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SUMMARY OF CONTENTS.
Page
Section A.—General and Vital Statistics 3
Section* B.—General Provision of Health Services 6
Section7 C.—Sanitary Circumstances of the Area 11
Section D.—Housing 13
Section E.—Inspection and Supervision of Food . 15
Section F.—Prevalence of and Control over Infectious Disease 15
SECTION A.
GENERAL STATISTICS.
Area of district in acres (exclusive of portion covered by water, including 20 acres
added under revision of boundaries) 2,435
Population at Census, 1931 39,980
Population, estimated by Registrar General, 1933 41,550
Number of separate dwellings, end of 1933 10,389
Rateable value, December, 1933 £369,393
Sum represented by a penny rate, gross £1,566
SOCIAL CONDITIONS.
The Borough continues to be largely residential in character and, in common with the
greater part of the County of Middlesex, the fields are being covered rapidly with houses which
sell for prices varying from £'600 to £800 upwards. Many of the older houses, not only the
larger three-storied houses, but also many two-storied smaller dwellings, have been let to two or
more families, either after adaptation or entirely without any special measures being taken to fit
them for the altered use.
A new tendency which has now appeared, is the erection of new blocks of flats suitable
for persons who are prepared to pay a rent from about £90 per annum upwards.
There was no special industrial development in the Borough, the largest local industry
being that of fruit preserving in which approximately 145 persons are employed. There are
also engineering and engraving works, while the motor garage industry, as elsewhere, employs
a considerable number of persons.
The Chertsey Arterial Road has now crossed the Thames and has reached Twickenham,
and such development as has occurred in its neighbourhood has been of a residential character.
VITAL STATISTICS.
Population.
The population as estimated by the Registrar "General at the middle of 1933 wa s 41,550.
This figure, which I believe to be approximately correct, has been used in calculating the
various rates based on the total population of the Borough. The estimated increase of the
population during the year was therefore 650, and as the natural increase, i.e., the excess of
births over deaths was only 24, the balance of 626 consigted of persons who had moved to
Twickenham from other places. From general observation a considerable number of families
appear to be removing to Twickenham from the South Western parts of London and the
intervening suburbs.
Births.
Total births registered 604
Number of live births 591
Decrease in total births compared with 1932 22
Birth rate (live births) per 1,000 of the population 14.2
The birth rate of 14.2 again shows a decline of 0.5 per thousand of the population below
the rate for the preceding year and may be compared with birth rates of 14.4 for England and
Wales and of 14.5 for 132 smaller towns with populations of comparable size.

The number of still births registered was 13, of which 11 were legitimate and two
illegitimate. The still birth rate was 21 per thousand of the total births. The proportion of
illegitimate births was 1 in every 20 of the total births registered.