[Report of the Medical Officer of Health for Walthamstow]

Page 8

The following comparison between the years 1930 and 1956 illustrates the changing picture in health and disease.

		1956	1930

Page 9

Extracts from Vital Statistics. —The Registrar-General's midyear 1956 estimate of the home population (viz., 116,700) has been used for the calculation of all vital statistics.

		Total	Males	Females

Page 10

Continued from previous page...

Page 11

Causes of Death as given by the Registrar-General for the year 1956 Whole District

Causes of Death	Males	Females	Total	1955

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 12

The tables has been prepared with the assistance of the Registrar General s office.

Year	Total Deaths		Rate per 1,000 population
Year	Eng. & Wales	Walthamstow	Eng. & Wales	Walthamstow

Page 12

In order to put these deaths in proper perspective, the following comparison is made:—

Cause of death	1954	1955	1956

Page 13

INFANT DEATHS, NEO-NATAL MORTALITY AND STILLBIRTHS

Year.	Live Births.	Live Birth Rate per 1,000 Population.	Stillbirths.			Neo-natal Deaths.		Infant Deaths.
			No.	Per 1,000 total (live and still) births.	Per 1,000 population.	No.	Per 1,000 live births.	No.	Per 1,000 live births.

Page 13

The details are included in the following table:—

Date of Death	Certified Cause of Death	Age

Page 13

The maternal mortality rates (per 1,000 total births) for the past five years have been given as follows:—

Year.	Total Births Registered.	Deaths.			Rates per 1,000 Births. (Live and Still)
Year.	Total Births Registered.	Puerperal Sepsis.	Other Puerperal Causes.	Total.	Puerperal Sepsis.	Other Puerperal Causes.	Total.

Page 15

The following table shows the maternal mortality, stillbirth and neo-natal death rates for the past fivp years :—

Rate (per 1,000 live births)	1956	1955	1954	1953	1952

Page 15

REGISTRATION OF BIRTHS The Registrar-General's returns show the following registra^ tions during the calendar year:—

Live Births.	Males.	Females.	Totals.

Page 15

Of the 1,570 local registrations, 545 belonging to other areas are excluded, leaving a net total of 1,025. There were no non-notified births during 1956.

	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 17

Dr. Frank Marsh, Pathologist in charge of the Laboratory at Epping, has kindly supplied the following information in regard to work done for Walthamstow:—

Specimens	Jan.	Feb.	Mar.	Apr. May		June	July	Aug.	Sep	t. Oct.	Nov.	Dec.	Total

Page 17

The number of specimens examined at the Colindale laboratories during the year were as follows:-

Specimens	Jan.	Feb.	Mar.	Apr May		June	July	Aug	. Sept. Oct.		Nov. Dec.		Total

Page 18

The following table shows the position in regard to hospital admissions considered and/or supported on "social" grounds.

Page 19

8. Public Health Act, 1936— Nursing Homes:—

	No. of Homes.	No. of Patients provided for.
	No. of Homes.	Maternity Patients.	Others.	Total.

Page 20

Public Health Inspection of the Area

No. of inspections made.	No. of nuisances remedied.	No. of complaints received.	No. of Intimation Notices		No. of Statutory Notices.		Total Visits.
No. of inspections made.	No. of nuisances remedied.	No. of complaints received.	Served.	Complied with.	Served.	Complied with.	Total Visits.

Page 21

Disinfections. Rooms disinfected, 27; Articles disinfected, 1,415; Articles destroyed, 61.

Special Premises.	Number	Visits paid

Page 22

Special Premises ( contd.)

	Number Numerous	Visits Paid

Page 24

The annual fuel consumption is as follows :—

Page 28

Houses completed by the Local Authority 1956

Page 28

Houses erected by Private Enterprise.

Page 32

The progress made in regard to the clearance of unfit property may be summarised as follows:—

No.	Location	No. of dwellings	Date represented	Date of Inquiry	Date confirmed	Excluded from Order

Page 35

The numbers of families rehoused in the New Towns have been as follows:—

Page 35

The following table will summarise the housing applications as at 31st December, 1956, the units of overcrowding and the accommodation required to meet the applications:—

Applications :	Walthamrtow Borough	Outside Borough	Total

Page 36

Accommodation required:

Page 36

The following table gives details of samples taken:—

Grade	No. of Samples	RESULTS Satisfactory

Page 41

The following summary gives details of food sampled and results of analyses:—

				No. unsatisfactory
	Formal	Informal	Total	Formal	Informal	Total

Page 42

Continued from previous page...

				No. unsatisfactory
	Formal	Informal	Total	Formal	Informal	Total

Page 44

The following is a summary of the work carried out during the year 1956:—

	Type of Property
	Local Authority	Dwelling Houses	Agricultural	All other (including Business Premises)	TOTAL

Page 45

1.—INSPECTION OF FACTORIES, ETC. Including Inspections Made by Public Health Inspectors.

Premises.	No. on Register	Number of
Premises.	No. on Register	Inspections.	Written Notices.	Occupiers Prosecuted.
(1)	(2)	(3)	(4)	(5)

Page 45

2.— DEFECTS FOUND IN FACTORIES, ETC.

Particulars.		Number of Defects.				Number of cases in which prosecutions were instituted
Particulars.		Found.	Remedied.	Referred to H.M. Inspector.	Referred By H.M. Inspector	Number of cases in which prosecutions were instituted
(1)		(2)	(3)	(4)	(5)	(6)

Page 47

Both these diseases can largely be prevented by strict personal hygiene, especially adequate hand washing after using the toilet.

Disease	All ages		0-1 year	1-4 years	5-14 years	15-24 years	25-44 years	45-64 years	65 years and over
Disease	1956	1955	0-1 year	1-4 years	5-14 years	15-24 years	25-44 years	45-64 years	65 years and over

Page 48

The following is a summary of the Quarterly Returns made to the Ministry of Health:—

Disease	1st qtr.	2nd qtr.	3rd qtr.	4th qtr.	Total

Page 49

Poliomyelitis first became notifiable on September 1st, 1912 : the highest incidence was in 1916 when the total notified was 27.

Under			AOF. G ROUPS				Totals	S. Jms'	High	WARDS		Hale	Hi. H
Under				15-	25-	45-		S. Jms'	High	Hoe	Wood	Hale
Year	1	1-5	5-15	25	45	65		St.	St.	St.	St.	End

Page 49

The ages and onset are as follows:—

	Sex	Age	Ward	Onset	Bacteriology

Page 54

The following table shows particulars of new cases of tuberculosis and of all deaths from the disease in the Borough during 1956:—

Periods.	New Cases.				Deaths.
	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	M.	F.	M.	F.	M.	F.	M.	F.

Page 54

The returns for the past three years are compared below:—

	New Cases.					Deaths.
	Pulmonary.		Non-Pulmonary.		Total.	Pulmonary.		Non-Pulmonary		Total.

Page 55

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.
Pul.	Non-Pul.	Pul.	Non-Pul.	Pul.	Non-Pul.	Pul.	Non-Pul.	Pul.	Non-Pul.	Pul.	Non-Pul.	Pul.	Non-Pul.

Page 55

MASS RADIOGRAPHY SURVEY WALTHAMSTOW, 1956

High Street (Old Monoux School)—	Male	Female	Total

Page 57

The extraordinary consistency of those for the months of June to October will be noted.

	1952	1953	1954	1955	1956

Page 66

Herewith is a summary of the work undertaken during the years 1955 and 1956:—

	1955		1956

Page 66

DENTAL LABORATORY The following work was undertaken during the year:-

	Dentures	Repairs	Re-line	Orthodontic			Inlays	Orthodontic
				Remakes	Appliances	Crowns		Splints	Study Models	Other Models

Page 67

The following table summarises the attendances at the Clinics held:—

New Patients—	Ante-Natal	Post-Natal

Page 70

The deaths of infants under one year were as follows:—

	Males	Females	Totals

Page 70

Of the 26 deaths 18 occurred in the first month of life including 12 in the first week, the age group distribution being as under:—

Hours	Day	Week	Week	Mth.	Mth.	Mth.	Mth.	Mth.	Mth.	Mth.	Mth.	Mth.
0—24	l—1		1 — 1		1—3		3—6		6—9		9—12

Page 71

CAUSES OF DEATH OF CHILDREN UNDER 1 YEAR OF AGE—1956

	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.	8 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 72

Illegitimate Births and Mortality

Year	Live Births		Infant Deaths		Death Rates per 1,000 Live Births
Year	Legitimate	Illegitimate	Legitimate	Illegitimate	Legitimate	Illegitimate

Page 73

Details of cases dealt with are as follows:—

Admitted	Adults	Babies	Total

Page 74

Summary of Attendances at Child Welfare Clinics

Clinic	First Attendances of New Cases				Re-Attendances				Grand Total
Clinic	Under 1 year of age	1 year old	2-5 years of age	Total	Under 1 year of age	1 year old	2-5 years of age	Total	Grand Total

Page 74

The work done during the calendar year is shown in the following table compiled from information kindly supplied by Miss D. Carter: —

Year	First Attendances				Re-Attendances				Grand Total
Year	Under 1 yr. of age	1 yr. old	2-5 yrs. of age	Total	Under 1 yr. of age	1 yr. old	2-5 yrs. of age	Total	Grand Total

Page 75

Summary of Attendances at all Child Welfare Clinics

	First Attendances				Re-Attendances				Grand Total
	Under 1 yr. ot age	1 year old	2-5 years of age	Total	Under 1 yr. of age	1 yr. old	2-5 years of age	Total	Grand Total

Page 76

Patients inspected and treated during the year :

	Expectant Mothers	Nursing Mothers	Children under School age

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Continued from previous page...

	Expectant Mothers	Nursing Mothers	Children under School age

Page 80

Classification of above cases:—

	Under five years

Page 80

Details of nutrients and medicaments sold and issued free during 1956 are as follows:—

	Sales		Free Issue
	lbs.	ozs.	lbs.	ozs.

Page 81

Continued from previous page...

	Sales		Free Issue
	lbs.	ozs.	lbs.	OZS.

Page 81

The following table shows the distribution of welfare foods at individual centres :—

DISTRIBUTION CENTRE	National Dried Milk (Tins)	Cod Liver Oil (Bottles)	Vitamin Tablets (Packets)	Orange Juice (Bottles)

Page 83

Details in respect of 1955 and 1956 are as follows:—

	1955	1956

Page 85

The table below shows the number of visits carried out by the district midwives and home nurse/midwives:—

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

Page 87

Home Visits Children under Five Years of Age.

	To Children under 1 year of age			Children 1 year of age	Children 2-5 years of age	TOTAL
	First	Subsequent	Total	Children 1 year of age	Children 2-5 years of age	TOTAL

Page 88

Other Visits

	Ante-Natal Visits			Special Visits	Unsuccessful Visits	TOTAL
	First	Subsequent	Total	Special Visits	Unsuccessful Visits	TOTAL

Page 90

"The following gives details of home visits during the year:—

	New cases	Total visits

Page 91

The number and ages of persons vaccinated are shown below:—

	Age at date of Vaccination
	Under 6 months	6-12 months	1 year	2—4 years	5—14 years	15 years and over	Total

Page 93

During the past five years the numbers immunised in the various age groups were as follows:—

Age at Immunisation									Notified Cases
Year	0—1 year	1—2 years	2—3 years	3—4 years	4—5 years	Total 0—5 years	School Age	Grand Total	Admitted to Hospital	Diagnosis Confirmed	Deaths

Page 94

The numbers and age groups of children immunised during the year are shown in the following table:—

	Age at date of Final Injection
	Under 6 mths.	6—12 mths.	1 year	2—4 years	5 years and over	Total

Page 99

"In work of the kind we undertake, numbers of cases and amounts of money spent are little indication of its scope nor of what we regard as its value, but the following figures may, nevertheless, be of interest."

Type of help given.	No. of cases	Cost
Type of help given.		£

Page 104

DOMESTIC HELP SERVICE, 1956

		Maternity	Acute Sick	Tuberculous	Chronic Sick Aged Others		Aged not Sick	Others	Total

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Walthamstow 1956

69 tables in this report

The following comparison between the years 1930 and 1956 illustrates the changing picture in health and disease.

Extracts from Vital Statistics. —The Registrar-General's midyear 1956 estimate of the home population (viz., 116,700) has been used for the calculation of all vital statistics.

Continued from previous page...

Causes of Death as given by the Registrar-General for the year 1956 Whole District

The age distribution of Cancer deaths was as follows:—

The tables has been prepared with the assistance of the Registrar General s office.

In order to put these deaths in proper perspective, the following comparison is made:—

INFANT DEATHS, NEO-NATAL MORTALITY AND STILLBIRTHS

The details are included in the following table:—

The maternal mortality rates (per 1,000 total births) for the past five years have been given as follows:—

The following table shows the maternal mortality, stillbirth and neo-natal death rates for the past fivp years :—

REGISTRATION OF BIRTHS The Registrar-General's returns show the following registra^ tions during the calendar year:—

Of the 1,570 local registrations, 545 belonging to other areas are excluded, leaving a net total of 1,025. There were no non-notified births during 1956.

Dr. Frank Marsh, Pathologist in charge of the Laboratory at Epping, has kindly supplied the following information in regard to work done for Walthamstow:—

The number of specimens examined at the Colindale laboratories during the year were as follows:-

The following table shows the position in regard to hospital admissions considered and/or supported on "social" grounds.

8. Public Health Act, 1936— Nursing Homes:—

Public Health Inspection of the Area

Disinfections. Rooms disinfected, 27; Articles disinfected, 1,415; Articles destroyed, 61.

Special Premises ( contd.)

The annual fuel consumption is as follows :—

Houses completed by the Local Authority 1956

Houses erected by Private Enterprise.

The progress made in regard to the clearance of unfit property may be summarised as follows:—

The numbers of families rehoused in the New Towns have been as follows:—

The following table will summarise the housing applications as at 31st December, 1956, the units of overcrowding and the accommodation required to meet the applications:—

Accommodation required:

The following table gives details of samples taken:—

The following summary gives details of food sampled and results of analyses:—

Continued from previous page...

The following is a summary of the work carried out during the year 1956:—

1.—INSPECTION OF FACTORIES, ETC. Including Inspections Made by Public Health Inspectors.

2.— DEFECTS FOUND IN FACTORIES, ETC.

Both these diseases can largely be prevented by strict personal hygiene, especially adequate hand washing after using the toilet.

The following is a summary of the Quarterly Returns made to the Ministry of Health:—

Poliomyelitis first became notifiable on September 1st, 1912 : the highest incidence was in 1916 when the total notified was 27.

The ages and onset are as follows:—

The following table shows particulars of new cases of tuberculosis and of all deaths from the disease in the Borough during 1956:—

The returns for the past three years are compared below:—

The period elapsing between notification and death and the number of cases not notified were as follows:—

MASS RADIOGRAPHY SURVEY WALTHAMSTOW, 1956

The extraordinary consistency of those for the months of June to October will be noted.

Herewith is a summary of the work undertaken during the years 1955 and 1956:—

DENTAL LABORATORY The following work was undertaken during the year:-

The following table summarises the attendances at the Clinics held:—

The deaths of infants under one year were as follows:—

Of the 26 deaths 18 occurred in the first month of life including 12 in the first week, the age group distribution being as under:—

CAUSES OF DEATH OF CHILDREN UNDER 1 YEAR OF AGE—1956

Illegitimate Births and Mortality

Details of cases dealt with are as follows:—

Summary of Attendances at Child Welfare Clinics

The work done during the calendar year is shown in the following table compiled from information kindly supplied by Miss D. Carter: —

Summary of Attendances at all Child Welfare Clinics

Patients inspected and treated during the year :

Continued from previous page...

Classification of above cases:—

Details of nutrients and medicaments sold and issued free during 1956 are as follows:—

Continued from previous page...

The following table shows the distribution of welfare foods at individual centres :—

Details in respect of 1955 and 1956 are as follows:—

The table below shows the number of visits carried out by the district midwives and home nurse/midwives:—

Home Visits Children under Five Years of Age.

Other Visits

"The following gives details of home visits during the year:—

The number and ages of persons vaccinated are shown below:—

During the past five years the numbers immunised in the various age groups were as follows:—

The numbers and age groups of children immunised during the year are shown in the following table:—

"In work of the kind we undertake, numbers of cases and amounts of money spent are little indication of its scope nor of what we regard as its value, but the following figures may, nevertheless, be of interest."

DOMESTIC HELP SERVICE, 1956