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

View report tables

Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Heston and Isleworth 1937

[Report of the Medical Officer of Health for Heston and Isleworth]

Published
1938
Pages
120
Tables
92

This page requires JavaScript

92 tables in this report

  • Page 8
    SUMMARY OF COMPARABLE STATISTICS, YEAR 1937.
    England and Wales.125 County Boroughs and Great Towns including London.148 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census).London Administrative County.Heston and Isleworth.Notes.
    Rates per 1,000 Population.
  • Page 13
    Live Births—
    Total.M.F.
  • Page 13
    SOCIAL CONDITIONS. The greater part of the district is largely a dormitory for workers in London. The chief industries are:—
  • Page 14
    Table of Causes of Deaths during 1937.
    Causes of Death.Civil Residents. all ages.
    All causesMale. 426Female. 469
  • Page 14
    Death Infant Death
    rates.rate.Stillbirths.
  • Page 15
    INFANT MORTALITY DURING THE YEAR,1937. Nett Deaths from stated Causes at Vaious Age under 1 Year of age.
    Cause of Death.Under 1 week1-2 weeks2-3 weeks3-4 weeksTotal under 4 weeks4 weeks and under 3 mths.3 mths. and under 6 mths.6 mths. and under 9 mths.9 mths. and under 12 mths.Total deaths under 1 year
  • Page 15
    Infantile Mortality. As we have no information transmitted to us with regard to some of the births which occur outside the district, and are subsequently transferred in, it is not possible with absolute accuracy to work out the comparative rates of infant mortality for each ward in the Borough, but as far as this is possible with the figures available, and they may be taken as a fairly reliable indication, the numbers of infant deaths and the rates per thousand of the births occuring within the various wards are appended.
    Heston.Hounslow Central.Hounslow Heath.Hounslow South.Hounslow West.Isleworth North.Isleworth South.Soring Grove.
  • Page 16
    LABORATORY WORK, 1937. The routine Laboratory work has been carried out in the Laboratory at the temporary premises occupied by the Department. Certain speciments are sent to outside Laboratories.
    Total.Positive.
  • Page 18
    CLINICS AND TREATMENT CENTRES, 1937.
    Clinics and Treatment Centres.Address.Day.Time.Provided by
  • Page 19
    Comparative figures for the years 1935, 1936 and 1937, in connection with nuisances, are submitted herewith:—
    193519361937
  • Page 24
    Sundry Nuisances or Contraventions, etc.:
  • Page 24
    ERADICATION OF BED BUGS.
  • Page 26
    FACTORIES, WORKSHOPS AND WORKPLACES INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES. Including Inspection made by Sanitary Inspectors.
    Premises.Number on Register.Number of
    Inspections.Written Notices.Prosecutions.
    (1)(2)(3)(4)(5)
  • Page 26
    DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars.Number of Defects.
    Outstanding Jan. 1st, 1937.Found during 1937.Remedied during 1937.Outstanding Dec. 31st. 1937.Referred to H.M. Inspector.Number of Prosecutions.
    1234567
  • Page 26
    OUTWORK.
  • Page 27
    The whole of the inspectorial staff is appointed as Canal Boats Inspectors by virtue of their appointments as Sanitary Inspectors. Only two of these are actively engaged in the work.
  • Page 28
    HOUSING STATISTICS. 1. GENERAL.
  • Page 28
    2. INSANITARY AND UNFIT DWELLING HOUSES. 1. Inspection of Dweling-Houses during the Year.
  • Page 28
    continued from previous page
  • Page 29
    C. Proceedings under Sections 11 and 13 of the Housing Act, 1936 :—
  • Page 30
    Table showing dwelling-houses represented as unfit for human habitation since the passing of the Housing Act, 1930.
    Premises.No. of houses represented as unfit.Dates of representations.Dates undertakings to render fit accepted.Dates houses rendered fit in accordance with undertakings.Dates undertakings accepted that houses would not be re-let for human habitation.Dates Demolition Orders made.Dates Demolition Orders obeyed.Dates Demolition Orders enforced.
  • Page 31
    Continuation of Table showing dwelling-houses represented as unfit for human habitation since the passing of the Housing Act, 1930.
    Premises.No. of houses represented as unfit.Dates of representations.Dates undertakings to render fit accepted.Dates houses rendered fit in accordance with undertakings.Dates undertakings accepted that houses would not be re-let for human habitation.Dates Demolition Orders made.Dates Demolition Orders obeyed.Dates Demolition Orders enforced.
  • Page 32
    Continuation of Table showing dwelling-houses represented as unfit for human habitation since the passing of the Housing Act, 1930.
    Premises.No. of houses represented as unfit.Dates of representations.Dates undertakings to render fit accepted.Dates houses rendered fit in accordance with undertakings.Dates undertakings accepted that houses would not be re-let for human habitation.Dates Demolition Orders made.Dates Demolition Orders obeyed.Dates Demolition Orders enforced.
  • Page 33
    Continuation of Table showing dwelling-houses represented as unfit for human habitation since the passing of the Housing Act, 1930.
    Premises.No. of houses represented as unfit.Dates of representations.Dates undertakings to render fit accepted.Dates houses rendered fit in accordance with undertakings.Dates undertakings accepted that houses would not be re-let for human habitation.Dates Demolition Orders made.Dates Demolition Orders obeyed.Dates Demolition Orders enforced.
  • Page 34
    Inspection and Supervision of Food
  • Page 35
    CARCASES INSPECTED AND CONDEMNED, 1937.
    Castle including Cows.CalvesSheep and LambsPigs
  • Page 36
    Food and Drugs Adulteration Act.—I am indebted to Dr. J. Tate, County Medical Officer for the following report, as to the samples purchased in this area during 1937. The total number of samples taken was 285, and 43 were found to be adulterated.
    MilkCream CakesLamb's LiverVinegar
  • Page 36
    UNSOUND FOOD, 1937.
    Tons.Cwt.Qrs.LbsOzs
  • Page 37
    Scarlet Fever. —The following table shows the number of cases which have been notified, and the number and percentage of cases which have been removed to Hospital :—
  • Page 37
    Diphtheria. —The following table shows the number of notifications received and the percentage of cases of Diphtheria removed to Hospital:—
  • Page 37
    The incidence of Diphtheria in the District compares with the rest of the County as follows :—
    Rates per 1,000 of Population.
    Cases.Deaths.
  • Page 39
    At this point it will be of interest to tabulate the results over the number of years in which we were using T.A.M. (Burroughs Wellcome) practically exclusively as the antigen. These results are based on thousands of Schick positive cases. Below are given the bare figures obtained with A.P.T. (Lilly) which will be discussed more fully later.
    Prophylactic and dose.Makers.Percentage rendered Schick-negative in three-6 months.Percentage of undesirable reaction.
  • Page 39
    Details of the A.P.T. Work.
  • Page 39
    Results of the Single Injection of 0.5 c.c. of Lilly A.P.T.
  • Page 39
    Results of Two Injections of Lilly A.P.T 0.2 and 0.5 at 14 days interval.
  • Page 42
    Non-Notifiable Diseases. —Information respecting non-notifiable infectious diseases is usually gained through notifications by the Head Teachers and School Attendance Officers. The following table sets forth the numbers of such cases for the last six years :—
    193219331934193519361937
  • Page 43
    The following Table gives further particulars of new cases notified and deaths in 1937.
    Age Periods.New Cases.Deaths
    Pulmonary.Non-Pulmonary.Pulmonary.Non- Pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 43
    It is satisfactory to record that the deaths from Tuberculosis in this district have come down from 76 in 1933; 72 in 1934; to 53 in 1935; to 61 in 1936, and 53 in 1937, the death rates per 1,000 of population from Tuberculosis for these years being as follows :—
  • Page 44
    INFECTIOUS DISEASES, 1937, CASES NOTIFIED.
    Scarlet Fever.Diphtheria.Enteric Fever.Puerperal Fever.Erysipelas.Cerebro-Spinal Fever.Encephalitis Lethargica.Poliomyelitis.Pneumonia.Respiratory Tuberculosis.Other forms of Tuberculosis.Ophthalmia Neonatorum.Puerperal PyrexiaPolio- Encephalitis
  • Page 44
    DIPHTHERIA, 1937 (including Bacterial cases, 3 in number).
    MonthWARD.Elem. School ChldrenOther School ChldrenOther Cases
    TotalHstn.Houn. CentHoun. Hth.Houn Sth.Houn. WestIsle-wth N.Isle-wth S.Spng. Grve.
  • Page 45
    Notifiable Diseases during 1937.
    DieaseToatal Cases Notified.TotalCases admited toHospital
    Under1 yrs1-2 yrs2-3 yrs3-4 yrs4-5 yrs5-10 yrs10-15 yrs15-20 yrs20-35 yrs35-45 yrs45-65 yrs65 years and HospitalJoint Board HospitalOther Hospital
  • Page 46
    DEATHS FROM NOTIFIABLE INFECTIOUS DISEASES, 1937. Age Groups.
    Under 1 year.1 yr-2 yrs.3 yrs.4 yrs.5 yrs.10 yrs.15 yrs.20 yrs.35 yrs.45 yrs.65 yrs. and over.Total all Ages.
  • Page 46
    The table hereunder gives the number of cases of infectious diseases that were notified from the several institutions in the district during 1937 :—
    Enteric FeverScarlet FeverDiphtheriaPneumonia (all forms)ErysipelasPuerperal FeverPuerperal PyrexiaCerebro-Spinal FeverOphthalmia NeonatorumPulmonary TuberculosisOther Tuberculosislincephalitis LethargicaAcute PoliomyelitisPolio- EncephalitisTotal
  • Page 51
    The attendances of children at all the Centres during the last six years have been as follows:—
    Year.1932.1933.1934.1935.1936.1937.
  • Page 51
    The average attendances per session during the year 1937 were as follows:—
    Douglas Road No. 1.Douglas Road No. 2.Isleworth Centre.Heston Centre.
  • Page 51
    The number of individual mothers and children attending the Centres is shown hereunder.
    Douglas Road, Hounslow No. 1—19331934193519361937
  • Page 52
    Continued from previous page...
  • Page 52
    Sales at Clinics.
    Quantity.Receipts.
  • Page 52
    Notification of Births. Number of births notified, as adjusted by transferred notifications.
    Live births1419Still births 36Total1455
  • Page 54
    The following are the figures of attendances at the Ante-Natal Clinic :—
    1934193519361937
  • Page 55
    2. To ascertain the net weekly income per head:—
  • Page 56
    3. Charge for midwife's services to be then ascertained from the following scale according to the net weekly income per head:—
    No in family (excluding unborn child).Charges for Midwife's Services.
    1 person2 or 3 persons.4 or 5 persons.6 or more persons.
  • Page 57
    Income per head after deducting rent. Proportion of Charge to patient
  • Page 60
    Comparative figures:—
    Appointments wereYear.Mothers.Children.Total.
  • Page 60
    Dentures supplied to mothers.
    Year.Upper.Lower.
  • Page 60
    Details of other work, years 1936 and 1937.
    19361937
  • Page 61
    Home Visiting. —The visits by the Health Visitors in connection with the Maternity and Child Welfare Work and Public Health work were as follows:—
  • Page 62
    OPHTHALMIA NEONATORUM, Year 1937.
    Cases.Vision Unimpaired.Vision Impaired.Total Blindness.Removed from District and Deaths.
    Notified.Treated
    At Home.In Hospital.
  • Page -
    ELEMENTARY SCHOOLS IN THE AREA. (on 31st December, 1937).
    School.Department.AccommodationNumber on Registers.
  • Page -
    Summary of School Nurses' work during 1937.
    Attendances.
  • Page -
    Continued from previous page...
  • Page -
    In November, 1936 the following preparations were placed on sale in the School Clinics. I append details of the quantities issued during 1937—the first full year of the scheme.
  • Page -
    it has been possible to increase the number of examinations to 16,942, compared with 15,135 in 1936.
  • Page -
    During 1937 it was found necessary to take legal proceedings in 13 cases, with the following results :—
  • Page -
    Frames:
    Shellite.Rolled Gold.Heavy Nickel.
  • Page -
    The growth of the work is best shown by the following figures for the years 1923-1937. These figures are those required by the Roard of Education annually and are therefore strictly comparable year by year.
    Children attending for errors of refraction.SPECTACLES.
    Prescribed.Obtained.
  • Page -
    Hounslow Centre.
    ElementarySecondaryPre-SchoolTotal for Centre
  • Page -
    Isleworth Centre.
    ElementarySecondaryPre-SchoolTotal for Centre
  • Page -
    Attendances. Statistical Table—1936/1937. Increase over 1936.
    No of children inspected.Age.1936.1937.Nos.%
  • Page -
    These Sessions included every section of the Clinic's work, and not exclusively for Elementary Schools.
    FILLING AND EXTRACTIONS.1936. Permanent Teeth.1937. Permanent Teeth.
  • Page -
    In 1937 for every permanent tooth extracted, nearly 7 permanent teeth were filled.
    1936. Temporary Teeth.1937. Temporary Teeth.
  • Page -
    Secondary School Statistical Table—1936/1937.
    No. of children inspected.Age.1936.1937.
  • Page -
    Continued from previous page...
    1936.1937.
  • Page -
    Thirty children from this area attended as Out-patients. Eleven children received Inpatient treatment at the Royal National Orthopaedic Hospital during the year. The following list shows the conditions treated and the Authority responsible for the charges —
    Case No.Condition treated.Authority Responsible.
  • Page -
    The following table shows the infectious disease which occurred among children attending public elementary schools during 1937 and the five previous years.
    193719361935193419331932
  • Page -
    This table shows the incidence of infectious disease in each school during 1937 :—
    school.Scarlet feverDiphtheria.MeaslesGerman measlesMumpsChicken poxWhooping cough
  • Page -
    The new scale, in connection with the sale of preparations at the School Clinics (see page 11), is given below :— Sale of Preparations at School Clinics.
    Number in Family.Weekly income per head after deducting rent
  • Page -
    Scale of charges for operative treatment of Tonsils and Adenoids. Full cost of operation is £1 11 6d.
    No. in Family.Income per head after deducting rent.
  • Page -
    A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups—
  • Page -
    B.—Other Inspections.
  • Page -
    C.—Children found to require Treatment. Number of individual children found at Routine Mldical Inspection to Require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases).
    Group. (1)For defective vision (excluding squint). (2)For all other conditions recorded in Table II A. (3)Total. (4)
  • Page -
    TABLE II. A. RETURN OF DEFECTS found by Medical Inspection in the Year ended 31st December, 1937.
    Defect or Disease. 1Routine Inspections. No. of Defects.Special Inspections. No. of Defects.
    Requiring treatment. 2Requiring to be kept under observation, but not requiring treatment. 3Requiring treatment. 4Requiring to be kept under observation, but not requiring treatment. 5
  • Page -
    B. CLASSIFICATION OF THE NUTRITION OF CHILDREN INSPECTED DURING THE YEAR IN THE ROUTINE AGE GROUPS.
    Age-groupsNumber of Children InspectedA (Excellent)B (Normal)C (Slightly subnormal)D (Bad)
    No.%No.%No.%No.%
  • Page -
    BLIND CHILDREN.
    At Certified Schools for the Blind.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page -
    TABLE III.— continued. PHYSICALLY DEFECTIVE CHILDREN. A. Tuberculous Children. I.—CHILDREN SUFFERING FROM PULMONARY TUBERCULOSIS.
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page -
    Analysis of the above Total.
    Diagnosis.Boys.Girls.
  • Page -
    TABLE IV.—RETURN OF DEFECTS TREATED DURING THE YEAR ENDED 31st DECEMBER, 1937. TREATMENT TABLE. GROUP I.—MINOR AILMENTS (excluding Uncleanliness, for which see Group VI).
    Disease or Defect. (1)No. of Defects treated, or under treatment during the year
    Under the Authority's Scheme (2)Otherwise (3)Total. (4)
  • Page -
    TABLE IV.— continued. GROUP II.—DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments—Group I.)
    Defect or Disease (1)No. of defects dealt withNo. of children for whom spectacles were
    Under the Authority's Scheme (2)Otherwise (3)Total (4)Prescribed (1)Obtained (2)
    (0 Under the Authority's Scheme(ii) Otherwise(i) Under the Authority's Scheme(ii) Otherwise
  • Page -
    GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT. NUMBER OF DEFECTS
    Under the Authority's Scheme in Clinic or Hospital (1)By Private Practitioner or Hospital, apart from the Authority's Scheme. (2)Total (3)Received other forms of Treatment. (4)Total Number Treated (5)
  • Page -
    GROUP IV —ORTHOPAEDIC AND POSTURAL DEFECTS.
    Under the Authority's Scheme. (1)Otherwise. (2)Total number treated.
    Residential treatment with education.Residential treatment without education.Non-residential treatment at an orthopaedic clinicResidential treatment with education.Residential treatment without education.Non-residential treatment at an Orthopaedic clinic.
    (i)(ii)(iii)(i)(ii)(iii)
  • Page -
    TABLE IV—OPHTHALMIC TREATMENT AND DENTAL INSPECTION AND TREATMENT OF SECONDARY SCHOOL CHILDREN. GROUP II. DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments).
    No. of Defects Dealt with.
    Under the Authority's SchemeOtherwiseTotal
  • Page -
    TABLE V.—DENTAL INSPECTION AND TREATMENT. (1) Number of children inspected by the Dentist (a) Routine age-groups