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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 1946

[Report of the Medical Officer of Health for Walthamstow]

Published
1947
Pages
102
Tables
102

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102 tables in this report

  • Page 8
    Extracts from Vital Statistics.—The Registrar-General's midyear, 1946, estimate of the population (viz., 118,050) has been used for the calculation of all vital statistics :—
    TotalMalesFemales
  • Page 8
    Deaths from puerperal causes :-
    Rate per 1,000 (live and still) births.
  • Page 10
    Birth-rates, Civilian Death-rates, Analysis of Mortality, Maternal Mortality, and case Rates for certain Infectious Diseases in the year 1946. Provisional figures based on weekly and quarterly returns.
    England and Wales.126 County Boroughs and Great Towns (including London)148 Smaller Towns (Resident Population 25,000-50,000 at 1931 CensusLondon Administrative County.Walthamstow.
  • Page 11
    Whole District
    Causes of Death.Males.Females.Total.
  • Page 11
    The age distribution of Cancer 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. & over
  • Page 14
    An additional (nurse's) session was commenced during the year. Miss Helen Rodway, M.R.C.O.G., submits the following report: —
    No. of Sessions.No. of Attendances.Total.Average Attendance per Session.
    New Patients.Old Patients.
  • Page 14
    * These patients were transferred from the Post-natal or Gynaecological Clinics, † A number of gynaecological patients' attendances are included in this figure. Summary of N ew Cases : —
    Tuesday afternoon.Saturday morning.Total.
  • Page 15
    Comparison of attendances with previous years : —
    1946.1945.1944.1943.1942.1941.19401939.1938.
  • Page 15
    "Below is given a statistical report of the work undertaken during the year. The comparable figures for 1945 are also given.
    19461945
  • Page 16
    Sessions are held as set out below at the Scabies Clinic premises, which are situated behind the Public Baths in High Street. Treatment is by appointment only (i.e., through a doctor or through the Health Department).
    Morning 9.12Afternoon 2.5Evening 5.30-8.30
  • Page 16
    Mr. Pegram, Clerk to the Committee, has kindly supplied the following particulars of Walthamstow residents admitted to the various institutions during the year ended 31st December, 1946 :—
    InstitutionsMenWomenChildrenTotal
  • Page 17
    " The following figures show the progress of the Hospital during 1946 as compared with the previous vear
    In-PatientsOut-Patients
    No. AdmittedAverage StayDaily AverageNew CasesAttendances
  • Page 18
    2. Public Assistance. Out-relief and institutional treatment is provided by the Essex County Council. Mr. Pegram, Clerk to the Essex County Council, South-Western Area Guardians' Committee, kindly states that the amount of relief provided in Walthamstow during the two years ended 31st December, 1946, was as follows :—
    19461945
    £sd.£sd.
  • Page 18
    3. Maternity and Child Welfare.—See Section H of the Report. 4. Public Health Act, 1936.— Nursing Homes :—
    No. of Homes.No. of Patients provided for.
    Maternity Patients.Others.Totals.
  • Page 21
    Mr. F. W. Kemp, Chief Sanitary Inspector, reports as follows :—
    No. of inspections made.No. of nuisances detected.No. of complaints received.No. of Informal NoticesNo. of Statutory Notices.Total Visits.
    Served.Complied with.Served.Complied with.
  • Page 22
    Special Premises.
    NumberVisits paid
  • Page 29
    "The minimum amount of accommodation required to meet the housing needs as analysed from the list of Housing applications, is as follows:—
  • Page 30
    The following table gives details of samples taken:—
    Grade.No. of Samples.Results
    Satisfactory.Unsatisfactory in one or more tests.
  • Page 35
    1.—INSPECTION OF FACTORIES, ETC. Including Inspections Made by Sanitary Inspectors.
    Premises.Number of
    Inspections.Written Notices.Occupiers Prosecuted.
    (1)(2)(3)(4)
  • Page 36
    2.—DEFECTS FOUND IN FACTORIES, ETC.
    Particulars.Number of Defects.Number of offences in respect of which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 37
    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 :—
  • Page 37
    Continued from previous table...
    St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Totals.
  • Page 38
    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. When calculated on this basis the rate is :— Walthamstow 12.62 England and Wales 8.50
  • Page 40
    The numbers and percentages of children protected in the various age-groups in 1945 and 1946 were as follows :—
  • Page 41
    MUNICIPAL LABORATORY The following numbers of Diphtheria swabs were examined during 1946: —
  • Page 42
    The following tables show the incidence by months, ages and wards :¡ö-
    Month.Allages.Under 1 yr.1-5yrs.5-15yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.
  • Page 42
    Continued from previous table...
    Month.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.
  • Page 43
    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.
    January3--2-1--
  • Page 43
    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 46
    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 46
    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 47
    OPHTHALMIA NEONATORUM Four cases were notified during the year, the details being as follows:—
    SexAgeWardRemoved to HospitalRemarks
  • Page 47
    PNEUMONIA The tables show the incidence by months ages and wards:—
    \Month.All ages.Under lyr.1-5 yrs.5-15 yrs.15-25 yrs.25-45 yrs.45-65 yrs.65 & over.
  • Page 48
    Continued from previous page...
  • Page 48
    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 49
    Continued from previous page...
    Month.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.
  • Page 49
    CEREBRO SPINAL MENINGITIS Seven cases were notified during the year, the details being as follows:—
    No.Ward.Age.Date notified.Hospital.Remarks.
  • Page 49
    MALARIA One case was notified the details being as follows:—
    Ward.Age.Date notified.Hospital.Remarks.
  • Page 50
    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 51
    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 52
    The following table shows particulars of new cases of tuberculosis and of all deaths from the disease in the Borough during 1946:—
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
  • Page 52
    The returns for the past two years are compared below
    Year.New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Total.Pulmonary.Non-Pulmonary.Total.
    m.f.m.f.m.f.m.f.
  • Page 52
    The period 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 53
    The table given below shows the number of cases on the Register at the beginning and end of 1946:—
    Pulmonary.Total.Non-Pulmonary.Total.Grand Total.
    m.f.m.f.
  • Page 53
    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 54
    Treatment of Tuberculosis. —Treatment is given under the Essex County Council's Scheme. The admissions to Hospital during 1946 were as follows:-
    Pulmonary.Non-Pulmonary.Total, 1946.Total, 1945.
    m.f.m.f.
  • Page 54
    (ii) The following table shows the admissions, discharges and deaths during 1946 :—
    Scarlet Fever.Diphtheria.Other Diseases.Tuberculosis.Totals.
  • Page 55
    AGE AND SEX OF PATIENTS ADMITTED DURING 1946
    Under 5 years.5-10 years.10-15 years.Over 15 years.Total.Grand Total.
    m.f.m.f.m.f.m.f.m.f.
  • Page 57
    NUMBER OF OUTSIDE AUTHORITIES CASES AND NATURE
    Measles.Diphtheria.Scarlet Fever.Other Diseases.Total.
  • Page 58
    The County Medical Officer has kindly furnished the following return of patients treated in the Tuberculosis Pavilion during 1946:—
    Classification in accordance with Ministry of Health Memorandum 37.T. (Rev.)In Hospital on 1st January, 1946.Admitted during year.Discharged during year.Died during year.In Hospital on 31st December, 1946.
  • Page 62
    The Registrar-General's returns show the following registrations during the calendar year:—
    (a) Live Births.
    Males.Females.Totals.
  • Page 62
    Of the 2,333 local registrations, 163 belonging to other areas are excluded, leaving a nett total of 2,170.
    Month.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Total.
    m.f.m.f.m.f.m.f.m.f.m.f.m.f.
  • Page 63
    The position of Walthamstow out of a total of 95 Distributing Centres in the Greater London Area during the last five months of the year is shown below.
    Month endingOrange JuiceCod Liver OilA. & D. Tablets
    Per cent. of PotentialPer cent. of PotentialPer cent. of Potential
  • Page 63
    The following table shows the average attendances at the various Nurseries during 1946 (Mondays to Fridays only).
    Month.Nurseries.Over 2 yrs.Under 2 yrs.Total.
  • Page 64
    The scheme attained a limited success in Walthamstow in the earlier years of the war, but fell into disuse by the end of 1945. as will be seen from the following table:—
    Registered Daily Guardians.Mothers requiring Daily Guardians.
  • Page 64
    INFANT MORTALITY The deaths of infants under one year were:—
    Males.Females.Totals.
  • Page 65
    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.
    W'stow.England & Wales.
  • Page 67
    Illegitimate Births and Mortality
    Year.Live Births.Infant Deaths.Death Rates.
    Legitimate.Illegitimate.Legitimate.Illegitimate.Legitimate.Illegitimate.
  • Page 68
    CAUSES OF DEATH OF CHILDREN UNDER 1 YEAR OF AGE
    Under 1 week.1-2 weeks.2-3 weeks.3-4 weeks.Total deaths 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 1 year.St. James St.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Total.
  • Page 69
    MATERNITY AND CHILD WELFARE CLINICS
    Monday2 p.m.Ante & Post'NatalMarkhouse Road, E.17.
  • Page 70
    From the above table it will be seen that of 2,314 children, 1,928 or 83.3 per cent. were breast fed on first being visited, and 26, or 1.1 per cent. had no separate sleeping accommodation. 334
    How Fed.Sleeping Arrangements.Condition of Baby.Accommodation.
    BreastBreast & HandHandWith MotherCot or CradleGoodFairBadWhole houseFlatHalf houseThree roomsTwo roomsOne room
  • Page 71
    infants lived in accommodation of three rooms or less, as compared with 141 in 1945. The following table shows the number and nature of visits paid during 1946:—
    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 Visits.Subsequent Visits.Total Visits.
    12345678——910Cols. 5-10
  • Page 72
    The following table summarises the attendances at the Clinics held s— New Patients:—
    Ante-Natal.Post-Natal.
  • Page 73
    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 74
    Sale of Milk, etc., at Clinics.—The quantity and value of milk and food sold and issued free during 1946 was as follows:—
    Sales.Free Issue.
    lbs.ozs.lbs.
  • Page 75
    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 75
    Home Visits
    Visits to Children under 1 year.Visits to Children 1-5 years.Grand Total.
    First.Subsequent.Total.
  • Page 76
    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 76
    Home Visits
    To Children under 1 year of age.To Children 1-5 years of age.Total.
    First.Subsequent.Total.
  • Page 77
    Defects Seen at Orthopaedic Clinic in Children Under Five Years of Age
  • Page 77
    (b) Dental.—The following work was done by the Education Authority's Dental Surgeons in respect of Maternity and Child Welfare patients:—
    Mothers.Children under 5.
  • Page 78
    Referred by:—
  • Page 80
    CONFINEMENTS
    193819391940194119421943194419451946
  • Page 81
    HOSPITAL ACCOMMODATION FOR CONFINEMENTS The following numbers of confinements occurred at the Institutions specified (Walthamstow residents only):—
    19461945
  • Page 81
    "The cases for the year ending December 31st, 1946, are as follows:—
    Municipal.Voluntary.Total.
  • Page 82
    The following table shows the work done by Midwives (including those employed at Thorpe Coombe Maternity Hospital) durine 1946:—
  • Page 82
    The above table includes the following numbers with regard to work done at Thorpe Coombe:—
  • Page 83
    For complications during pregnancy:—
  • Page 83
    For complications during labour:—
  • Page 83
    MUNICIPAL MIDWIFERY AND MATERNITY SERVICE The table below shows the number of visits done:—
    Ante-Natal Visits.Deliveries.Lying-in Visits.Total Visits.
    Patients' Homes.Midwife's House.Clinic.Mid.Mat.
  • Page 84
    Since the end of the year bookings have declined sharply and at the time of writing (June, 1947) it has become possible to remove aill restrictions on bookings at Thorpe Coombe.
    Jan.Feb.Mar.Apr.MayJuneJulyAug.Sep.Oct.Nov.Dec.
  • Page 84
    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 85
    Continued from previous page...
  • Page 85
    The notifications and rates for Walthamstow for the past four years have been as follows:— Per 1,000 Total Births (live and still) Puerperal Pyrexia
    Year.No.Rate.
  • Page 85
    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 86
    DEATHS DUE TO PREGNANCY AND CHILD BEARING AND/OR ASSOCIATED THEREWITH DURING 1946
    Case No.Date of Death.Certified Cause of Death and Classification.Age.Ward.
  • Page 86
    The following "table shows the maternal mortality rates for 1946:—
    Births. Registered.WALTHAMSTOW.England and Wales.
    Puerperal Sepsis. (Heading 29 R.G.)Other Puerperal Causes. (Heading 30 R.G.)TotalRates per 1,000 Births registered.Rates per 1,000 Births registered.
    Puerperal Sepsis.Other Puerperal Causes.Total.Puerperal Sepsis.Other Puerperal Causes.Total.
  • Page 87
    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).1946.1945.1944.1943.1942.
  • Page 87
    The maternal mortality rates (per 1 ,000 total births) 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 88
    Bookings Refused.
    Residents.Non-residents.Total.
  • Page 89
    (b) Occupation of Beds.— The average daily occupation of beds was as follows:—
  • Page 90
    SUMMARY OF THE WORK OF THE HOSPITAL Clinic Attendances— (A) Antenatal Clinics:
    No. of Clinics held.No. of attendances.Average attendance per session.
  • Page 90
    The average number of attendances made by each patient was 9.5. (B) Post-Natal Clinics :
    No. of Clinics held.No. of attendances.Average attendance at each session.
  • Page 91
    COMPARATIVE FIGURES FOR CONFINEMENTS AND CLINIC Attendances from May, 1934, until December 31st, 1946
    1946194519441943194219411940193919381937193619351934
  • Page 92
    ADMISSIONS TO THE HOSPITAL
  • Page 92
    Indications for the Admission of Ante-Natal Patients.
    No. of Cases.
  • Page 93
    Continued from previous page...
  • Page 94
    Premature Infants.—For statistical reports a premature infant is taken as one weighing 5 ½ lbs. or less. This is an international standard.
    Infants born in Thorpe Coombe.Infants born at home.
  • Page 94
    Breast Feeding.—On discharge from Thorpe Coombe at 14 days, up to May, and later from 10 to 12 days, 85.8 per cent, of mothers were breast feeding their infants, 10.2 per cent, partly breast feeding, while 4 per cent, of infants were fed on dried cows' milk.
    19461946194419431942194119401939
  • Page 95
    FOETAL AND INFANT MORTALITY
    Number of cases.
    Birth Weight.Total.
    5½ lbs. or less.Over 5½ lbs.
  • Page 95
    (b) Infant Deaths.
  • Page 96
    Apparent Causes of Pyrexia.
    No. of cases.Percentage of cases relative to total of 19