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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 1937
[Report of the Medical Officer of Health for Walthamstow]
- Published
- 1938
- Pages
- 148
- Tables
- 102
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Page 8
The following data refer to the whole Exchange area.
Date. No. on Men remaining Register. Women. Total 1937. Total 1936. Amount of benefit paid during month. £ -
Page 9
Mr. Dempsey states that the following were the registrations at the Juvenile Employment Bureau:—
Live Register at beginning of year Boys. Girls. Total. -
Page 11
England and Wales, London, 125 Great Towns and 148 Smaller Towns (Provisional figures based on Weekly and Quarterly Returns).
England and Wales. 125 County Boroughs and Great Towns (including London). 148 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census). London Administrative County. Walthamstow. -
Page 12
Causes of Death as given by the Registrar -General for the year 1937. Whole District.
Causes of death. Males. Females. Total Total. 1936. -
Page 12
The age distribution of Cancer deaths was as follows: -
Under 1 yr. 1-2 yrs. 2-5 yrs. 5-15 vrs. 15-25 yrs. 25-45 yrs. 45-65 yrs. 65 yrs. & over -
Page 14
The attendances have been as follows: —
1937 1936 New Cases Old Cases New Cases Old Cases -
Page 16
The two genito-urinary operations were performed by Miss Lewis, F.R.C.S.
Diagnosis No. Operation -
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 31st December, 1937: —
Institutions Men Women Children Total -
Page 17
"The following figures show the progress of the Hospital during 1937 as compared with the previous year: —
In-Patients Daily Average Out.Patients No. Admitted Average Stay New Cases Attendances -
Page 18
Mr. Pegram, Clerk to the Essex County Council South-Western Area Guardian's Committee, kindly states that the amount of relief provided in Walthamstow during the two vears ended 31st December. 1937. was as follows: —
1936. 1937. £ s. d. £ s d. -
Page 21
(iii) SANITARY INSPECTION OF THE AREA. Mr. M. E. Duncan, Chief Sanitary Inspector, reports as follows:—
No. of inspections made. No. of nuisances detected. No. of complaints received. No. of Informal Notices. No Statutory of Notices. Total Visits. Served. Complied with. Served. Complied with. -
Page 37
T he number of notifications or non-pulmonary tuberculosis (which it is reasonable to assume should show some relation to the extent of tuberculous infection of milk) during 1937, amounted to 25. The following table shows the position during the last 16 years.
Year. Non-pulmonary Notifications Tuberculosis Deaths. Year. Non-pulmonary Notifications. Tuberculosis Deaths. -
Page 40
CARCASES INSPECTED AND CONDEMNED.
Cattle excluding Cows. Cows. Calves. Sheep and Lambs. Pigs. -
Page 42
Including Inspections made by Sanitakt Inspectors or Inspectors of Nuisances.
Premises. Inspections. Number of Written Notioes. Ocoupiar* Prosecuted . -
Page 43
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 44
Outworkers were notified from the following areas'—
-
Page 44
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 ages. Under 1 yr. 1-5 yrs. 5-15 yrs. 15-25 yrs. 25-45 yrs. 45-65 yrs. 65 A over. -
Page 45
Continued from previous page...
Disease St James Street High Street Hoe Street Wood Street Hale End Higham Hill Totals -
Page 45
The Registrar-General gives the statistics for the 53 weeks ended 1st January, 1938, and these are given in the following table together with the case rates per 1,000 population both for England and Wales and for Walthamstow: —
Disease Scarlet Fever Diphtheria Enteric Fever Pneumonia Puerperal Fever Puerperal P3'rexia Erysipelas -
Page 45
The rates for Puerperal Fever and Puerperal Pyrexia are better expressed in relation to the number of births (ie live and stillbirths) registered than to population When calculated on this basis the rates are:—
Puerperal Fever Puerperal Pyrexia -
Page 46
Continued from previous page...
Disease Total notified Removed to Hospital Per cent, removed to Hospital Deaths Deaths per cent, of cases notified -
Page 51
The following table gives a comparison of the attack rates of Diphtheria on the immunised and the non-immunised sections of the population under 15 years of age
Year Immunised Not Immunised Population immunised under 15 years of age No of eases of Diphtheria under 15 years of age Attack rate per 1,000 population under 15 years immunised Deaths under 15 years Estimated population not immunised under 15 years of age No of cases of Diphtheria under 15 years of age Attack rate per 1,00P populat;on under 15 years Deaths under 15 years -
Page 52
The following numbers of diphtheria swabs were examined during 1937:—
Swabs Negative Positive Totals -
Page 53
Mr E Sharp, Vaccination Officer for the Area, has furnished the following return for 1937 :—
Births Registered, Successfully Vaccinated Percentage Vaccinated, Insusceptible Exemptions Death before Vaccinated Postponed -
Page 54
The following tables 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 55
The following table with respect to the incidence of Return Cases during the last five years will bear out this statement.
Year. Following Hospital Treatment. Following Home Isolation. Primary Cases. Return Cases. Primary Cases. Return Cases. No. No. Percentage. No. No. Percentage. -
Page 55
The following tables 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 56
Continued from previous page...
Month St James' Street High Street Hoe Street Wood Street Hale End Higham Hill -
Page 57
The following table gives particulars :—
No Ward Age Date of Onset Diagnosis -
Page 59
The age grouping of the cases is as follows:—
First Series Second Series Total -
Page 59
The tables show the incidence by months, ages and wards Most of the cases removed to Hospital received treatment at Whipps Crow Hospital :—
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 -
Page 61
The following tables 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 -
Page 62
ANTERIOR POLIOMYELITIS Nine cases were notified:—
No Ward Age Date of Notification By whom Notified Remarks -
Page 63
The year 1937 was a non-epidemic year, the number of notifications being shown below In addition, there were 13 cases of measles reported by Head Teachers, and mainly in school children of 5-14 years
Month Total U nder 1 yr 1-5 yrs St James' Street High Street Hoe Street Wood Street Hale End Higham Hill -
Page 63
The following table shows particulars of new cases of Tuberculosis and of all deaths from the disease in the Borough during 1937 :—
Age Periods New Cases Deaths Pulmonary Non-Pulmonary Pulmonary Non-Pulmonary -
Page 64
The 92 deaths represent a death-rate of 069 per 1,000 population The returns for the past two years are compared below:—
Year New Cases Total Deaths Total Pulmonary Non-Pulmonary Pulmonary Non-Pulmonary -
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 1937 :—
Pulmonary Total Non-Pulmonary Total Gbaku Total No on Register m f m f -
Page 65
One hundred and thirty-six removals from the Register were made up as follows :—
Deaths Removals Pulmonary Non-Pulmonary Pulmon ary Non-Pulmonary m F m F m F m F -
Page 65
Treatment is given under the Essex County Council's Scheme The admissions to Hospital during 1937 were as follows :—
Pulmonary Non-Pulmonary Total M F M F -
Page 67
The following table shows the admissions, discharges and deaths during 1937 :—
Scarlet Fever Diph-theria Other Diseases Tuberculosis Totals -
Page 68
AGE AND SEX OF PATIENTS ADMITTED DURING 1937
Disease 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
Month Under 6 yeara 5 to 10 years 10 to 15 years Over 15 years Total Total M F M F M F M F M F -
Page 69
MONTHELY ADMISSIONS OF DIPHTHERIA CASES.
Month 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 70
Number of Outside Authorities' Cases and Nature . -
Diphtheria. Scarlet Fever. Total -
Page 71
The County Medical Officer has kindly furnished the following return of patients treated in the Tuberculosis Pavilion during 1937
Classification in accordance with Ministry of Health Memorandum 37.T. (Rev.). In Hospital on 1st January, 1937. Admitted during year. Discharged during year. Died during year. In Hospital on 31st December, 1937. -
Page 73
The National Milk Publicity Council arranged lectures and demonstrations at nine different meetings in the Borough of Walthamstow during the year:—
-
Page 74
The organisers give the following additional information with regard to the classes:—
Approx. No Attending. -
Page 74
which represents a yearly average of 25.2 inches over the 30 years. The rainfall during 1937 was as follows:—
-
Page 79
The Registrar-General's returns show the following registrations during the calendar year:—
(a) Live Births. Wales. Females. Totals. -
Page 80
The local registrations for 1937 were 47 more than in 1936
Births Registered Locally, 1937. 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 81
INFANT MORTALITY. The deaths of infants under one year of age were:—
Males. Females. Total -
Page 81
Infant Deaths , Neo-Natal Mortality and Stillbirths.
Year. Live Births. Birth Rate. Stillbirths. Neo-Natal Deaths. Infant Deaths. No. Per 1,000 live births. Per 1,000 population. No. Per 1,000 live births. No. Per 1,000 live births. -
Page 82
SUMMARY, 1937. Causes of Death of Children under 1 year of age.
Cause of Death Under Week 1-2 Weeks 2-3 Weeks 3-4 Weeks Total under 4 Weeks 4 Weeks 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 One Year. Wards. St. James Street High Street Hoe Street Wood Street Hale End Higham Hill -
Page 83
MATERNITY AND CHILD WELFARE CLINICS.
-
Page 84
The detailed findings at first visits paid during 1937 are given in the following table:—
Ward. How Fed. Sleeping Accommodation. Condition of Baby. Accommodation. Breast. Breast and Hand Hand. With Mother. Cot or Cradle. Good. Fair. Bad. Whole House. Flat. Half-house. 3 Rooms. 2 Rooms. Room. -
Page 85
The following table shows the number and nature of visits paid in Wards during 1937 :—
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. Other Visits. Total Visits. First. Re-visits. Total. First Visit. Subsequent Visits. Total Visits. 1 2 3 4 5 6 7 8 — — 9 10 Cols. 5-10. -
Page 86
The following table summarises the attendances at the Clinics held:—
New Patients:— Ante-Natal Post-Natal -
Page 87
Summary of Attendances at Welfare Clinics.
Clinic. 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 food sold and issued free during 1937 was as follows:—
Sales. Value. Free Issue, lbs. ozs. £ s. d. lbs. ozs. -
Page 88
C linics.
First Attendances of New Cases. Re -attendances. Grand Total. Under 1 yr. 1-5 yrs. Total. Under 1 yr. 1-5 yrs. Total. -
Page 88
Special Treatment, etc.
Massage Treatments. Sunlight Treatments Total cases admitted to Observation Ward Local Authority's cases admitted to Observation Ward -
Page 89
Home V isits.
Visits to Children under 1 year. Visits to Children 1-5 years. Grand Total. First. Subsequent. Total. -
Page 89
Attendances at Clinics.
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 89
Home Visits
To Children under 1 year of age. To Children 1-5 years of age. Total. First. Subsequent. Total. -
Page 90
Defects Seen at Orthopedic Clinic in Children under Five Years of Age.
-
Page 90
Admissions to Brookfield Orthopaedic Hospital (under Five Years of Age).
-
Page 91
(b) Dental. —The following work was done by the Education Committee's Dental Surgeons in respect of Maternity and Child Welfare patients:—
1935 1936 1937 Mothers. Children under 5. Mothers. Children under 5. Mother Children under 5 -
Page 94
The weekly average of the income of 2,104 employed cases granted milk between September and the end of the year varied fiom a maximum of £2 lis. 9d. to a minimum of £1 6s. 4¼d.
Scale Amount Approximate cost to Authority £ s. d. -
Page 94
The following is a summary of the applications for milk for the past four years:—
Milk. Dried Milk. Unemployed. % Unemployed. Average per week. Milk. Dried Milk. -
Page 98
The table below gives particulars in respect of each case:—
No. Diagnosis. Where Treated. Result -
Page 99
The following table shows the work done by midwives (including those employed at Thorpe Coombe Maternity Hospital) during 1937:—
-
Page 104
PUERPERAL FEVER AND PYREXIA INCIDENCE, 1937 (Excluding Maternity Hospital).
No. of Case. Fever or Pyrexia. Date of Notification. Date Notification Received. Age. Ward. Facilities requested on notification. Date of Birth or Miscarriage. Onset of Pyrexia. Date removed to Hospital. Remarks. -
Page 105
PUERPERAL FEVER AND PYREXIA INCIDENCE, 1937 (Excluding Maternity Hospital).
No. of Case. Fever or Pyrexia. Date of Notification. Date Notification Received. Age. Ward. Facilities requested on notification. Date of Birth or Miscarriage. Onset of Pyrexia. Date removed to Hospital. Remarks. -
Page 106
The number of cases notified during the last two years were:—
Year. Totals. St. James Street. High Street. Hoe Street. Wood Street. Hale En d. Higham Hill. -
Page 106
The following table shows the maternal mortality rates for 1937 (calculated on six deaths):—
Births Registered. Deaths of Women due to Pregnancy and Child-Bearing. WALTHAMSTOW. England and Wales. Puerperal Sepsis, (Heading 29 R.G. ) Other Puerperal Causes. (Haading 30 R.G.) Total. Rates per 1,000 Births registered. Rates per 1,000 Births registered. Puerperal Sepsis. Other Puerperal Causes. Total. Puerperal Sepsis. Other Puerperal Causes. Total. -
Page 107
DEATHS DUE TO PREGENCY AND CHILD ???
Case No. , Date of Death. Certified Cause of Death, and Classification. Age. Ward. Circumstances. Pregnancy. Ante-Natal Care. Physical Condition. Date of Confine -ment or Abort ion. Doctor called. Admission to Hospital. Prev. Duration of Doctor. Midwife. -
Page 108
The following table sets out the maternal mortality, stillbirth and neo-natal death rates for the past five years:—
Rate (per 1,000 live births) 1937. 1936. 1935. 1934. 1933. -
Page 108
The maternal mortality rates for the past five years have been as follows:—
Year. Total Births Register Deaths. Rates per 1,000 Births. Puerperal Sepsis. Other Puerperal Causes. Total. Puerperal Sepsis. Other Puerperal Causes. Total. -
Page 114
Presentation and Position during Labour.
Primigravida Multigravida Total -
Page -
CASES OF ALBUMINURIA ADMITTED FOR TREATMENT.
Reg- No. Case No. Gravida. Age of Patient. Onset of Symptoms. Maturity on Admission. Headaches. Eye Symptoms. Oedema. Albuminuria. Highest Blood Pressure. Blood Urea. JN o. of days in Hospital before delivery or discharge. Onset of Labour. Maturity of Child. Type of Delivery. Result. Condition of Patient on discharge. M. C. Albumin. Blood Pressure. -
Page -
CASES OF ECLAMPSIA.
Reg. No. Case No. Gravida. Age of Patient. Onset of Symptoms. Maturity on Admission. Headaches. Eye Symptoms. Oedema. Albuminuria. Highest Blood Pressure. Blood Fits No. of days in Hospital before delivery or discharge. Onset of Labour. Maturity of Child. Type of Delivery. Result. Condition of Patient on discharge. % Onset. No. M. C. Albumin. Blood Pressure. -
Page -
CASES OF CHRONIC NEPHRITIS.
Reg. No. Case No. Gravida. Age of Patient. Onset of Symptoms. Maturity on Admission. Headaches. Eye Symptoms. Oedema. Albuminuria. Highest Blood Pressure. Blood Urea. No. of days in Hospital before delivery or discharge. Onset of Labour. Maturity of Child. Type of Delivery. Result Condition of Patient on discharge. 0/ /o M. C. Albumin. Blood Pressure. -
Page 117
ANTE-PARTUM HAEMORRHAGE.
Reg. No. Case No. Age of Patient. Gravida. Maturity. Condition on Admission. Albumin. Blood Pressure. Treatment. No. of days in Hospital before labour or discharge. Result. Cause of Haemorrhage. M. C. -
Page 118
TREATMENT AND RESULTS OF POSTERIOR POSITION.
Method of delivery Number of Cases All Cases Primigravidae Multigr&vidae -
Page -
TREATMENT AND RESULTS OF POSTERIOR POSITION.
Reg. No. Case No. Gravida. Age of Patient. Method of Treatment. Duration of Labour. 1 Weight of Child. Result. ( 1st stage. 2nd stage. 3rd stage. M. C. h. m. h. m. h. m. lb. oz. -
Page 120
BREECH DELIVERIES.
Reg. No. Case No. Gravida. Age of Patient. Maturity. Attitude of Breech. Method of Delivery. Weight of Infant. Result. M. C. UNCOMPLICATED. Weeks. lb. oz. -
Page 121
BREECH DELIVERIES.
Reg. No. Case No. Gravida. Age of Patient. Maturity. Attitude of Breech. Method of Delivery. Weight of Infant. Result. M. C. COMPLICATED. Weeks. lb. oz. -
Page 122
FORCEPS DELIVERY.
Indication for forceps Number of Cases All Primigravidae Multigravidae Cases -
Page -
FORCEPS DELIVERIES.
Reg. No. Case No. Gravida. Age of Patient. Maturity. Indication. Duration of Labour. Weight of Child. Result. 1st stage. 2nd stage. 3rd stage. M. C. Weeks. h. m. h. m. h. m. lb. oz. -
Page 123
TWINS. Number of cases, 10— Primigravidae, 5; Multigravidae, 5. Of the 20 infants, four were stillborn, and one died.
Reg. No. Case No. Age of Patient. Gravida. Maturity. Presentation and Position. : Sex. Weight. Type. Result. 1st. 2nd. 1 St. 2nd. 1st. 2nd. Mother. Infants. Weeks. lb. oz. lb. oz. 1st, 2nd. -
Page 124
CAESAREAN SECTION. Number of cases, 5—Maternal Mortality, 1; Foetal Mortality, 1.
Reg. No. Case No. Age of Patient. Gravida. Indication. Duration of Labour. Type of Operation. Weight of Child. Result. 1st stage. 2nd stage. 3rd stage. M. C. h. m. h. m. h. m. lb. oz. -
Page 126
POST-PARTUM HAEMORRHAGE.
Reg. No. Case No. Age of Patient. Gravida. Maturity. Character of Labour. Delivery. Predisposing Cause. Treatment. Result. Pyrexia. M. C. Weeks. -
Page -
PUERPERAL PYREXIA.
Reg. No. Case No. Age. Gravida. Maturity. Ante-Natal Condition. Type of Labour. Method of Delivery. Onset of Pyrexia after Delivery. Duration of Pyrexia. Cause of Temperature. Result, M. C. Weeks. Davs. -
Page 127
PERINEAL SUTURE. Perineal suture was performed in 221 cases.
Primigravidae. Multigravidae. All cases -
Page 127
The standard adopted for the classification of Puerperal Pyrexia is that of the Ministry of Health, namely a temperature of 100.4° or more sustained for twenty-four hours, or recurring within that period.
Date of onset. Duration. Cause. No. of Cases. Days. -
Page 128
INFANTS.
Primigravidae. Multigravidae. Total. -
Page 129
INFANTS—STILLBIRTHS
Case No. Reg. No. First or later Pregnancy. Maternal Complication. Method of Delivery. Sex. Birth Weight. Recent. Macerated. Cause of Death. Post-Mortem Examination. lb. oz. -
Page 130
INFANT DEATHS
Case No. Reg. No. First or later Pregnancy. Maternal Complication. Method of Delivery. Sex. Birth Weight. Cause of Death. Post-mortem Examination. lb. oz.