever.Total.
  • Page 71
    The County Medical Officer has kindly furnished the following return of patients treated in the Tuberculosis Pavilion during 1931:—
    Classification in accordance with Ministry of Health Memorandum 37.T. (Rev.).In Hospital on 1st January, 1931.Admitted during year.Discharged during year.Died during year.In Hospital on 31st December, 1931.
  • Page 77
    The Registrar-General's returns show the following registrations during the calendar year:—
    (a) Live Births.
    Males.Females.Total.
  • Page 78
    Of the 1,640 local registrations 95 are excluded, leaving a ntt total of 1,545, which are allocated to wards as follows:—
    Births Registered Locally, 1931.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Totals.Grand Total.
    m .f.m.f.m.f.m.f.m.f.m.f.m .f.
  • Page 79
    The deaths of infants under one year of age were:—
    Males.Females.Totals.
  • Page 80
    SUMMARY, 1931 . Causes of Death of Children under 1 year of age.
    Cause of Death.Under 1 Week1-2 Weeks2-3 Weeks3-4 WeeksTotal under 4 Weeks4 Weeks and under 3 Months3 Months and under 6 Months6 Months and under 9 Months9 Months and under 12 MonthsTotal Deaths under One Year.Wards.
    St. James StreetHigh StreetHoe StreetWood StreetHale EndHigham Hill
  • Page 83
    The 1930 figures were 612 and 168 respectively.
    Ward.How Fed.Kind of Food.Sleeping Accommodation.Condition of Baby.Accommodation.
    Breast.Breast and Hand.Hand.Cow's Milk.Patent Foods.Condensed Milk.With Mother.Cot or Cradle.Good.Fair.Bad.Whole House.Flat.Half-house.3 Rooms.2 Rooms.1 Room.
  • Page 84
    The following table shows the number and nature of visits paid by Wards during 1931:—
    Ward.Visits to Children under 1 year.Visits to Children 1-5 years.Grand Total.Unsuccessful Visits.Visits to Nurse Children.Visits re Milk Scheme.Ante-Natal Visits.Ophthalmia Neonatorum Visits.Puerperal Fever etc., Visits.Special Visits.Total Visits.
    First Visits.Subsequent Visits.Total Visits.
    F irst.Re-visits.Total.Not at home.Dead.Removed.
    1234567891011121314Cols. 5-14.
  • Page 85
    Markhouse Road:-
    New Cases.Old Cases.Toddlers.Totals.
    Under 1 year.Over 1 year.Under 1 year.Over 1 year.
  • Page 85
    Higham Hill :—
    New Cases.Old Cases.Toddlers.Totals.
    Under 1 year.Over 1 year.Under 1 year.Over 1 year.
  • Page 86
    Highams Park :—
    New Cases.Old Cases.Toddlers.Totals.
    Under 1 year.Over 1 year.Under 1 year.Over 1 year.
  • Page 87
    Summary of Attendances at Welfare Centres.
    Centre.First Attendances of New Cases.Re-attendances.Grand Total.
    Under 1 yr. of age.1-5 yrs. of age.Total.Under 1 yr. of age.1-5 yrs. of age.Total.
  • Page 87
    Sale of Milk, etc., at Clinics .—The quantity and value of Milk and Foods sold and issued free during 1931 was as follows:—
    Sales.Value.Free Issue.
    £s.d.
  • Page 88
    Cases Seen at Orthopaedic Clinic.
  • Page 88
    Admissions to Brookfield Orthopaedic Hospital.
  • Page 88
    Number and Classifications of Operations at Brookfield Hospital. (Including Cases remaining over from 1930.)
  • Page 88
    (b) Dental .—The following work was done by the Education Committee's Dental Surgeons—Mrs. W. Rosa Thorne and the late Mr. G. Picton Evans:—
    Mothers.Children under 5.
  • Page 89
    The work done during the calendar year is shown in the following table compiled from information kindly supplied by Miss Coulston:—
    First Attendances of New Cases.Re -attendances.Grand Total.
    Under 1 yr.1-5 yrs.Total.Under 1 yr.1-5 yrs.Total.
  • Page 90
    A ttendances at C linics.
    First Attendances.Re-attendances.Grand Total.
    Under 1 year of age.1-5 years of age.Total.Under 1 year of age.1-5 years of age.Total.
  • Page 90
    Home Visits.
    To Children under 1 year of age.To Children 1-5 years of age.Total.
    First.Subsequent.Total.
  • Page 91
    Milk may be either granted free or at reduced cost, and the following shows the amount and approximate cost of milk granted by the Committee during 1931:—
  • Page 92
    The following numbers of confinements occurred at the Institutions specified:—
  • Page 93
    The scale is as follows:—
  • Page 94
    The following table shows the work done by the midwives during 1931:—
    Up to 31.3.31.After 31.3.31.Total.
  • Page 94
    The conditions for which Medical Aid was summoned by Mid-wives up to 31st March has been summarised by Dr. Bullough and were as follows:—
    Conditions.No. of Notices received.Conditions.No. of Notices received.
  • Page 94
    The reasons for summoning Medical Aid during the remainder of the year were:-
    Pregnancy:—Puerperium:—
  • Page 95
    Continued from previous page...
    Labour:—Child:—
  • Page 96
    13. PUERPERAL FEVER AND PYREXIA. The following tables give details of the 41 cases of Puerperal Fever and Pyrexia during 1931 by ages, Wards and months:—
    Month.All ages.15-25 yrs.25—45 yrs.45-65 yrs.
  • Page 98
    PUERPERAL FEVER AND PYREXIA—1931.
    No. of Case.Fever or Pyrexia.Date of Notification.Date Notification Received.Age.Ward.Facility required as per Notification Form.Date of Birth of Child or miscarriage.Onset of Pyrexia.Date of admission to Hospital.
  • Page 99
    Continued from previous page...
  • Page 100
    The numbers of cases notified during the last two years were:—
    Year.Totals.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.
  • Page -
    All the midwives were suspended until the usual disinfection of person, clothing and equipment had been carried out and, in addition, Midwife E voluntarily agreed not to practice midwifery for one month which was later extended to four months.
    Date of Death.Certified Cause of Death.Age.Ward.No. of Pregnancy.Previous obstetric history.j Duration of pregnancy (weeks).Date of Birth or Miscarriage.Midwife (M.), Mat. Nurse (Mat.), or Handywoman (H.W.).Character of Labour.Date Doctor called in.Date of receipt of any Notification of Pyrexia.Date of Admission to Hospital.Remarks.
  • Page 101
    The following table shows the position with regard to Maternal Mortality compared with England and Wales:—
    Births Registered.Deaths of women due to Pregnancy and Child-Bearing.
    WALTHAMSTOW.England and Wales.
    Puerperal Sepsis.Other Puerperal Causes.Total.Rates per 1,000 Births Registered.Rates per 1,000 Births Registered.
    Puerperal SepsiB.Other Puerperal Causes.Total.Puerperal Sepsis.Other Puerperal causes.Total.