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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 1944
[Report of the Medical Officer of Health for Walthamstow]
- Published
- 1945
- Pages
- 62
- Tables
- 98
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Page 4
STATISTICS AND SOCIAL CONDITIONS OF THE AREA.
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Page 4
The following data refer to the whole Exchange area.
Date No. remaining on Register. Total 1944. Date No. remaining on Register. Total 1944. Men. Women. Men. Women. -
Page 5
Death rate of infants under one year of age:-
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Page 6
BIRTH-RATES, CIVILIAN DEATH-RATES, ANALYSIS OF MORTALITY, MATERNAL MORTALITY, AND CASE RATES FOR CERTAIN INFECTIOUS DISEASES IN THE YEAR, 1944. PROVISIONAL FIGURES BASED ON WEEKLY AND QUARTERLY RETURNS.
England & Wales 126 County Boroughs & Great Towns (including London) 148 Smaller Towns (Resident Populations 25,000 - 50,000 at 1931 Census.) London Administrative County Walthamstow -
Page 6
Rates per 1,000 Live Births
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Page 6
Rates per 1,000 Total Births (Live and Still) (a) Notifications:- ______
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Page 6
(b) Maternal Mortality
No. 140 Abortion with Sepsis. No.141 Abortion without Sepsis. No.147 Puerperal Infections No s.142-, 148-??? Other -
Page 7
CAUSES OF DEATH AS GIVEN BY THE REGISTRAR-GENERAL FOR THE YEAR 1944. WHOLE DISTRICT
Causes of death Males Females Total. -
Page 7
The age distribution of Can c er deaths was as follows :-
Under 1 yr. 1-2 yrs. 2-5 yrs. 5-15 yrs. 15-25 yrs. 25-45 yrs. 45-65 yrs. 65 yrs. and over. -
Page 8
MUNICIPAL SERVICE.
Removals. Accidents. Maternity. Total. Mileage. -
Page 8
WOMEN'S CLINIC.- Miss Helen Rodway, M.R.C.C.G., submits the following report:-
No. of sessions held. No. of attendances New Cases Old Cases Total Attendances Average attend-ance per session. -
Page 9
Summary of New Cases.-
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Page 9
Comparison of attendances with previous years:-
1944 1943 1942 1941 1940 1939 1938 -
Page 9
Mr.pegram, the Clerk to the Committee, has kindly supplied tho following particulars of Walthamstow residents admitted to the various institutions during the year ended 31st.December 1944:-
Institutions. Men Women Children Total. -
Page 10
The following figures showed the progress of the Hospital during 1944 as compared with the previous year:-
In-patients Out-Patients No. Admitted. Average Stay Daily Average New Cases Attendances. -
Page 10
PUBLIC ASSISTANCE. Out-relief and institutional treatment is provided by the Essex County Council. Mr.Pegrara, 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 years ended 31st.December 1944, was as follows:-
1944. 1943. -
Page 10
MATERNITY AND CHILD WELFARE.- See Section H. of the Report. PUBLIC HEALTH ACT, 1936. - NURSING HOMES.
No. of Homes No. of patients provided for Maternity Patients Others. Totals. -
Page 11
Dampness in HOuses. Sites concreted 1; Damp-proof courses provided 15; Yards and forecourts paved and drained 70; Roofs made watertight 433; Rain-water Pipes made good 152; Guttering repaired or renewed 220; Other cases of dampness remedied 139; Ventilation under floors provided 43.
Special Premises. Number Visi ts paid -
Page 12
Continued from previous page...
Number Visits paid. -
Page 13
I. - INSPECTION OF DWELLING-HOUSES DURING THE YEAR:-
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Page 14
Continued from previous page...
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Page 16
The samples are summarised as follows:-
No. of Samples. Satisfactory. Unsatisfactory. -
Page 16
THE MILK (SPECIAL DESIGNATIONS) ORDER, 1936. The number of licences granted for the Sale of Milk under Special Designations classified in the above Order was as follows:-
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Page 18
(d) ADULTERATION ETC. - FOOD AND DRUGS ACT, 1938. During the year 102 samples of food and drugs were submitted to and examined by the Public Analyst. Sixteen samples were unsatisfactory - 12 of milk being from one source - the particulars are as follows:-
Description of article Result of Analysis Action Taken. -
Page 18
The following is a summary of the Vanitary Inspectors' year's work:-
No. of Premises & Sites Inspected Premises & Sites Found to be Infested Methods used at Infested Premises and Sites. -
Page 19
1. - INSPECTION OF FACTORIES, ETC. Including Inspections made by Sanitary Inspectors.
Premises Number of Inspections Written Notices Occupiers Prosecuted -
Page 19
2. - DEFECTS FOUND IN FACTORIES, ETC.
Particulars. (1) No. of Defects No. of Offences in respect of which prosecutions were instituted. (5) Found (2) Remedied (3) Referred to H.M. Inspector. (4) -
Page 19
NUMBER AND TRADES OF OUTWORKERS NOTIFIED DURING 1944.
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Page 19
Outworkers were notified from the following areas:-
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Page 20
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 1944 Ages 1943 Under 1 yr. 1-5| yrs 5-15 yrs. 15-25 yrs. 25-45 yrs. 45-65 yrs. 65 &over yrs -
Page 20
The Registrar-General gives the statistics for the 52 weeks ended 31st. December 1944, and these are given in the following table, together with the case rates per 1,000 population both for England and ales and for ''althamstow: -
Disease Scarlet Fever Diphtheria Enteric Fever Fneu-monia Puerperal Fvrexia Ervsinelas. -
Page 21
The rate for Puerperal Pyrexia is better expressed in relation to the number of births (i .e. live and still -births) registered than to population. Then calculated on this basis the rate is:- Walthamstow 14.23, England & Wales 10.34.
Disease Total Notified Removed to Hospital Per cent. removed to Hospital Deaths Deaths per cent.of oases notified. -
Page 23
The following tables show the incidenoe 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 23
Continued from previous page...
Month St . Jame s Street High Street Hoe Street Wood Street Hale End Higham Hill -
Page 24
The following tables show the incidence by months, ages and wards:-
Month All Ages Under 1-5 5-15 1 yr. | yrs. yrs. 15-25 yrs. 25-45 45-65 yrs. yrs. 65 & over -
Page 24
Continued from previous page...
Month St.James Street High Street Hoe Street Wood Street Hale End Higham Hill -
Page 25
The following tables show the incidence by months, ages and cards: -
Month All Ages Under 1 yr. 1-5 yrs. 5-15 yrs. 15-25 yrs. 25-45 yrs. 45-65 yrs. 65 & over. -
Page 25
Continued from previous page...
Month St.James Street High Street Hoe Street food Street Hale End Higham Hill -
Page 27
The tables show the inoidence 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 27
Continued from previous page...
Month St.James Street High Street Hoe Street Wood Street Hale End Higham Hill -
Page 28
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 28
The following tables show the incidence by months, ages and wards:-
Month St.James Street High Street Hoe Street wood Street Hale End Higham Hill -
Page 28
CEREBRO-SPINAL MENINGITIS. Four cases were notified, the details being as follows:-
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Page 29
MALARIA. Five cases were notified. All were members of His Najesty' s Forces and contracted the disease abroad.
No. ward Age Date Notified Hospital -
Page 29
MEASLES. The following tables show the incidence by months, e.ges 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 29
Continued from previous page...
Month St.James Street High Street Hoe Street Wo od Street Hale End Higham Hill -
Page 30
WHOOPING COUGH. 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 j 45-65 yrs. yrs. 65 & over. -
Page 30
Continued from previous page...
Month St.james Street High Street Hoe Street Wood Street Hale End Higham Hill -
Page 30
TUBERCULOSIS. The following table shows particulars of new cases of tuberculosis and of all deaths from the disease in the Borough during 1944:-
Age Periods New Cases Deaths Pulmonary Non-Pulmonary Pulmonary - Non-Pulmonary M. F. M. F. M. F. M. F. -
Page 31
The returns for the past two years are compared below:-
Year New Cases Deaths Pulmonary Non-Pulmonary Total Pulmonary Non-Fulmonary Total -
Page 31
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 9-12 months Over 12 months Not notified Notified after death -
Page 31
The table given below shows the number of cases on the Register at the beginning and end of 1944:-
Pulmonary Total Non-Pulmonary Total Orand Total -
Page 31
Ninety-four removals from the Register were made up as follotjs:-
Deaths Removals Pulmonary Non-Pulmonary Pulmonary Non-Pulmonary M. F. M. F. M. F. M. F. -
Page 32
Treatment of Tuberculosis. Treatment is given under the Essex County Council's Scheme. The admissions to Hospital during 1944 were as follows:-
Fulmonary Non-Fulmonary Total -
Page 32
(iii) The following table shows the admissions, discharges and deaths during 1944:-
Scarlet Fever Diphtheria Other Diseases Tuberculosis Totals. -
Page 33
CLINICAL REPORT. Dr. Hamilton, Resident Medical Officer, reports as follows:- AGE AND SEX OF PATIENT ASMITTED DURING 1944.
Under 5 years. 5-10 yrs. 10-15 yrs. Over 15 yrs. Total . Grand Total. M F M F M F M F M F -
Page 33
NUMBER OF OUTSIDE AUTHORITIES' CASES & NATURE.
Measles. Diphthoria. Scarte Fever. Other Diseases. Totals. -
Page -
The County Medical Officer has kindly furnished the following return of patients treated in the Tuberculosis Pavilion during 1944:-
Classification in accordance with Ministry of Health Memo randum 37T.(Rev.) In Hospital on 1st Jan. 1944. Admitted during year. Discharged during year. Died du ring year. In Hospital on 31st Dec. 1944 -
Page 38
REGISTRATION OF BIRTHS. The Registrar-General's returns show the following registrations during the calendar year:-
(a) LIVE BIBTHS. Males Females Totals. -
Page 38
Of the 1,658 local registrations, 130 belonging to other areas are excluded, leaving a nett total of 1,528.
Births Registered Locally 1944. St.James Street High Street Hoe Street Wood Street Hale End Higham Hill Totals. M. F. M. F. M. F. M. F. M. F. M. F. M. F. -
Page 39
ATTENDANCES.- The following tables show the average attendances at the various Nurseries during 1944 (Mondays to Fridays only).
MONTH NURSERIES Over 2 yrs. Under 2 yrs. TOTAL. -
Page 40
The Infant Mortality Rate for other areas during 1944 was as follows: -
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Page 40
INFANT DEATHS, NEO-NATAL MORTALITY AND STILLBIRTHS.
Year Live Births Birth Rate No. Stillbirths Neo-Natal Deaths per No. Infant Deaths per 1,000 live births Per 1,000 live births Per 1,000 population No. 1,000 live births -
Page 41
ILLEGITIMATE BIRTHS AND MORTALITY.
Year Live Births Infantile Deaths Death Rates Legitimate Illegitimate Legitimate Illegitimate Legitimate Illegitimate -
Page 42
CAUSES OF DEATH OF CHILDREN UNDER 1 YEAR OF AGE, 1944.
Cause of Death Under 1 week 102 weeks 2-3 weeks 3-4 weeks Total under 4 weeks 4 weeks & under 3 months 3 months & under 6 months 6 months & under 9 months 9 months & under 12 months Total Deaths under one Year St.James Street High Street Hoe Street Wood Street Hale End Higham Hill Totals -
Page 43
MATERNITY AND CHILD WELFARE CLINICS.
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Page 43
x New cases only.
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Page 44
Frm the above table it will be seen that of 1,649 children, 1,354, or 82.1 per cent., were breast-fed on first being vistted, and 18, or .82 per cent., had no seoparate sleeping accommodation.
Ward How Fed Sleeping Accommodation. Condition of Baby Accommodation- Breaat Breast and Hand Hand mth Mother Cot or Cradle Good Fair Bad Whole House Flat Half-House 3 Rooms 2 Rooms 1 Room -
Page 45
The follwing table shows the number and nature of visits paid during 1944:-
, Ward Visits to Children under 1 year. Ante-Natal Visits Total Vi sits First Re-Visits Total Visits to Children 1-5 years Grand Total Unsuccessful Visits Visits to Nurse Children Yisits re Milk Scheme First Visit Subsequent Visits Total Visits Other Visits -
Page 46
The following table summarises the attendances at the Clinics held:-
New Patients. Ante-Natal Post-Natal. -
Page 47
SUMMARY OF ATTENDANCES AT V .ELFARE CLINICS.
Clinio 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 47
The following is the information required by Circular 2790 of the Ministry of Health:-
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Page 47
SALE OF MILK, ETC. AT CLINICS.- The quantity and value of milk and food sold and issued free during 1944 was as follows:-
lbs. Sales Free.. Issue. ozs. lbs. OZS. -
Page 48
Continued from previous page...
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Page 48
The work done during the calendar year is shown in the following table compiled from information kindly supplied by Miss D.Carter:- CLINICS.
Year First attendances of New Cases. Re-attendances Grand Total Under 1 yr. 1-5 yrs. Total. Under 1 yr. 1-5 yrs. Total -
Page 48
HOME VISITS
Year Visits to First Children under Subsequent 1 year. Total. Visits to ohildren 1-5 years. Grand Total. -
Page 48
ATTENDANCES AT CLINICS.
First attendances Re-attendances Grand Total Under 1 yr. of age. 1-5 years of age Total Under 1 yr. of age l-5 years, of age Total -
Page 48
HOME VISITS.
To ohildren under 1 year of age. Total To children 1-5 years of age. Total First Subsequent -
Page 50
HELP GIVEN TO OLD AND NEW CASES, 1944.
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Page 50
The following numbers of confineaents occurred at the Institutions specified (Ufeltiamstow residonts cnly):-
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Page 51
The number of midwifery oases attended were:-
Municipal Voluntary Total -
Page 52
The following table shows the work done by Midwives (including those employed at Thorpe Coombe fraternity Hospital) during 1944:-
-
Page 52
The above table includes the following numbers with regard to work done at Thorpe Coombe:
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Page 52
For complications during pregnancy:-
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Page 52
MUNICIPAL MIDWIFERY AND MATERNITY SERVICE.- The table below shows the number of visits done:-
Ante-Natal Visits Clinic Delive ries Lying-in Visits Total visits Patients' Homes Midwife's House Mid. Mat. -
Page 53
Per 1.000 Total Births (live and still)
Puerperal . Pyrexia -
Page 53
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 54
DEATHS DUE TO PREGNANCY AND CHILD-BEARING AND/OR ASSOCIATED THEREWITH, 1944.
Case No. Date of death. Certified cause of death and classification. . Age Ward Circumstances No.of Pregnancy and Duration. Ante-Natal Care Physical Cond it ion Date of confinement or Abortion. Doctor called Admission to Hospital. Dr. Midwife . -
Page 55
Deaths of Women due to Pregnancy and Child-bearing.
Births Registered V/alt hamstow England and Vfelee 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. To tal Puerperal Sepsis Other Puerperal causes. To tal. -
Page 55
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) 1944 1943 1942 1941 1940 -
Page 55
The maternal mortality rates for the past five years have been as follows:-
-
Page 57
SUMMARY OF THE WORK OF THE HOSPITAL.
A, Ante-Natal Clinics: No. of Olinics held. No. of attendances Average attendance per session. -
Page 57
COMPARATIVE FIGURES. From January 1935 until the end of December 1944.
1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 Totals -
Page 58
Indications for the admission of Ante-Natal patients.
Number of cases. -
Page 58
Emergency admissions.
Indications for admission. Number of cases. -
Page 58
Confinements. °f the 907 confinements, 474 / 52 per cent were first births.
Operations performed. Number of cases. -
Page 59
Continued from previous page...
1944 1943 1942 1941 1940 1939 19 38 1937 1936 -
Page 59
Continued from previous page...
Causes of Pyrexia. No. of cases. Percentage of cases.