[Report of the Medical Officer of Health for Walthamstow]

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CAUSES OF DEATH AS GIVEN BY THE REGISTRAR-GENERAL FOR THE YEAR 1942. WHOLE DISTRICT

	Causes of Death	Males	Females	Total

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The age distribution of Cancer deaths was as follows:-

Under 1 yrs.	1-2 yrs.	2-5 yrs.	5-15 yrs.	15-25 yrs.	25-45 yrs.	45-65 yrs.	65 yrs. and over.

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This additional clinic made it possible for a certain number of patients to attend who could not do so during the week.

No. of sessions held.		No, of attendances.			Average attendance per session.
		New cases.	Old coses.	Total.

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Comparison of attendances with previous years:

1942.			1941.			1940.
New Cases	Old Cases	Total	.New Cases	Old Cases.	Total.	New Cases	Old Cases	Total.

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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 Served	Notices Complied with	No. of Statutory Served	Notioes Complied with	Total Visits

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SPECIAL HREMISES.

	Number.	Visits Paid.

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The following is a list of food condemned as unfit for human consumption. Wherever possible the food was salvaged for animal feeding either through the Salvage Division of the Ministry of Food, or the local Pig Food Scheme:-

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Continued from previous page...

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Thea following is a summarised statement of the vear's work:-

No.of Premises & Sites Inspected.		Premises & Sites found to be infested.		Methods used at Infected Premises & Sites

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The following tables show the work done under these Acts:- 1.- INSPECTION OF FACTORIES, ETC. Including inspections made by Sanitary Inspectors.

Premises	Inspection	Number of Written Notices	Occupiers Prosecuted.
(1)	(2)	(3)	(4)

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2.- DEFECTS FOUND IN FACTORIES. ETC.

Particulars.	No.of Defects.			No.of Offences in respect of which prosecutions were instituted.
Particulars.	Found	Remedied .	Referred to H.M. Inspector.
(1)	(2)	(3)	(4)	(5)

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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 1942	Ages 1941	Under 1 yr.	1-5 yrs,	5-15 yrs.	15-25 yrs.	25-45 yrs.	45-65 yrs.	65 & over.

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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	St.James Street	High Street	Hoe Street	Wood Street	Hale End	Higham Hill	Total

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The rate for Puerperal Pyrexia is better expressed in relation to the number of births (i.,e. live and stillbirths)registered than to population. When calculated on this basis the rate is:-

Disease	Total Notified	Removed to Ho spital	Per cent, removed to Hos pi tal'	Deaths	Deaths per cent. of cases notified.

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MUNICIPAL LABORATORY. The following numbers of diphtheria swabs were examined during 1942:-

Swabs.	Negative.	Positive.	Totals.

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VACCINATION. Mr.E.Sharp, Vaccination Officer for the Area, has furnished the following return for 1942:-

Births Regi stered	Successfully Vaccinated	Percentage Vaccinated	Insusceptible	Exemptions	Heath before Vaccinated	Postponed.

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(iii) The following table shows the admissions, discharges and deaths during 1942:-

	Scarlet Fever	Diphtheria	Other Diseases	Tuberculosis	Totals.

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DAILY AVERAGE NUMBER OF PATIENTS IN HOSPITAL. (including Tuberculosis cases).

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CLINICAL REPORT. Dr.Hamilton, Resident Medical Officer, reports as follows:- AGE AND SEX OF PATIENTS ADMITTED DURING 1942.

Disease	Under 5 yrs.		5-10 yrs.		10-15 yrs.		Over 15 yrs.		Total		Total.

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NUMBER OF OUTSIDE AUTHORITIES' CASES AND NATURE.

	Diphtheria	Scarlet Fever	Other Diseases	Totals

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The County Medical Officer has kindly furnished the following return of patients treated in the Tuberculosis Pavilion during 1942:-

Classification in accordance with Ministry of Health Memorandum 37T.(Rev.)	In Hospital on 1st, Jan.1942	Admitted during year	Discharged during year.	Died during year	In Hospital on 31st. Dec. 1942.

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The Reistrar-General's returns show the following registrations during the calendar year:-

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INFANT DEATHS, NEO-NATAL MORTALITY AND STILLBIRTHS.

Year	Live Births	Stillbirths		Neo-Natal Deaths		Infant Deaths.
		No.	Per 1,000 live births	Neo-Natal Deaths		Infant Deaths.
		No.	Per 1,000 live births	No.	Per 1.000 live births	No.	Per 1,000 live births

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MUNICIPAL SCHEME. The following table shows the number and nature of visits paid during 1942:-

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	Visits to Children 1-5 years	Grand Total	Unsuccessful Visits	Visits to Nurse Children	Visits re Milk Scheme	First Visit	Sub sequent Visits	Total Visits	Other Visits	Total Visits
	1	²	3	4	5	6	7	8			9	10	Cols.5-10.

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ANTE-NATAL AND POST-NATAL SERVICES. The following table summarises the attendances at the Clinics held:-

	Ante-Natal	Post-Natal

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SUMMARY OF ATTENDANCES AT WELFARE CLINICS.

Clinic	First Attendances of New Cases			Re-attendances .			Grand Total
Clinic	Under 1 yr. of age	1-5 yrs. of age	Total	Under 1 yr. of age	1-5 yrs. of age	Total	Grand Total

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CLINICS.

Year	First Attendances of New Cases			Re-attendances			Grand Total
Year	Under 1 Yr.	1-5 yrs.	Total	Under 1 Yr.	1-5 yrs.	Total	Grand Total

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HOME VISITS.

Year	Visits to Children under 1 year.			Visits to Children 1-5 years.	Grand Total
Year	First	Subsequent	Total	Visits to Children 1-5 years.	Grand Total

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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	Grand Total

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HOME VISITS.

	To Children under 1 year of age			To Children 1-5 years of age	Total
	First	Subsequent	Total	To Children 1-5 years of age	Total

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Defects seen at Orthopaedic Clinic in Children under Five Years of Age.

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(b) Dental. The following work was done by the Education Committee's Dental Surgeons in respect of Maternity and Child Welfare patients:-

	Mothers	1940.	1941.		1942.
		Children under 5.	Mothers	Children under 5.	Mothers	Children under 5

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The following numbers of confinements occurred at the Institutions specified ( walthamstow residents only):-

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The number of midwifery cases attended was as follows:-

	Municipal	Voluntary	Total.

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The table below shows the number of visits done:-

Ante-Natal Visits		Clinic	Deliveries		Lying-in Visits	Total Visits
Patients' Homes	Midwife's House	Clinic	Mid.	Mat.	Lying-in Visits	Total Visits

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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

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The following table shows the maternal mortality rates for 1942 (calculated on the two deaths assigned by the Registrar-General to Headings 29 and 30).

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 (Heading 29 R.G.)	Other Puerperal Causes (Heading 30 R.G.)	Total	Puerperal Sepsis	Other Puerperal Causes	Total	Puerperal Sepsis	Other Puerperal Causes	Total

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The following table sets out the stillbirth and neo-natal death rates for the past five years:-

Rate (per 1,000 live births).	1942	1941	1940	1939	1938

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DEATHS DUE TO PREGNANCY AND CHILD-BEARING AND/OR ASSOCIATED THEREWITH.

Case No.	Date of Death	Certified Cause of Death and Classification	Age	Case No.	Date of Death	Certified Cause of Death and Classification	Age

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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)
Year	Total Births Registered	Puerperal Sepsis	Other Fuerperal Causes	Total	Puerperal Sepsis	Other Puerperal Causes	Total

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In 1940 and part of 1939 the Assistant Medical Officer was also responsible for a number of Clinics.

Number of Expectant Mothers who attended Ante-natal Clinics:-	1942	1941	1940	1939	1938

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With the exception of last year, which was our most successful year for breast feeding, our figures are as good, indeed even better, than the several preceding years.

		1942	1941	1940	1939	1938.

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Walthamstow 1942

42 tables in this report

CAUSES OF DEATH AS GIVEN BY THE REGISTRAR-GENERAL FOR THE YEAR 1942. WHOLE DISTRICT

The age distribution of Cancer deaths was as follows:-

This additional clinic made it possible for a certain number of patients to attend who could not do so during the week.

Comparison of attendances with previous years:

SANITARY INSPECTION OF THE AREA. Mr.M.E.Duncan, Chief Sanitary Inspector, reports as follows:-

SPECIAL HREMISES.

The following is a list of food condemned as unfit for human consumption. Wherever possible the food was salvaged for animal feeding either through the Salvage Division of the Ministry of Food, or the local Pig Food Scheme:-

Continued from previous page...

Thea following is a summarised statement of the vear's work:-

The following tables show the work done under these Acts:- 1.- INSPECTION OF FACTORIES, ETC. Including inspections made by Sanitary Inspectors.

2.- DEFECTS FOUND IN FACTORIES. ETC.

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:-

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:-

The rate for Puerperal Pyrexia is better expressed in relation to the number of births (i.,e. live and stillbirths)registered than to population. When calculated on this basis the rate is:-

MUNICIPAL LABORATORY. The following numbers of diphtheria swabs were examined during 1942:-

VACCINATION. Mr.E.Sharp, Vaccination Officer for the Area, has furnished the following return for 1942:-

(iii) The following table shows the admissions, discharges and deaths during 1942:-

DAILY AVERAGE NUMBER OF PATIENTS IN HOSPITAL. (including Tuberculosis cases).

CLINICAL REPORT. Dr.Hamilton, Resident Medical Officer, reports as follows:- AGE AND SEX OF PATIENTS ADMITTED DURING 1942.

NUMBER OF OUTSIDE AUTHORITIES' CASES AND NATURE.

The County Medical Officer has kindly furnished the following return of patients treated in the Tuberculosis Pavilion during 1942:-

The Reistrar-General's returns show the following registrations during the calendar year:-

INFANT DEATHS, NEO-NATAL MORTALITY AND STILLBIRTHS.

MUNICIPAL SCHEME. The following table shows the number and nature of visits paid during 1942:-

ANTE-NATAL AND POST-NATAL SERVICES. The following table summarises the attendances at the Clinics held:-

SUMMARY OF ATTENDANCES AT WELFARE CLINICS.

CLINICS.

HOME VISITS.

ATTENDANCES AT CLINICS

HOME VISITS.

Defects seen at Orthopaedic Clinic in Children under Five Years of Age.

(b) Dental. The following work was done by the Education Committee's Dental Surgeons in respect of Maternity and Child Welfare patients:-

The following numbers of confinements occurred at the Institutions specified ( walthamstow residents only):-

The number of midwifery cases attended was as follows:-

The table below shows the number of visits done:-

OPHTHALMIA NEONATORUM. The number of cases notified during the last two years were:-

The following table shows the maternal mortality rates for 1942 (calculated on the two deaths assigned by the Registrar-General to Headings 29 and 30).

The following table sets out the stillbirth and neo-natal death rates for the past five years:-

DEATHS DUE TO PREGNANCY AND CHILD-BEARING AND/OR ASSOCIATED THEREWITH.

The maternal mortality rates for the past five years have been as follows:-

In 1940 and part of 1939 the Assistant Medical Officer was also responsible for a number of Clinics.

With the exception of last year, which was our most successful year for breast feeding, our figures are as good, indeed even better, than the several preceding years.