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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
West Ham 1927
[Report of the Medical Officer of Health for West Ham]
- Published
- 1928
- Pages
- 190
- Tables
- 108
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Page 11
Table indicating deaths during past 6 years from:— (Whooping Cough)
Year Scarlet Fever Pertussis Measles -
Page 12
Vital Statistics of the Wards of the Borough, 1927.
Wards. Births Birth Rate Deaths Death Rate Infant Deaths Infant Mortality per 1,000 births Natural increase Births over Deaths Estimated population middle of 1926 -
Page 16
The net deaths of West Ham residents in Public Institutions were 111 infants and 1,378 persons of one year and upwards, making a total of 1,489 Institutional deaths as compared with 1,992 deaths in private residences, i.e., over 42 per cent. of the deaths during- the year occurred in Public; Institutions.
Under 1 year 1 year & upwards -
Page 17
Causes of Death at Different Periods of Life in the County Borough of West Ham during 1927.
Causes of Death. Sex. All Ages 0— 1— 2— 5— 15— 25— 45— 65— 75— -
Page 21
Chief Vital Statistics since 1877.
Year. . Population. Births. Birth Rate. Deaths. Death Rate. Infant Deaths. Infant Mortality Rate. -
Page 27
The following- table sets out the nature of the cases removed, as stated on ambulance removal forms:—
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Page 28
Continued from previous page...
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Page 29
Public Health Staff*
NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
Page 30
Continued from previous page...
NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
Page 31
Continued from previous page...
NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
Page 32
Continued from previous page...
NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
Page 34
List of Shops Visited during- the Year 1927.
Visited. No half-holiday form exhibited. Warned verbally Warning Notice sent. Refused to serve. Summonses attended. -
Page 38
Particulars of Bodies Received into the Mortuaries during 1927.
Month. Stratford Mortuary. Canning Town Mortuary. Number received. |Over 5 yrs. Under 5 yrs. Sent in by Coroner. Sent in by Police. Sent in on Sanitary grounds. Number of Postmortems. Number of Inquests. Number received. Over 5 yrs. Under 5 yrs. Sent in by Coroner. Sent in by Police. Sent in on Sanitary grounds. Number of Postmortems. Number of Inquests. -
Page 43
The following table shows the number of Inspections and Sanitary Notices served in respect of, in the sixteen Wards of the Boroueh, durinir the year 1927:—
Ward Inspections Notices served, in respect of -
Page 52
Table showing the different Trades in which Outworkers were engaged during 1927.
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Page 53
Continued from previous page...
Nature of Work Outworkers' List. Section 107. Notices served on Occupier as to keeping or sending Lists Lists received from Employers Number of Outworkers Addresses received from other Councils Number of Outworkers' Addresses forwarded to other Councils Twice in year Onco in year Lists Outworkers Lists Outworkers Contractors Workmen Contractors Workmen -
Page 54
1.—Inspection of Factories, Workshops and Workplaces. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
Premises. Number of Inspections. Written Notices. Occupiers Prosecuted. (1) (2) (3) (4) -
Page 54
2.—Defects found in Factories, Workshops and Workplaces.
Particulars. Number of Defects. Number of offences in respect to which Prosecutions were instituted. Found. Remedied. Referred, to H.M. Inspector. (1) (2) (3) (4) (5) -
Page 55
Outwork in Unwholesome Premises, Section 108.
Nature of Work Instances Notices served Prosecutions (1) (2) (3) (4) -
Page 59
Samples Analysed by Borough Analyst, 1927.
Articles. Analysed. Genuine. Adulterated. Official. Unofficial. Official. Unofficial. Official. Unofficial. -
Page 60
1. Milk and Cream, not sold as Preserved Cream:—
(a) (b) -
Page 66
APPENDIX I. Table showing Animals examined post-mortem and those found to be Diseased.
Class of Animals. Number Inspected Affected with T.B. Affected with other Diseases. No. Percentage. No. Percentage -
Page 66
APPENDIX II. Table showing Unsound Meat Condemned as a result of Post-Mortem Examinations.
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Page 68
APPENDIX III. Table showing Meat found to be Unfit for Human Food, and the Disease or Condition which required its Condemnation. BO VI N ES.
Disease or Condition. Entire Carcase and Viscera. Heads. Tongues. Forequarters. Hindquarters. Shins. Clods. Stickings. Briskets. Ribs. Flanks. Loins. Rumps. Hearts. Lungs. Diaphragms. Stomachs. Omenta. Intestines. Mesenteries. Livers. Pancreas. Spleens. Kidneys. Kidney Knobs. Mammary Glands. -
Page 69
APPENDIX IV. Table showing deposition of Tubercular Lesions found in the Bones and Organs and on the Serous Membranes of Bovines and Swine.
Class of Animals No. of Animals affected with T.B. Tonsils. Adrenal Bodies. Kidneys. Mammary Glands. Pleura Peritoneum. Pericardium Hearts. Lungs. Livers. Pancreas. Stomachs. Spleens. Intestines. Uteri & Ovaries. Epicardium. Myocardium. Endocardium. Pleura. Parenchyma. Capsule. Parenchyma. Capsule. Parenchyma. Outer Surface. Inner Surface. Omenta. Capsule. Parenchyma. Outer Surface. Inner Surface. Mesenteries (Surface). Capsule. Parenchyma. Testicles & Penis. -
Page 70
APPENDIX V. Table showing deposition of Tubercular Lesions found in the Lymphatic Systems of Bovines and Swine
Class of Animals No. of Animals affected with T.B Sub-Maxillary. Retro-Pharyngeal Parotid. Pre-Scapula. Pre-Pectoral. Pre-Sternal. Supra-Sternal. Sub-Dorsal. Renal. Lumbar. Iliacs. Pre-Crural. Supra-Mamor. Sub-Inguinal. Ischiatic Popliteal. Pericardial. Bronchial. Anterior Mediastinal. Posterior Mediastinal. Gastric. Splenic. Hepatic. Pancreatic. Mesenteric. -
Page 71
APPENDIX VI. Table showing Meat found to be Unfit for Human Food, and the Disease or Condition which required its Condemnation. OVINES.
Disease or Condition. Entire Carcase and Viscera. Neeks. Shoulders. Breasts. Legs. Hearts. Lungs. Livers. -
Page 72
APPENDIX VII. Table showing Meat found to be Unfit for Human Food, and the Disease or Condition which required its Condemnation. SWINE.
Disease or Condition. Entire Carcase and Viscera. Heads and Collars. Hands and Springs. Spare Rib and Blade Bone. Bellies. Loins. Legs. Hearts. Lungs. Stomachs. Intestines. Mesenteries. Livers. Spleens. Kidneys. Skins. -
Page 73
Infectious Diseases. NOTIFIABLE DISEASES (Other than T.B.). The following table shows the number of cases of notifiable diseases occurring dur'ng the year 1927, together with the number removed to hospitals and the total number of deaths from each disease.
Diseases. Cases Notified. Removed to Hospital Total Deaths. -
Page 75
Summary of Notifications.
-
Page 77
The following return sets out the diseases for which disinfection took place in the Northern and Southern parts of the Borough respectively:—
Disease North South Totals -
Page 78
The chief causes of death during the year are briefly summarised as follows:—
Scarlet Fever caused 3 deaths -
Page 79
The following Table shows the admissions and deaths for each month of the year:—
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Page 83
Gate Cases. The following is a record of cases suspected to be suffering from infectious disease which were brought direct for diagnosis:—
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Page 83
Bacteriological Work. In addition to the routine bacteriological work of the Hospital, the following examinations were made for medical practitioners:—
-
Page 84
The following table sets out the number of notified cases of Tuberculosis and the number of deaths during the year at certain age periods, distinguishing separately the pulmonary and non-pulmonary forms, males and females:—
Age Periods. New Cases. Deaths. Pulmonary. Non-pulmonary. Pulmonary. Non-pulmonary. -
Page 87
(A) AVERAGE NUMBER OF BEDS AVAILABLE FOR PATIENTS DURING THE YEAR 1927.
Observation. Pulmonary Tuberculosis. Non-Pulmonary Tuberculosis. Total. "Sanatorium." Beds. "Hospital" Beds. Disease of Bones and Joints. Other Conditions. -
Page 87
(B) RETURN SHOWING THE EXTENT OF RESIDENTIAL TREAT MENT DURING THE YEAR 1927.
In Institutions on Jan. 1. Admitted during the year. Discharged during the year. Died in the Institutions. In Institutions on Dec. 31. -
Page 88
Return showing the work of the Dispensary during the year 1927.
Diagnosis. Pulmonary. Non-Pulmonary. Total. Adults. Children. Adults. Children. Adults. Children. -
Page 89
Continued from previous page...
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Page 90
Return showing the immediate results of treatment of patients* and of observation of doubtful cases discharged from Residential Institutions during the year 1927.
Condition at time of discharge Duration of Residential Treatment in the Institution. Total Under 3 months 3-6 months 6-12 months More than 12months -
Page 91
At the end of 1026 the number of patients remaining under treatment were:—
-
Page 91
The grades of cases discharged and the results of treatment were as follows:—
T.B. Minus T.B. plus Grade I. T.B. plus Grade II. T.B. plus Grade III. Total -
Page 92
Males.
-
Page 97
Summary of work done by the Hospitals during the Year 1927.
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Page 98
Summary of the work done at the London Clinics for all areas from 1917.
Year. New Cases. Total Venereal Cases. Total Non-Venereal Cases. Total Attendances In-patient days. Pathological Examinations for Syphilis. Soft Chancre. Gonorrhœa. M. F. M. F. M. F. M. F. M. F. M. F. M. F. Clinic. Fractitioners. -
Page 99
Venereal Diseases (L.C.C. Scheme). Return showing the extent to which the facilities have been utilised during the year ended 31st December, 1927.
Hospital. New Cases. No. of Persons. Total attendances. No. of Inpatient days. Sal. Subs, doses given. Pathological Examinations. Total. Syp. S.C. Gon. Not V.D. Total. Ceased to attend. Discharged Spiro. Gon. Wass. Others. (a) (b) (a) (b) (a) (b) (a) (b) -
Page 101
The following table shows the allocation of the patients received at these institutions, to the areas in the scheme :—
Area. No. of Patients. Aggregate No. of days in residence. Percentage (days). -
Page 102
Table showing type of Infant Feeding.
No. of Infants No. of Breast-fed No. Partial Breast-fed No. Complete Artificial -
Page 104
Centres and Clinics (Municipal and Subsidized by the Council).
Address where held No. of Sessions held weekly. Day and time of meeting Centre Att. Med. Consults. Arrangements for Medical Supervision. Average per Session. Expectant Mothers.'' Children. Expectant Mothers. Children. -
Page 107
Number of applications from expectant Mothers :—1188.
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Page 108
Visits Paid.
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Page 108
Orthopaedic work is carried on at the Children s Hospital, Balaam Street, Plaistow.
Maternity Homes. No. of beds No. of cases Weeks spent -
Page 113
Age of Mother.
Under 20 21-25 25-30 31-35 36-40 Over 40 Total -
Page 113
No. of Pregnancies.
1 2 3 4 5 6 7 8 9 10 11 12 or more -
Page 113
Duration of Pregnancy.
Full-term Premature Abortion. -
Page 113
Nature of Confinement.
Normal Normal delivery but torn perineum Instrumental Presentation Abnormal Adherent Placenta Abortion -
Page 113
Attended at Confinement by—
Doctor (including all cases, also where the Dr. was sent for by Midwife). Midwife Hospital -
Page 114
RESULT.
Recovery. Death. -
Page 116
There were no cases of notified pemphigus occurring in hospital practice; one infant, born in hospital, developed a few watery blisters shortly after discharge from hospital on the 12th day.
No. of Cases. Recovery. Death. Midwife. Pemphigus Watery Blisters. Pemphigus Watery Blisters. Pemphigus Watery Blisters. -
Page 116
OPHTHALMIA NEONATORUM.
Notified. Cases Treated. Vision Unimpaired Vision Impaired Total Blindness Deaths At home In Hospital -
Page 117
The Infantile Mortality rate for 1927 was 67.4 per 1,000 births. Rate showing ages of children dying under one year.
1927 1926 -
Page 117
Table showing Causes of Death under One Year.
Cause 1927 1926 1925 -
Page 123
Continued from previous page...
Antenatal Care History of Case Cause of Death -
Page 125
From 111 Stillbirths investigated the following tables have been compiled:—
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Page 129
With the sanction of the Board of Control the beds will be apportioned for the various types of cases as follows :—
Males Females -
Page 140
The following tables give a brief resume of the work involved in carrying out this duty:—
Number Examined Ova and Ova Pediculi Body Pediculi Head and Body Pediculi Sores Dirty Visited -
Page 142
Cases Admitted to Special Schools.
Boys Girls -
Page 143
Cases Not Admitted to Special Schools.
Boys Girls -
Page 143
Unfit for School—
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Page 143
Cases allowed to leave Special Schools—
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Page 143
Cases to remain at Special Schools—
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Page 144
AVERAGE HEIGHT AND WEIGHT, 1914-1927. Height.
1914. 1927. Age Number examined 1914 Average Height in inches 1914 Number examined 1927 Average Height in inches 1927 Increase in Height of Children examined in 1927 -
Page 144
Weight.
1914 1927 Age Number examined 1914 Average Weight in lbs. 1914 Number examined 1927 Average Weight in lbs. 1927 Increase in Weight of Children examined in 1927 -
Page 145
The following Table gives an analysis of the entries therein for the year:— Exclusions during 1927.
No. of Cases excluded -
Page 151
The following is a summation of the medical cases attending the four Clinics during 1927:—
New Cases Admitted Total Attendance No. of Children Discharged -
Page 155
The following is a brief account of the daily routine at the School:— Monday to Friday.
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Page 156
WEEKLY MENU.
Breakfast. Recreation Period. Dinner. Tea. Supper. -
Page 158
The following figures summarise the extent of the undertaking during the year:—
Breakfasts Dinners -
Page 158
The number of school children who attended the Corporation Washing Baths during ]927 is given in the following Table:—
Bovs Girls -
Page 159
The following Table gives a list of Schools and Departments from which "refusals " were received during 1927:—
School. Bovs Girls Infants -
Page 160
The following Table gives a list of defects notified to the Teachers, often with suitable recommendations of an educational value:—
-
Page 161
The following Table gives a list of such cases notified by School Attendance Officers, and subsequently visited by Sanitary Inspectors during the year in question:—
-
Page 165
Provision is made by the Authority for defective children at their two Special Schools, Knox Road and Grange Road.
Number of places occupied Mental Defectives Physical Defectives Boys Girls Boys Girls -
Page 167
Two visits are paid annually to this Institution. The scholars inspected comprise the Preparatory Classes, the Junior Art, Technical, Engineering and Domestic Classes, as required by Circular 1153. Age Distribution of Examinees.
Age in years Boys Girls. -
Page 167
Findings of Medical Inspection (Chief Defects referred for treatment).
Condition Boys Girls -
Page 168
MUNICIPAL SECONDARY SCHOOL. (Tennyson Road.) Two visits of inspection were made during 1927, and the whole of the pupils examined who had not been inspected within the previous twelve months.
Age in vears Boys Girls -
Page 168
Chief Defects referred for Treatment or Observation.
Treatment. Observation. Boys Girls Boys Girls -
Page 170
Age Distribution of Examinees.
Age No. Examined -
Page 170
Chief Defects Referred for Treatment or Observation.
Defect Treatment Observation -
Page 171
Age Distribution of Examinees.
Age Boys Girls -
Page 172
Chief Defects referred for Treatment or Observation.
Treatment Observation Defect or Condition. Boys Girls Boys Girls -
Page 172
Age Distribution.
Age No. of Girls Examined -
Page 173
Chief Defects referred tor Treatment or Observation.
Defects Treatment Observation -
Page 176
Holidays in 1925 and 192 and the advantage taken by the children of the facilities granted:—
1925 1927 Increase -
Page 179
TABLE 1.—RETURN OF MEDICAL INSPECTIONS.
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Page 180
TABLE II. A. —Return of Defects found by Medical Inspection in the Year ended 31st December, 1927.
Disease or Defect Routine 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 181
TABLE II.— (Continued)
Routine Inspections Special Inspections No. of Defects No. of Defects Disease or Defect 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 181
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 Inspected Found to require treatment (l) (2) (3) (4) -
Page 182
TABLE III. Numerical Return of all Exceptional Children in the Area in 1927. Public Elementary School Children.
Boys Girls Total -
Page 183
TABLE III.—Continued.
Boys Girls Total -
Page 184
TABLE IV. Return of Defects Treated during the Year ended 31st Dec., 1027. Treatment Table. Croup 1.—Minor Ailments (excluding Uncleanliness).
Disease or Defect. Number of Defects treated, or under treatment during the year. Under the Authority's Scheme. Otherwise. Total. (1) (2) (3) (4) -
Page 184
Croup II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group 1).
Number of Defects dealt with. Disease, or Defect Under the Authority's Scheme. Submitted to refraction tar private practitioner or at Hospital, apart from the Authority's Scheme Otherwise. Total. (1) (2) (3) (4) (5) -
Page 185
TABLE IV.—Continued.
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Page 185
Croup III.—Treatment of Defects of Nose and Throat.
Number of Defects. Received Operative Treatment. Under the Authority's Scheme, in Clinic or Hospital. By Private Practitioner or Hospital, apart from the Authority's Scheme. Total. Received other forms of Treatment. Total number treated. (1) (2) (3) (4) (5) -
Page 185
Croup IV.—Dental Defects. (1) Number of Children who were:—
(a) Inspected by the Dentist: Aged: -
Page 186
TABLE IV.—Continued.
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Page 186
Croup V.—Uncleanliness and Verminous Conditions.