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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 1938
[Report of the Medical Officer of Health for Walthamstow]
- Published
- 1939
- Pages
- 146
- Tables
- 109
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Page 8
The following data refer to the whole Exchange area.
Date. No. remaining on Register. Total Total Amount of benefit paid during month. Men. Women. 1938. 1937. £ -
Page 9
Mr. Dempsey states that the following were the registrations at the Juvenile Employment Bureau:—
Boys. Girls. Total. -
Page 11
England and Wales, London, 126 Great Towns and 148 Smaller Towns (Provisional figures based on Weekly and Quarterly Returns).
England and Wales. 126 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 1938. Whole District.
Causes of death. Males. Females. Total. Total 1937. -
Page 12
The age distribution of Cancer deaths was as follows:-
Under lyr. 1-2 yrs. 2-5 yrs. 5-15 yrs. 15-25 yrs. 25-45 yrs. 45-65 yrs. 65 yrs. & over -
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, 1938:—
Institutions Men Women Children Total -
Page 17
"The following figures show the progress of the Hospital during 1938 as compared with the previous year:—
No. Admitted In-Patients Average Stay Daily Average Out.Patients New Cases Attendances -
Page 19
4. Public Health Act, 1936—Nursing Homes.—
No. of Homes. No. of Patients provided for Maternity Patients. Others. Totals. -
Page 19
Particulars as to the registered homes at the end of the year are given below:—
Name of Home. Person Registered. Number of Beds Registered. Total. Midwifery and Maternity. General. -
Page 22
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. of Statutory Notices. Total Visits. Served. Complied with. Served. Complied with. -
Page 22
The nature and variety of the work done during 1938 is shown in the following tables:—
-
Page 23
Continued from previous page...
-
Page 24
Special Premises .
Number. Visits paid. -
Page 31
Jewel Road. Macdonald Road.
-
Page 40
CARCASES INSPECTED AND CONDEMNED.
Cattle excluding Cows. Cows. Calves. Sheep and Lambs. Pigs. -
Page 43
Including Inspections made by Sanitary Inspectors.
Promises. (i) Number of Inspections. (2) Written Notices. (3) Occupier* Prosecuted . (4) -
Page 43
2.—defects found in factories, etc.
Particulars. Number of Defects. Number of offences in respect to which Prosecutions were instituted. Found. Remedied. Referred to H.M. Inspector. (1) (2) (3) (4) (6) -
Page 45
NOTIFICATION OF INFECTIOUS DISEASES IN LONDON OUTER RING TOWNS FOR THE 52 WEEKS ENDED 31ST DECEMBER, 1938.
Towns in Outer Ring. Estimated Population Mid-year, 1938. Scarlet Fever. Rate per 1,000 Population. Diphtheria. Rate per 1,000 Population. Enteric (Typhoid and Paratyphoid) Fever. Rate per 1,000 Population. Acute Pneumonia (Primary & Influenzal) Rate per 1,000 Population. Dysentery. Rate per 1,000 Population. Puerperal Pyrexia.* Rate per 1,000 Population. Ophthalmia Neonatorum. Rate per 1,000 Population. -
Page 46
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. 5 45-65 yrs. 65 & over 1938 1937 -
Page 47
The Registrar-General gives the statistics for the 53 weeks ended 1st January, 1939, 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 Pyrexia. Erysipelas. -
Page 50
The following- table gives a comparison of the attack rates of Diphtheria on the immunised and the non-immunised sections oi the population under 15 years of age.
Year. Immunised. Not Immunised. Population immunised under 15 years of age. No. of cases 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 1,000 population under 15 years. Deaths under 15 years. -
Page 51
Continued from previous page...
Year Number per-Schick Nagative. Totla Carried forward. Number Immunised. Total Carried forward. Number Immunised pre-Schick Negative. Total carried forward -
Page 51
Continued from previous page...
Year. Running total of Immunised and Schick Negative. Number of cases Diptheria. Attack Rate per 1,000 Population. Deaths Persentage of Deaths to Notification. -
Page 51
At the end of 1938 a total of 4,875 immunised persons then under 15 years of age, for whom information was available, showed the following age analysis :—
Under 1 yr. 1-2 years 2-3 years 3-4 years 4-5 years 5- 6 years 6-7 years 7-8 years -
Page 52
MUNICIPAL LABORATORY. The following numbers of diphtheria swabs were examined durins 1938:—
Swabs. Negative. Positive. Totals. -
Page 52
Mr. E. Sharp, Vaccination Officer for the Area, has furnished the folio wins return for 1938:—
Births Registered, Successfully Vaccinated. Percentage Vaccinattd, Insusceptible. Exemptions. Death before Vaccinatec Postponed. -
Page 53
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 53
Continued from previous page...
-
Page 54
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 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 55
Continued from previous page...
-
Page 55
The following table gives particulars :—
No. Ward. Age. Date of Onset. Diagnosis. -
Page 56
The following tables give particulars:—
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...
-
Page 57
PNEUMONIA. The tables show the incidence by months, ages and wards. Most of the cases removed to Hospital received treatment at Whipps Cross 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 57
Continued from previous page...
Month. St. James' Street. High Street. Hoe Street. Wood Street. Hale End. Higham Hill. -
Page 58
ERYSIPELAS. 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 59
Continued from previous page...
Month. St. James' Street High Street. Hoe Street Wood Street Hale End. Higham Hill. -
Page 59
CEREBRO-SPINAL MENINGITIS. Three cases were notified, the details being as follows:—
No. Ward. Age. Date Notified. Hospital. Remarks. -
Page 59
ENCEPHALITIS LETHARGIC A. Three cases were notified during the year.
No. Ward. Age. Date Notified. Hospital. Remarks. -
Page 60
The year 1938 was an epidemic year, the number of notifications being shown below.
Month. Total. Under 1 yr. 1-5 yrs. St. James' Street. High Street. Hoe Street. Wood Street. Hale End. High Hill -
Page 61
Continued from previous page...
Age Periods. New Cases. Deaths. Pulmonary. NOn-Pulmonary. Pulmonary. NOn-Pulmonary. -
Page 61
The returns for the past two years are compared below :—
Year. New Cases. Total. Deaths. Total. Pulmonary. Noil-Pulmonary. Pulmonary. Non-Pulmonary. -
Page 61
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. -
Page 62
The table given below shows the number of cases on the Register at the beginning and end of 1938:—
Pulmonary. Total. Non-Pulmonary. Total. Grand Total. -
Page 62
One hundred and thirty-five removals from the Register were made up as follows :—
Deaths. Removals. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. -
Page 62
Treatment is given under the Essex County Council's Scheme. The admissions to Hospital during 1938 were as follows:—
Pulmonary. Non-Pulmonary. Total. -
Page 64
(vi) The following table shows the admissions, discharges and deaths during 1938:—
Scarlet Fever. Diphtheria. Other Diseases. Tuberculosis. Totals. -
Page 65
DAILY AVERAGE NUMBER OF PATIENTS IN HOSPITAL, (including Tuberculosis cases.)
-
Page 65
AGE AND SEX OF PATIENTS ADMITTED DURING 1938.
Disease. Under 5 years. 5-10 years. 10-15 years. Over 15 years. Total. Total. -
Page 66
MONTHLY ADMISSIONS OF DIPHTHERIA CASES.
Month. Under 6 years. 5 to 10 years. 10 to 16 years. Over 15 years. Total. Total. -
Page 66
MONTHLY ADMISSIONS OF SCARLET FEVER CASES.
Month. Under 5 years. 5 to 10 years. 10 to 16 years. Over 15 years. Total. Total. M F M E M F M F M F -
Page 67
Number of Outside Authorities' Cases and Nature.—
Diphtheria. Scarlet Fever. Measles. Total. -
Page 68
The County Medical Officer has kindly furnished the following return of patients treated in the Tuberculosis Pavilion during 1938:—
Classification in accordance with Ministry of Health Memorandum 37.T. (Rev.). In Hospital on 1st January, 1938. Admitted during year. Discharged during year. Died during year. In Hospital on 31st December, 1938. -
Page 71
which represents a yearly average of 25.2 inches over the 30 years The rainfall during 1938 was as follows:—
-
Page 77
The Registrar-General's returns show the following registrations during the calendar year:—
(a)Live Births. Males. Females. Totals. -
Page 78
The local registrations for 1938 were 94 less than in 1937.
Births Registered Locally, 1938. 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
INFANT MORTALITY. The deaths of infants under one year of age were:—
Males. Females. Total -
Page 79
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 80
SUMMARY. 1938. Causes of Death of Children under 1 year of age.
Cause of Death. Under 1 Week 12 Weeks 2 3 Weeks 3 4 Weeks Total under 4 Weeks 4 Weeks and under 3 Months 3 Months and under 6 Months i 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 81
MATERNITY AND CHILD WELFARE CLINICS.
-
Page 82
The detailed findings at first visits paid during 1938 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. 1 Room. -
Page 83
The following table shows the number and nature of visits paid in Wards during 1938:—
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 84
The following table summarises the attendances at the Clinics held:—
New Patients:— Ante-Natal Post-Natal -
Page 85
S ummary op A ttendances at W elfare C linics.
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 85
Sale of Milk, etc., at Clinics. — The quantity and value of milk and food sold and issued free during 1938 was as follows:—
Sales. Value. Free Issue. lbs. ozs. £ s. d. lbs. ozs. -
Page 86
Clinics.
First Attendances of New Cases. Re-attendances. Grand Total. Under 1 yr. 1-5 yrs. Total. Under 1 yr. 1-5 yrs. Total. -
Page 86
Special Treatment, etc.
Massage Treatments. Sunlight Treatments Total cases admitted to Observation Ward Local Authority's cases admitted to Observation Ward -
Page 87
Home Visits.
Visits to Children under 1 year. Visits to Children 1-5 years. Grand Total. First. Subsequent. Total. -
Page 87
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 87
Home Visits
To Children under 1 year of age. To Children 1-5 years of age. Total. First. Subsequent. Total. -
Page 89
(b) Dental.—The following work was done by the Education Committee's Dental Surgeons in respect of Maternity and Child Welfare patients:—
1936 1937 1938 Mothers. Children under 5. Mothers. Children under 5. Mothers. Children under 5. -
Page 91
Of the 6,960 applications, approximately 42 per cent, were from families where the father was unemployed.
Scale Amount Approximate cost to Authority £ s. d. -
Page 92
The following is a summary of the applications for milk for the past five years:—
Milk. Dried Milk. Unemployed. % Unemployed. Average per week. Milk. Dried Milk. -
Page 93
The following numbers of confinements occurred at the Institutions specified (Walthamstow residents only):—
-
Page 95
The table below gives particulars in respect of each case:—
No. Diagnosis. Where Treated. Result. -
Page 98
The Registrar-General has issued the following rates with regard to the notification of Puerperal Pyrexia. The Walthamstow rates are set out in comparison.
Area Per 1,000 live and still births Puerperal Fever Puerperal Pyrexia -
Page 98
The notifications and rates for Walthamstow for the past four years have been as follows:—
Per 1,000 Total Births (live and still) Puerperal Fever Puerperal Pyrexia Total Year No. Rate No. Rate No. Rate -
Page 99
PUERPERAL PYREXIA INCIDENCE, 1938 (Excluding Maternity Hospital).
No. of Case. 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 100
OPHTHALMIA NEONATORUM. The number 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 100
The following table shows the maternal mortality rates for 1938 (calculated on the three deaths assigned by the Registrar-General to Headings 29 and 30).
Births Registered. Deaths of Women due to Pregnancy and Child-Bearing. WALTHAMSTOW. England and Wales. Puerperal Sepsis, (Heading 29 R.G.) Other Puerperal Causes. (Heading 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 101
DEATHS DUE TO PREGNANCY AND CHILD-BEARING AND/OR ASSOCIATED THEREWITH.
Case No. Date of Death. Certified Cause of Death and Classification. Age. Ward. Circumstances. No. of Pregnancy and Duration. Ante-Natal Care. Doctor. Midwife. Physical Condition. Date of Confinement or Abortion. Doctor called. Admission to Hospital. -
Page 102
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). 1938. 1937. 1936. 1935. 1934. -
Page 102
The maternal mortality rates for the past five years have been as follows: —
Year. Total Births Registered. Deaths. Rates per 1,000 Births. (Live and Still). Puerperal Sepsis. Other Puerperal Causes. Total. Puerperal Sepsis. Other Puerperal Causes. Total. -
Page 106
Average attendance per session:—
-
Page 108
The following is a summary of the number of cases during the last four years:—
Patients admitted with eclampsia (excluding chronic nephritis) Per centage -
Page -
CASES OF ALBUMINURIA ADMITTED FOR TREATMENT.
Case No. Reg. No. Age. Previous Pregnancies. Detection of Onset of Symptoms. First Sign or Symptom. Other Signs. Oedema. %°f Albumen. %of Blood Urea. Highest Blood Pressure. No. of days in Hospital before labour or discharge. Onset of Labour. Type of Delivery. Maturity of Infant. Result. Condition of Patient on discharge. ( Full Term. Premature . Miscarriages. Headache. Eye Symptoms. M. C. %of Albumen. Blood Pressure. -
Page -
CASES OF ECLAMPSIA.
Case No. Reg. No. Age. Previous Pregnancies. Detection of Onset of Symptoms. First Sign or Symptom. Other Signs. Oedema. %°f Albumen. %of Blood Urea. Highest Blood Pressure. No. of days in Hospital before labour or discharge. Onset of Labour. Type of Delivery. Maturity of Infant. Condition of Patient after admission. Full Term. Premature . Miscarriages. Headache. Eye Symptoms. M. C. -
Page -
CASES OF CFRONIC NEPHRITIS ADMITTED FOR TREATMENT.
Case No. Reg. No. Age. Previous Pregnancies. Detection of Onset of Symptoms. First Sign or Symptom. Other Signs. Oedema. %°f Albumen. %of Blood Urea. Highest Blood Pressure. No. of days in Hospital before labour or discharge. Onset of Labour. Type of Delivery. Maturity of Infant. Result. Condition of Patient on discharge. Full Term. Premature. Miscarriages. Headache. Eye Symptoms. M. C. %of Albumen. Blood Pressure. -
Page -
ANTE-PARTUM HAEMORRHAGE.
Case No. Reg. No. Age. Previous Pregnancies. Weight of Infant. Condition on Admission. Treatment. Delivery. Result. Cause of Hæmorrhage. Full Term. Premature. Miscarriage . General Condition. Haemorrhage. Albumen. M. C. -
Page 110
FORCEPS DELIVERY.
-
Page -
FORCEPS DELIVERIES.
Case No. Reg. No. Age of Patient. Previous Pregnancies. Indication for Use of Forceps. Duration of Labour. Weight of Infant. Result. Full Term. Premature. Miscarriage. 1st Stage. 2nd Stage. 3rd Stage. M. C. -
Page -
TREATMENT AND RESULTS OF POSTERIOR POSITION.
Case No. Reg. No. Age of Patient. Previous Pregnancies. Position of Foetus. Method of Treatment. Delivery. Duration of Labour. Weight of Infant. Result. Full Term. Premature. Miscarriage . 1st Stage. 2nd Stage. 3rd Stage. M. C. -
Page 111
TREATMENT AND RESULTS OF POSTERIOR POSITION
Method of delivery Number of Cases All Cases Primigravidae Multigravidae -
Page 113
PRIMARY BREECH PRESENTATION. UNCOMPLICATED.
Case No. Reg. No. Age of Patient. Previous Pregnancies. Maturity. Attitude of Foetus. Method of Delivery. Weight of Infant. Result. Full Term. Premature. Miscarriage . M. C. Weeks. lb. oz. -
Page 114
PRIMARY BREECH PRESENTATION. COMPLICATED.
Case No. Reg. No. Age of Patient. Previous Pregnancies. Maturity. Complication. Method of Delivery. Weight of Child. Result. Full Term. Premature. Miscarriage. M. C. Weeks. lb. oz. -
Page 115
TWINS.
Primigravidae. Multigravidae. Total. -
Page 116
caesarean section.
Primigravidae. Multigravidae. Total. -
Page -
POST-PARTUM HAEMORRHAGE.
Priinigravidae. Mllltigravidae. Total. -
Page 118
PERINEAL LACERATIONS (continued).
2. Midwives' Cases:- Primigravidae. Multigravidae. Total. -
Page 118
STILLBIRTHS. Booked Cases.
Premature- Macerated. Recent. No. of cases -
Page 119
STILLBIRTHS (continued). Booked Cases (continued).
Full Term- Macerated. Recent. No. of cases. -
Page 119
Emergency Cases.
Premature- Macaerated. Recent. No. of cases. -
Page 119
INFANT DEATHS.
No. of Cases -
Page -
INFANTS-STILLBIRTHS
Case No. Reg. No. Previous Pregnancies. Maternal Complication. Method of Delivery. Sex. Birth Weight. Recent or Macerated. Cause of Death. -
Page 120
INFANTS-STILLBIRTHS.
Case No. Reg. No. Previous Pregnancies. Maternal Complication. Method of Delivery. Sex. Birth Weight. Recent or Macerated. Cause of Death. Full Term. Premature . Miscarriage . -
Page 121
INFANT DEATHS
Case No. Reg. No. Age of Patient. Previous Pregnancies. Method of Delivery. Sex. Birth Weight. Cause of Death. Full Term. Premature . Miscarriages . -
Page -
puerperal pyrexia.
Case No. Reg. No. Age of Patient. Previous Pregnancies. Maturity. Ante-Natal Condition. Type of Labour. Method of Delivery. Onset of Pyrexia after Delivery. Duration of Pyrexia. Apparent Cause of Pyrexia. Result, Full Term. Premature. Miscarriages. M. C. Weeks. Days. -
Page 122
The standard adopted for the classification of Puerperal Pyrexia is that of the Ministry of Health, namely a temperature of 100.4 deg. or more sustained for twenty-four hours, or recurring within that period.
Day of onset. Duration Cause. No. of Cases.