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West Ham 1927

[Report of the Medical Officer of Health for West Ham]

Published
1928
Pages
190
Tables
108

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108 tables in this report

  • Page 11
    Table indicating deaths during past 6 years from:— (Whooping Cough)
    YearScarlet FeverPertussisMeasles
  • Page 12
    Vital Statistics of the Wards of the Borough, 1927.
    Wards.BirthsBirth RateDeathsDeath RateInfant DeathsInfant Mortality per 1,000 birthsNatural increase Births over DeathsEstimated 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 year1 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 Ages0—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:—
  • Page 28
    Continued from previous page...
  • Page 29
    Public Health Staff*
    NAMEQUALIFICATIONSOFFICES HELD (Wholetime appointments except where otherwise stated)
  • Page 30
    Continued from previous page...
    NAMEQUALIFICATIONSOFFICES HELD (Wholetime appointments except where otherwise stated)
  • Page 31
    Continued from previous page...
    NAMEQUALIFICATIONSOFFICES HELD (Wholetime appointments except where otherwise stated)
  • Page 32
    Continued from previous page...
    NAMEQUALIFICATIONSOFFICES HELD (Wholetime appointments except where otherwise stated)
  • Page 34
    List of Shops Visited during- the Year 1927.
    Visited.No half-holiday form exhibited.Warned verballyWarning 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:—
    WardInspectionsNotices served, in respect of
  • Page 52
    Table showing the different Trades in which Outworkers were engaged during 1927.
  • Page 53
    Continued from previous page...
    Nature of WorkOutworkers' List. Section 107.Notices served on Occupier as to keeping or sending Lists
    Lists received from EmployersNumber of Outworkers Addresses received from other CouncilsNumber of Outworkers' Addresses forwarded to other Councils
    Twice in yearOnco in year
    ListsOutworkersListsOutworkers
    ContractorsWorkmenContractorsWorkmen
  • 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 WorkInstancesNotices servedProsecutions
    (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 InspectedAffected 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.
  • 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 AnimalsNo. of Animals affected with T.B.Tonsils.Adrenal Bodies.Kidneys.Mammary Glands.PleuraPeritoneum.PericardiumHearts.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 AnimalsNo. of Animals affected with T.BSub-Maxillary.Retro-PharyngealParotid.Pre-Scapula.Pre-Pectoral.Pre-Sternal.Supra-Sternal.Sub-Dorsal.Renal.Lumbar.Iliacs.Pre-Crural.Supra-Mamor. Sub-Inguinal.IschiaticPopliteal.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 HospitalTotal 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:—
    DiseaseNorthSouthTotals
  • Page 78
    The chief causes of death during the year are briefly summarised as follows:—
    Scarlet Fevercaused3deaths
  • Page 79
    The following Table shows the admissions and deaths for each month of the year:—
  • Page 83
    Gate Cases. The following is a record of cases suspected to be suffering from infectious disease which were brought direct for diagnosis:—
  • 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...
  • 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 dischargeDuration of Residential Treatment in the Institution.Total
    Under 3 months3-6 months6-12 monthsMore 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. MinusT.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.
  • 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 AttendancesIn-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.DischargedSpiro.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 InfantsNo. of Breast-fedNo. Partial Breast-fedNo. Complete Artificial
  • Page 104
    Centres and Clinics (Municipal and Subsidized by the Council).
    Address where heldNo. of Sessions held weekly.Day and time of meetingCentre Att.Med. Consults.Arrangements for Medical Supervision.
    Average perSession.
    Expectant Mothers.''Children.Expectant Mothers.Children.
  • Page 107
    Number of applications from expectant Mothers :—1188.
  • Page 108
    Visits Paid.
  • Page 108
    Orthopaedic work is carried on at the Children s Hospital, Balaam Street, Plaistow.
    Maternity Homes.No. of bedsNo. of casesWeeks spent
  • Page 113
    Age of Mother.
    Under 2021-2525-3031-3536-40Over 40Total
  • Page 113
    No. of Pregnancies.
    123456789101112 or more
  • Page 113
    Duration of Pregnancy.
    Full-termPrematureAbortion.
  • Page 113
    Nature of Confinement.
    NormalNormal delivery but torn perineumInstrumentalPresentation AbnormalAdherent PlacentaAbortion
  • Page 113
    Attended at Confinement by—
    Doctor (including all cases, also where the Dr. was sent for by Midwife).MidwifeHospital
  • 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.PemphigusWatery Blisters.PemphigusWatery Blisters.PemphigusWatery Blisters.
  • Page 116
    OPHTHALMIA NEONATORUM.
    Notified.Cases Treated.Vision UnimpairedVision ImpairedTotal BlindnessDeaths
    At homeIn 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.
    19271926
  • Page 117
    Table showing Causes of Death under One Year.
    Cause192719261925
  • Page 123
    Continued from previous page...
    Antenatal CareHistory of CaseCause of Death
  • Page 125
    From 111 Stillbirths investigated the following tables have been compiled:—
  • Page 129
    With the sanction of the Board of Control the beds will be apportioned for the various types of cases as follows :—
    MalesFemales
  • Page 140
    The following tables give a brief resume of the work involved in carrying out this duty:—
    Number ExaminedOva and Ova PediculiBody PediculiHead and Body PediculiSoresDirtyVisited
  • Page 142
    Cases Admitted to Special Schools.
    BoysGirls
  • Page 143
    Cases Not Admitted to Special Schools.
    BoysGirls
  • Page 143
    Unfit for School—
  • Page 143
    Cases allowed to leave Special Schools—
  • Page 143
    Cases to remain at Special Schools—
  • Page 144
    AVERAGE HEIGHT AND WEIGHT, 1914-1927. Height.
    1914.1927.
    AgeNumber examined 1914Average Height in inches 1914Number examined 1927Average Height in inches 1927Increase in Height of Children examined in 1927
  • Page 144
    Weight.
    19141927
    AgeNumber examined 1914Average Weight in lbs. 1914Number examined 1927Average Weight in lbs. 1927Increase 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 AdmittedTotal AttendanceNo. of Children Discharged
  • Page 155
    The following is a brief account of the daily routine at the School:— Monday to Friday.
  • Page 156
    WEEKLY MENU.
    Breakfast.Recreation Period.Dinner.Tea.Supper.
  • Page 158
    The following figures summarise the extent of the undertaking during the year:—
    BreakfastsDinners
  • Page 158
    The number of school children who attended the Corporation Washing Baths during ]927 is given in the following Table:—
    BovsGirls
  • Page 159
    The following Table gives a list of Schools and Departments from which "refusals " were received during 1927:—
    School.BovsGirlsInfants
  • 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
    MentalDefectivesPhysicalDefectives
    BoysGirlsBoysGirls
  • 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 yearsBoysGirls.
  • Page 167
    Findings of Medical Inspection (Chief Defects referred for treatment).
    ConditionBoysGirls
  • 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 vearsBoysGirls
  • Page 168
    Chief Defects referred for Treatment or Observation.
    Treatment.Observation.
    BoysGirlsBoysGirls
  • Page 170
    Age Distribution of Examinees.
    AgeNo. Examined
  • Page 170
    Chief Defects Referred for Treatment or Observation.
    DefectTreatmentObservation
  • Page 171
    Age Distribution of Examinees.
    AgeBoysGirls
  • Page 172
    Chief Defects referred for Treatment or Observation.
    TreatmentObservation
    Defect or Condition.BoysGirlsBoysGirls
  • Page 172
    Age Distribution.
    AgeNo. of Girls Examined
  • Page 173
    Chief Defects referred tor Treatment or Observation.
    DefectsTreatmentObservation
  • Page 176
    Holidays in 1925 and 192 and the advantage taken by the children of the facilities granted:—
    19251927Increase
  • Page 179
    TABLE 1.—RETURN OF MEDICAL INSPECTIONS.
  • Page 180
    TABLE II. A. —Return of Defects found by Medical Inspection in the Year ended 31st December, 1927.
    Disease or DefectRoutine Inspections.Special Inspections
    No. of DefectsNo. of Defects
    Requiring treatmentRequiring to be kept under observation, but not requiring treatmentRequiring treatmentRequiring to be kept under observation, but not requiring treatment
    (1)(2)(3)(4)(5)
  • Page 181
    TABLE II.— (Continued)
    Routine InspectionsSpecial Inspections
    No. of DefectsNo. of Defects
    Disease or DefectRequiring treatmentRequiring to be kept under observation, but not requiring treatmentRequiring treatmentRequiring 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):—
    GroupNumber of ChildrenPercentage of Children found to require treatment
    InspectedFound 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.
    BoysGirlsTotal
  • Page 183
    TABLE III.—Continued.
    BoysGirlsTotal
  • 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 DefectUnder the Authority's Scheme.Submitted to refraction tar private practitioner or at Hospital, apart from the Authority's SchemeOtherwise.Total.
    (1)(2)(3)(4)(5)
  • Page 185
    TABLE IV.—Continued.
  • 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.
  • Page 186
    Croup V.—Uncleanliness and Verminous Conditions.