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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

Brentford and Chiswick 1935

[Report of the Medical Officer of Health for Brentford and Chiswick]

Published
1936
Pages
128
Tables
82

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82 tables in this report

  • Page 7
    2. EXTRACTS FROM VITAL STATISTICS OF YEAR.
    Total.M.F.
  • Page 8
    COMPARISON OF VITAL STATISTICS.
    Birth Rate.Death Rate.Infant. Mortality.
  • Page 10
    Mortality in Age Groups.
  • Page 11
    The following sets out the Birth, Death and Infantile Mortality Rates since the date of amalgamation of Brentford and Chiswick.
    Year.Birth Rate.Death Rate.Infantile Mortality.
  • Page 13
    TABLE I. Particulars of Births and Deaths as supplied by the Registrar-General for the Year 1935.
    Cause of Death.Males.Females.
  • Page 14
    Net deaths from stated, causes at various ages under one year.
    Cause of Death.Under one week.1—2 weeks.2—3 weeks.3—4 weeks.Total under 4 weeks.1—3 months3—6 months6—9 months!9—12 months.Total under 1 year.
  • Page 17
    TABLE of CLINICS and TREATMENT CENTRES.
    Description.Address.When Held.Provided by
  • Page 18
    SUMMARY OF WORK AT THE MATERNITY AND CHILD WELFARE CLINICS, 1935.
    BRENTFORD AREA.CHISWICK AREA.Grand Totals, 1935.Grand Totals, 1934.
    Monday Clinics.Wednesday Clinics.Total.Wednesday Clinics.Thursday Clinics.Friday Clinics.Total.
  • Page 22
    The following table indicates certain conditions found and how they were dealt with:—
  • Page 23
    ANTE-NATAL CLINICS.
    District.Number of clinics held during year.Number of expectant mothers attending for the first time.Total number of expectant mothers attending.Number of post-natal mothers attending.Total number of attendances made.Average attendance per sessiqn.
  • Page 24
    The following table gives a brief summary of the work carried out by the Health Visitors during the year:— Number of visits paid during the year by all Health Visitors—
  • Page 25
    The following table sets out particulars of registration during the year:—
  • Page 32
    FACTORIES, WORKSHOPS AND WORKPLACES. 1.—Inspection of Factories, Workshops and Workplaces. Including Inspections made by Sanitary Inspectors.
    Premises.Number of inspections.Number of written notices.Number of prosecutions.
    (1)(2)(3)(4)
  • Page 32
    2.—Defects found in Factories, Workshops and Workplaces.
    Particulars. (1)Number of Defects.Number of prosecutions. (5)
    Found. (2)Remedied. (3)Referred to H.M. Inspector. (4)
  • Page -
    BOROUGH OF BRENTFORD AND CHISWICK. HOUSE-TO-HOUSE INSPECTION DURING THE YEAR 1935.
    STREET OR ROAD.Number of Inspections.Houses let in two Tenements.Houses let in three Tenements.Houses let in four Tenements.Number of Inhabitants.Number of Living Rooms.Number of Sleeping Rooms.Average Number ofNUISANCES AND SANITARY DEFECTS.
    Defective Drains.Defective Connections.Choked Drains.Defective Soil Pipes and Drain Ventilators:Defective Fresh Air Inlets.Absence of, and Broken Manhole Covers, etc.Absence of, and Leaky and Defective Sinks.Defective Water-closets.Water Supply to W.C.'s.Leaky Roofs.Defective Eaves Guttering.Defective Waste, Rainwater Pipes. etc.Dampness in Walls, Floors, etc.Insufficient Ashpits.Defective Paving of Yards, Outhouses, etc.Improper Situation of, or Construction of Drinking Water Cisterns.Premises requiring Repair ing and Cleansing.Overcrowding.Nuisances from Keeping Animals, etc.Accumulations of Stagnant Water.Accumulations of Offensive Matter, Manure, etc.Other Defects.
    Adults.Children.TOTAL.Persons per House, in cluding Children.Living and Sleeping Rooms per House.
  • Page 37
    The following summary sets out the actual position at the end of 1935 of the work under the Housing Act, 1930;:—
  • Page 38
    Work under Housing Act, 1930 (included above) showing Position at 31st December, 1935.
    Number of dwelling-houses demolished.Number of dwelling- houses made fit.No. of persons displaced.
    From demolished houses.To abate overcrowding
    Unfit houses.Other houses.
  • Page 39
    The following statistics are of interest:—
  • Page 40
    HOUSING STATISTICS.
  • Page 41
    Continued from previous page...
  • Page 42
    The following statistics relate to the sale of milk in the area:— Registration particulars—
  • Page 42
    Number of Dealers' Licences to sell—
  • Page 44
    A.—NOTIFIABLE DISEASES DURING THE YEAR.
    Disease.Total Cases notified.Cases admitted to HospitalTotal Deaths.
  • Page 44
    B—OPHTHALMIA NEONATORUM.
    Cases notified.Cases treated at Home.Cases treated in HospitalVision unimpaired.Vision impaired.Total Blindness.Deaths.
  • Page 45
    C.—AGES OF CASES OF INFECTIOUS DISEASES NOTIFIED DURING THE YEAR 1935.
    Notifiable Disease.Number of Cases Notified.
    At all Ages.At Ages—Years.
    Under 112345 and under 1010 and under 1515 and under 2020 and under 3535 and under 4545 and under 6565 and over.
  • Page 46
    D— CASES OF INFECTIOUS DISEASES NOTIFIED DURING THE YEAR 1935, CLASSIFIED IN WARDS.
    Notifiable Disease.Number of cases notified
    Brentford EastBrentford CentralBrentford WestBedford ParkChiswick ParkGrove ParkGunners-buryOld ChiswickTurnham Green
  • Page 49
    The following table shows the work undertaken in this clinic during the six months it was in operation:—
  • Page 51
    Cancer:Deaths during the year classified in Age Groups.
    Age GroupsTotal
    25/35 years35/45 years45/55 years55/65 years65/75 yearsOver 75 years
  • Page 51
    Cancer:Main Seats of Disease as indicated in Deaths during 1935.
    OrganMale.FemaleTotal
  • Page 52
    E.—TUBERCULOSIS.
    Age Periods.New Cases.Deaths.
    Respiratory.Non- Respiratory.Respiratory.Non- Respiratory.
    MaleF'maleMaleF'maleMaleF'maleMaleF'male
  • Page 53
    (b) Laboratory Work. The following table sets out a record of the bacteriological work during the year, all of which was carried out in the Council's Laboratory:—
    Suspected Disease.Result.Totals.
    Positive.Negative.
  • Page 59
    3.—SCHOOL HYGIENE AND ACCOMMODATION. The nominal accommodation for children in the schools during 1935 was as follows :—
  • Page 59
    Chiswick Schools—
  • Page 62
    The progress made in this part of the work is shown in the following table :—
    Total number of examinations made by School Nurses.Number of individual children found to be unclean.Average number of visits per school made during the year by School Nurses.
  • Page 63
    The following table shows the exclusions from school for conditions connected with defective personal hygiene :—
    Verminous condition.ImpetigoScabies.Ringworm.
  • Page 63
    (c) Minor Ailments (vide Table II and Table IV, Group 1).—The following ailments, classified under this heading, were found during the year :—
    Ailment.Routine Inspections.Special Inspections.Total.
  • Page 64
    Non-Pulmonary :—
    Localisation.Routine.Special.Total.
    Requiring treatment.To be kept under observation.Requiring treatment.To be kept under observation.
  • Page 65
    6.— INFECTIOUS DISEASE. The incidence and prevalence of infectious disease is shewn in the following tables :— TABLE SHOWING THE EXCLUSION OF CHILDREN FROM SCHOOL ON ACCOUNT OF INFECTIOUS DISEASE.
    Month.Scarlet FeverDiphtheriaChicken PoxMeaslesWhooping CoughMumpsInfluenza
  • Page 66
    CHILDREN ATTENDING MINOR AILMENT CLINICS SUFFERING FROM INFECTIOUS DISEASE.
    Scarlet Fever.Diphtheria.Chicken Pox.Measles.Whooping Cough.Mumps.Influenza.German Measles.
  • Page 67
    The prevalence of infectious disease in the schools, compared with that of the seven previous years, is shown in the following table :—
    19281929193019311932193319341935
  • Page 68
    The following table shows how these figures compare with those of the seven previous years, and it will be noted that there has been a steady improvement.
    1928 Per cent.1929 Per cent.1930 Per cent.1931 Per cent.1932 Per cent.1933 Per cent.1934 1935 Per Per cent. cent.
  • Page 69
    Where free treatment is not provided, the parents' payment to be according to the following scale for each treatment.
    If the weekly income, exclusive of expenses as set out above, per head of the family
    is more than 9s. and less than 15s.is 15s. or more
    s.d.s.d.
  • Page 69
    The following table shows the scale of charges for Orthopaedic treatment:—
    Family Income.Charge to be made for treatment in Hospital.Charge to be made for treatment at School Clinic.
  • Page 69
    The income derived from these contributing fees, compared with the three previous years, is shown thus :—
    1935193419331932
    £s.d.£s.d.£s.d.£s.d.
  • Page 70
    held to which parents are invited. The work done in the Clinics during the year is indicated in the following table :—
  • Page 70
    Dr. Forbes has kindly supplied me with particulars to make the following table of all elementary school children from this district who attended his Clinic during 1935 :—
    Initials of child.Age.Sex.Localisation of disease.Where treated.
  • Page 75
    The attendances at the Clinic are shown in the following table :—
    Number of children.Attendances.
  • Page 76
    Admittendly these figure do not cover the incidence of these conditions in the whole of an administrativearea, but they may well do so when the scope of Public Health work increases."
    M. & C. Welfare ChildrenSchool Children
  • Page 77
    The Hospital treatment obtained for the children is shown as follows:—
    In-PatientOut-Patient
    Rheumatism 'Heart DiseaseChoreaRheumatismHeart DiseaseChorea
  • Page 80
    Legal Proceedings taken under the School Attendance Byelaws during the year are shewn in the following Table :—
    Initials of Offender.Offence.Act.Pine.
  • Page 83
    Those sent to Special Schools during the year are shown in the following Table:—
    InstitutionCharge to Local Authority per annumContribution by Parents per week
  • Page 84
    The following table is made from the data given by the Head Teachers of the Schools :—
    School.Mentally Deficient.Mentally Retarded.
    Boys.Girls.Boys.Girls.
  • Page 85
    I am indebted to Dr. Laval, of the Middlesex County Council Committee for the Care of the Mentally Defective under Section 2 (2) of the Mental Deficiency Act, for the following table:—
    Initials.Sex.Date notified.Institution or Guardianship.
  • Page 87
    Report on Eye Clinic.
    No. examinedNo. submitted to refractionNo. for whom glasses were prescribedNo. of glasses issued
  • Page 89
    L egal Proceedings taken during 1935 for Offences against the employment of school children and Young Person.
    initials of Offender.Offence.Act under which summoned.Fine.
  • Page 90
    TABLE I. MEDICAL INSPECTION OF CHILDREN ATTENDING PUBLIC ELEMENTARY SCHOOLS.
  • Page 91
    TABLE II. A.—Return of Defects found by Medical Inspection in the Year ending 31st December, 1935.
    Defect or Disease.Routine InspectionsSpecial Inspections
    No. of Defects.No. of Defects.
    Requiring treatment.To be kept under observation, but not requiring treatment.Requiring treatment.To be kept under observation, but not requiring treatment.
    (1)(2)(3)(4)(5)
  • Page 92
    TABLE II.— contd.
    Defect or Disease.Routine InspectionsSpecial Inspections
    No. of Defects.No. of Defects.
    Requiring treatment. (2)To be kept under observation, but not requiring treatment (3)Requiring treatment. (4)To be kept under observation, but not requiring treatment. (5)
  • Page 93
    TABLE II. 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 94
    TABLE III. Return of all Exceptional Children in the Area.
  • Page 95
    TABLE Ul—contd.
  • Page 96
    TABLE III— contd.
  • Page 97
    TABLE IV. TREATMENT TABLES. Group I.—Minor Ailments (excluding Uncleanliness, FOR WHICH SEE TABLE VI)
    Disease or Defect.Number of Defects treated, or under treatment during the year.
    Under the Authority's Scheme.OtherwiseTotal.
    (1)(2)(3)(4)
  • Page 98
    TABDE IV.— contd. Group II.—Defective Vision and Squint (Excluding Minor Eye Defects treated as Minor Ailments—Group I.)
    Number of Defects dealt with
    Under the Authority's SchemeOtherwiseTotal
  • Page 98
    Group III.—Treatment of Defects of Nose and Throat.
    Number of Defects.
    Received Operative TreatmentReceived other forms of TreatmentTotal number treated
    Under the Authority's Scheme, in Clinic or HospitalBy Private Practitioner or Hospital, apart from the Authority's SchemeTotal
    (1)(2)(3)(4)(5)
  • Page 99
    TABIyE IV ( continued ) 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 Clinic.Residential treatment with education.Residential treatment without education.Non-residential treatment at an Orthopaedic Clinic.
  • Page 99
    TABLE V. DENTAI V INSPECTION AND TREATMENT.
  • Page 100
    TABLE V—contd.
  • Page 100
    TABLE VI.
  • Page -
    In the winter months the hospital accommodation again proved inadequate and a number of cases had to be sent to neighbouring hospitals as is indicated in the following table:—
    1932-331933-341934-351935-36
  • Page -
    The following table shows the number of cases admitted to the hospital during the last nine years:—
    1927-281928-291929-301930-311931-321932-331933-341934-351935-36
  • Page -
    The following table indicates the number of cases of the various diseases treated during the year:—
    DiseaseRemaining in Hospital March 31st, 1935Admitted during yearDischarged during yearDied during yearRemaining in Hospital March 31st, 1936
  • Page -
    The three deaths from scarlet fever give a case mortality of 0.8 per cent. The following are particulars of the cases who died:—
    No.Age.Sex.Days in Hospital.Complications.Remarks
  • Page -
    The nine deaths from diphtheria are recorded as follows:—
    No.Day of Disease when Admitted.Days in Hospital before death.Remarks.
  • Page -
    Cost of Maintenance, Etc.
    £s.d.
  • Page -
    The cases admitted to the Hospital in each year since it was opened are as follows:—
  • Page -
    The 516 cases admitted to the Hospital during the period under review came from the two districts as follows:—
    MonthEalingBrentford and ChiswickTotal
  • Page -
    Eleven cases of puerperal pyrexia occurred, these cases suffering from:—
  • Page -
    Stillbirths. Total 12.
  • Page -
    Continued from previous page...
  • Page -
    Cost of Maintenance, Etc.
    Salaries—£s.d.
  • Page -
    The cost per patient per week in the year under review shows a slight increase on the previous year. The net cost per patient per week in the last six years has been:—
    £s.d.