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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

Wimbledon 1933

[Report of the Medical Officer of Health for Wimbledon]

Published
1934
Pages
148
Tables
73

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73 tables in this report

  • Page 5
    The following table shows the position with regard to unemployment for the past three years:—
    Classification.31st December, 1931.31st December, 1932.31st December, 1933.
  • Page 6
    Deaths from puerperal causes (Headings 29 and 30 of the Registrar-General's Short List):—
    Deaths.Rate per 1,000 total (live & still) births.
  • Page 7
    The Rates for England and Wales have been calculated on a population estimated to the middle of 1933, but those for the towns have been calculated on populations estimated to the middle of 1932).
    Bate per 1000 Total PopulationAnnual Death-rate per 1000 BopulationBate per 1000 Live BirthsPercentage of Total Deaths
    Live BirthsStillbirthsAll CausesTyphoid and Paratyphoid FeversSmallpoxMeaslesScarlet FeverWhooping CoughDiphtheriaInfluenzaViolenceDiarrhoea and Enteritis (under two years)Total Deaths under One YearCertified by Registered Medical PractitionersInquest CasesCertified by Coroner after P.M. No InquestUncertified Causes of Death
  • Page 8
    Population, Birth, and Death Rates for each Ward in 1933.
    WARD.Factor.Population.Birth Rate.Death Rate.
  • Page 8
    For the third year in succession the birth rate in the Borough is slightly lower than the death rate.
    1924192519261927192819291930193119321933
  • Page 9
    During the year, six hundred and fifteen births were notified by the following persons:—
  • Page 9
    The deaths occurring outside the district, of persons belonging to this Borough, were two hundred and thirty-two, namely:—
  • Page 10
    The deaths occurring within the district, of persons not belonging thereto were sixty-two, namely:—
  • Page 10
    The following table gives the death rate in Wimbledon for the past ten years together with the comparative figures for England and Wales:—
    1924192519261927192819291930193119321933
  • Page 12
    Table II gives the causes of, and ages at, death during 1933. Deaths due to notifiable infectious diseases are given on page 73. The principle causes of death, apart from zymotic deaths, are as follows:—
  • Page 12
    Deaths from Cancer.
    YearTotal DeathsCancer DeathsPercentage
  • Page 13
    The following table, which gives the figures for the past ten years, seems to indicate that diseases of the heart and circulation are becoming increasingly important factors in the causation of death in Wimbledon.
    1924192519261927192819291930193119321933
  • Page 13
    The following table gives the figures for these diseases for each year since 1924:—
    1924192519261927192819291930193119321933
  • Page 14
    In a further six cases the deaths resulted from fractures due to falls, occurring for the most part in elderly people.
  • Page 14
    The following table gives the Infantile Death Rate in Wimbledon for the past ten years together with the comparative figures for England and Wales:—
    1924192519'2619-27192819291930193119321933
  • Page 15
    Infantile Mortality during the Year 1933.
    Causes of Death.Under 1 week.1-2 Weeks2-3 Weeks.3-4 Weeks.Total under 4 weeks.1-3 Months.3-6 Months.6-9 Months.9-12 Months.Total Deaths under One Year.
  • Page 17
    The number of specimens sent by Medical practitioners for examination is shown in the following table:—
    PositiveNegativetotal.
  • Page 26
    Centres. —The work carried out at the Centres during 1933 is indicated in the following table:—
    MONTHPELHAM ROADWANDLE PARK
    Infant Welfare ConsultationsClaaseB for MothersInfant Welfare ConsultationsAnte-Natal ClinicClasses for Mothers
    No. of SessionsChildren under 1 YearChildren from 1-5 YearsTotalAverage AttendanceNo. of New CasesNo. of SessionsAttendanceAverage AttendanceNo. of SessionsChildren under 1 YearChildren from 1-5 YearsTotalAverage AttendanceNo. of New CasesNo. of SessionsAttendanceAverage AttendanceNo. of SessionsattendanceAverage Attendance
  • Page 29
    The following table indicates the work carried out under the Maternity and Child Welfare section of the scheme:-
    No. of Children under 5 Years of Age.193119321933
  • Page 32
    The following table gives the maternal mortality rates for Wimbledon and also for England and Wales:—
    1933Puerperal SepsisOthersTotal
  • Page 34
    Maternity and Child Welfare Department for the year ended 31st December, 1933:-
  • Page 42
    Rainfall. -The following table gives details of the monthly rainfall in inches in Wimbledon during 1933, together with the mean for each month during the period from 1929 to 1932 inclusive. It will be noted that tlie figures for 1933 are considerably below the mean for tlie four previous years:-
    Year.Rainfall in Inches.Total for Year.
    Jan.Feb.Mar.AprMayJuneJul)Aug.S<pt.Oct.Nov .Dec.
  • Page 44
    FACTORIES, WORKSHOPS AND WORKPLACES. 1. Inspection of Factories, Workshops and Workplaces.
    PremisesNumber of
    Inspections.Written Notices.Plosecutions.
  • Page 45
    2. Defects found in Factories, Workshops and Workplaces.
    ParticularsNumber of Defects.Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 45
    Outwork in Unwholesome Premises—(Section 108).
    Nature of WorkInstancesNotices ServedProsecutions
  • Page 51
    The following table shows the position and number of vans, together with the total occupants:—
    Site.No. of Dwellings.Type.No. of Families.Occupants.
    A.c.Total.
  • Page 59
    TABLE III. The following is a summary of the nuisances abated, and sanitary improvements carried out, under the supervision of the Sanitary Staff of the Public Health Department:—
  • Page 63
    The estimate of the overcrowding is based on the legal requirements set out in the bye-laws for houses let-in-lodgings, that is, for adults 360 cubic feet, and for children under ten years of age 2l50 cubic feet.
    RoadTotal No. of Houses InspectedNo. of Separate LettingsNo. of OccupiersAverage No. of Rooms per LettingAverage No. of O'cupiere per RoomAverage Rent per Room per Letting
    Under 10 YearsOver 10 Years
  • Page 63
    The estimate of the overcrowding is based on the legal requirements set out in the bye-laws for houses let-in-lodgings, that is, for adults 360 cubic feet, and for children under ten years of age 2l50 cubic feet.
    RoadNo. of Separate Lettings Consisting of
    1 room2 rooms3 rooms4 rooms5 rooms6 rooms7 rooms
  • Page 64
    Overcrowding, based on the standard of the bye-laws for houses let-in-lodgings, was found to exist as follows:—
    RoadLettings Overcrowded by
    1 Child1 Adult2 Adults
  • Page 68
    Scarlet Fever.—The total number of cases notified during the year was one hundred and twenty-six from one hundred and fifteen houses. The attack rate was 2.14 per thousand of the population.
    Attack Rate.Death Rate.
  • Page 72
    TABLE A —NOTIFIABLE DISEASES DURING 1933.
    DISEASENumber of Cases Notified in Various Age GroupsTotal Cases NotifiedTotal Cases Removed to Hospital
    Under 11—22—33—44—55—1010—1515—2020—3535—4546—6565 and over.
  • Page 73
    Table showing Ages at Death from Notifiable Infectious Diseases.
    Disease.ages at Death.Total Deaths
    Under 1 Year1 to 22 to 33 to 44 to 55 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 and over
  • Page 74
    Table showing - Zymotic Death Rate, the Death Rates from Zymotic Diseases, and Death Rate from Tuberculous Diseases for the last ten years.
    YEAR.Death Rate Per 1,000 Population
    Zymotic Death-rate.SmallpoxScarlet Fever.Diphtheria.*Enteric Fever.Whooping Cough.Measles.Diarrhoea.Phthisis and other Tuberc'los Diseases.
  • Page 74
    The figures given in this Table are those obtained after correction by exclusion of "Non-Residents" and the inclusion of "Residents" beyond the district. Table showing Ward Distribution of Infectious Cases in 1933.
    DISEASE.Cases Notified at All Ages.Cases Notified in each Ward.Total Cases removed to Hospital.
    St. Mary'sSt. John'sCottenham ParkWimbledon ParkDundonaldTrinitySouth ParkHaydon Park
  • Page 75
    Table showing Number of Cases of Infectious Diseases Notified during each year from 1924 to 1933.
    Disease192419251926192719281929 1930193119321934
  • Page 75
    There were seven non-pulmonary deaths. Of these, three males and two females died outside the district. The causes of death in these cases were as follows:—
  • Page 77
    TUBERCULOSIS. —The following table shows the number of new cases added to the register during the year, and the number of deaths from this disease.
    AGE GROUPSNEW CASESDEATHS
    Primary Notifications (Form A)New Casesidiscovered otherwise than by NotificationTotal New Cases
    PulmonaryNon-PulmonaryPulmonaryNon-PulmonaryPulmonaryNon-PulmonaryPulmonaryNon-Pulmonary
    MalesFemalesMalesFemalesMalesI | FemalesMalesFemalesMalesFemalesMalesFemalesMalesFemalesMalesFemales
  • Page 78
    Wimbledon Infectious Diseases Hospital
    DiseaseCases admittedDeaths
    Under 5 YearsOver 5 YearsTotalUnder 5 YearsOver 5 YearsTotal
  • Page 79
    The following complications were noted amongst the cases under treatment:—
  • Page 83
    Disinfection. —The following table shows the number of rooms and articles disinfected.
    Disease.Bedding DisinfectedClothing DisinfectedNo. of Booms Disinfected.Totals.
    Mattresses.Palliasses and Counterpanes.Beds.Pillows and Bolsters.Blankets and Sheets.DressesSuits.Other Articles.
  • Page 85
    TABLE 1.—Vital Statistics of Whole District during 1933 and Previous Years.
    YEAR.population estimated to middle of each Year.Births.Total Deaths Registered in the District.Transferable DeathsNet Deaths Belonging to the District.
    Uncorrected Number.Net.Under 1 year of AgeAt all Ages.
    Number.Rate.Number.Rate.of Non residents registered in the District.of Residents not registered in t'ne District.
    Number.Ft ate per 1000 Net BirthsNumber.Rate
  • Page 86
    TABLE II .— Causes of, and Ages at, Deaths during- the year 1933.
    CAUSES OF DEATH.ALL AGESNet Deaths at the subjoined ages of " Residents" whether occurring within or without; the District.Total Deaths whether of 'Residents' or 'non-Residents' in Institutions in the District.
    Under 1 year.1—22—33—44—55—1010—1515—2020—3535—4545—6565 and over.
  • Page 87
    TABLE II, — continued
    CAUSES OF DEATH.ALL AgesNet Deaths at the subjoined ages of " Residents " whether occurring within or without the District.Total Deaths whether of 'residents' or 'non- Residents' in Institutions in the District.
    Under 1 year.1—22—33—44—55—1010—1515—2020—3535—4545—6565 and over.
  • Page 91
    There were medically inspected in the schools during the year 1933:—
  • Page 93
    There has been a tendency for the figures for malnutrition to show a slight increase during the past four years as the following table indicates.
    Year.Incidence per 1,000 Children Inspected as Routines.
  • Page 105
    The following table shows the nature of the defects from which the children were suffering.
  • Page 105
    The following table gives an indication of the treatment carried out through this Clinic:—
  • Page 106
    Continued from previous page...
  • Page 109
    The following table shows the number treated and discharged:—
    Defect.No. treated.Cured & Discharged.Provis'nally Discharged.
  • Page 111
    In accordance with Article 20(b) of the Education Code, eighty-four children were excluded from school during 1933 for the following conditions:—
  • Page 123
    A.—ROUTINE MEDICAL INSPECTIONS.
  • Page 123
    B.—OTHER INSPECTIONS.
  • Page 124
    A.—RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31ST DECEMBER 1933.
    DEFECT OR DISEASERoutine Inspections.Special Inspections.
    No. of Defects.No. of Defects.
    Requiring Treatment.Requiring to be kept under observation. but not requiring Treatment.Requiring Treatment.Requiring to be kept under observation. but not requiring Treatment.
    (1)(2)(3)(4)(5)
  • Page 125
    TABLE II.— continued.
    DEFECT OR DISEASE.Routine Inspections.Special Inspections.
    No of Defects.No. of Defects.
    Requiring Treatment.Requiring to be kept under observation, but not requiring TreatmentRequiring Treatment.Requiring to be kept under observation. but not requiring Treatment.
    (1)(2)(3)(4)(5)
  • Page 125
    B.—NUMBER OF INDIVIDUAL CHILDREN FOUND AT ROUTINE MEDICAL INSPECTION TO REQUIRE TREATMENT (EXCLUDING UNCLEANLINESS AND DENTAL DISEASES).
    GROUP.Number of Children.Percentage of Children found to require Treatment
    InspectedFound to require Treatment.
    (1)(2)(3)(4)
  • Page 126
    BLIND CHILDREN.
    At Certified Schools for the Blind.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 126
    PARTIALLY BLIND CHILDREN.
    At Certified Schools for the Blind.At Certified Schools for the Partially Blind.At Public Wlementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 126
    DEAF CHILDREN.
    At Certified Schools for the Deaf.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 127
    TABLE III— continued. PARTIALLY DEAF CHILDREN.
    At Certified Schools for the Deaf.At Certified Schools for the Partially Deaf.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 127
    MENTALLY DEFECTIVE CHILDREN. FEEBLE-MINDED CHILDREN.
    At Certified Schools for Mentally Defective Children.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 127
    EPILEPTIC CHILDREN. CHILDREN SUFFERING FROM SEVERE EPILEPSY.
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 127
    PHYSICALLY DEFECTIVE CHILDREN. A.—TUBERCULOUS CHILDREN. I.—Children Suffering from Pulmonary Tuberculosis. (Including pleura and' intra-thoracic glands).
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 128
    11.—Children Suffering from Non-Pulmonary Tuberculosis. (This category should include tuberculosis of all sites other than those shown in (I) above).
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 128
    B—DELICATE CHILDREN.
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 128
    C.—CRIPPLED CHILDREN.
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 128
    D—CHILDREN WITH HEART DISEASE.
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 129
    TREATMENT TABLE. GROUP I.— MINOR AILMENTS (excluding Uncleanliness, for which see Group VI.).
    DISEASE OR DEFECT.Number of Defects treated, or under treatment during the year.
    Under the Authority's SchemeOtherwise.Total.
    (1)(2)(3)(4)
  • Page 130
    GROUP II.—defective vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I.).
    DEFECT OR DISEASE.Number of Defects dealt with.Number of Children for whom Spectacles were
    Under the Authority's Scheme (See note b)By private practitioner or at hospital, apart from the Authority's Scheme.Otherwise.Total.Prescribed (1)Obtained (2)
    (1)(ii)(i)(ii)
    Under the Authority's Scheme.Otherwise.Under the Authority's Scheme.Otherwise.
    (1)(2)(3)(4)(5)
  • Page 131
    TABLE IV—. continued. GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT.
    NUMBER OF DEFECTS.
    Received Operative Treatment.Received other forms of Treatment.Total number Treated.
    Under the Authority's Scheme, in Clinic or Hospital.By Private Practitioner or Hospital, apart from the Authority's Scheme.Total.
    (1)(2)(3)(4)(5)
  • Page 132
    TABLE IV.— continued. GROUP IV.—ORTHOPAEDIC AND POSTURAL DEFECTS
    Under the Authority's Scheme (1)Otherwise (2)Total Number Treated
    Residential treatment with educationResidential treatment without educationNon-residential treatment at an orthopedic clinicResidential treatment with educationResidential treatment without educationNon-residential treatment at an orthopa3dic clinic
    (i)(ii)(iii)(i)(ii)(iii)
  • Page 133
    TABLE IV.—continued. GROUP V.—DENTAL DEFECTS.
  • Page 134
    GROUP VI.—UNCLEANLINESS AND VERMINOUS CONDITIONS.