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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 1928

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

Published
1929
Pages
210
Tables
129

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129 tables in this report

  • Page 8
    Extracts from Vital Statistics. The Births during 1928 numbered 5,913, classified as follows :—
    TotalMaleFemale
  • Page 8
    Table indicating deaths during past 6 years from:— (Whooping Cough)
    YearScarlet FeverPertussisMeasles
  • Page 12
    Vital Statistics of the Wards of the Borough, 1928.
    Wards.BirthsBirth RateDeathsDeath RateInfant DeathsInfant Mortality per 1,000 birthsNatural increase Births over DeathsEstimated population middle of 1928.
  • Page 16
    The net deaths of West Ham residents in Public Institutions were 131 infants and 1,317 persons of one year and upwards, making a total of 1,448 Institutional deaths as compared with 1,892 deaths in private residences, i.e., over 43 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 1928.
    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 31
    The following table sets out the nature of the cases removed, as stated on ambulance removal forms:—
  • Page 33
    Public Health Staff.*
    NAMEQUALIFICATIONSOFFICES HELD (Wholetime appointments except where otherwise stated)
  • Page 34
    Continued from previous page...
    NAMEQUALIFICATIONSOFFICES HELD (Wholetime appointments except where otherwise stated)
  • Page 35
    Continued from previous page...
    NAMEQUALIFICATIONSOFFICES HELD (Wholetime appointments except where otherwise stated)
  • Page 36
    Continued from previous page...
    NAMEQUALIFICATIONSOFFICES HELD (Wholetime appointments except where otherwise stated)
  • Page 38
    List of Shops Visited during the Year 1928.
    Visited.No half-holiday form exhibited.Warned verbally.Warning Notice sent.Refused to serve.Summonses attended.
  • Page 41
    Particulars or Bodies Received into the Mortuaries during 1928.
    Month.Stratford Mortuary.Canning Town Mortuary.
    Number received.No. remaining & viewed at Queen Mary's HospitalOver 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.No. 0 Inquests
  • Page 47
    The following table shows the number of Inspections and Sanitary Notices served in respect of, in the sixteen Wards of the Borough, during the year 1928:—
    WardInspectionsNotices served in respect of
  • Page 57
    Outworkers' List. Section 107.
    Nature of WorkLists received from EmployersNumber of Outworkers' Addresses received from other CouncilsNumber of Outworkers' Addresses forwarded to other CouncilsNotices served on Occupier as to keeping or sending Lists
    Twice in yearOnco in year
    ListsOutworkersListsOutworkers
    ContractorsWorkmenContractorsWorkmen
  • Page 58
    1.—Inspection of Factories, Workshops and Workplaces. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
    Premises. (1)Number of
    Inspections. (2)Written Notices. (3)Occupiers Prosecuted. (4)
  • Page 58
    2.—Defects found in Factories, Workshops and Workplaces.
    Particulars. (1)Number of Delects.Number of offences in respect to which Prosecutions were instituted. (5)
    Found. (2)Remedied. (3)Referred, to H.M. Inspector. (4)
  • Page 59
    Outwork in Unwholesome Premises, Section 108.
    Nature of Work (1)Instances (2)Notices served (3)Prosecutions (4)
  • Page 61
    ANIMAL INOCULATION.
    No.From where takenResult
  • Page 62
    Public Health (Preservatives, etc., in Food) Regulations. Sixteen samples of various foods were reported upon as being adulterated with preservative, as under.
  • Page 63
    One hundred and one samples of milk were submitted for Bacteriological Examination, the results being as follows :—
    Grade "A"
    Pasteurized(Tuberculin Tested)Grade "A"Certified
    Up to StandardBelow StandardUp to StandardBelow StandardUp to StandardBelow StandardUp to StandardBelow Standard
  • Page 64
    UNSOUND FOOD CONDEMNED.
  • Page 65
    Samples Analysed by Borough Analyst, 1928.
    Articles.Analysed.Genuine.Adulterated.
    Official.Unofficial.Official.Unofficial.Official.Unofficial.
  • Page 68
    APPENDIX I. (Meat Regulations) 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 69
    APPENDIX II. Table showing Meat found to be Unfit for Human Food, and the Disease or Condition which required its Condemnation. BO-VINES .
    Disease or Condition.Entire Carcase and Viscera.Heads.Tongues.Forequarters.Hindquarters.Top PiecesClods.Stickings.Briskets.Ribs.Flanks.Loins.Rumps.Hearts.Lungs.Diaphragms.Stomachs.Omenta.Intestines.Mesenteries.Livers.Pancreas.Spleens.Kidneys.Kidney Knobs.Mammary Glands.
  • Page 70
    APPENDIX III. 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 Ribs and Blade Bones.Bellies.Loins.Legs.Hearts.Lungs.Stomachs.Intestines.Mesenteries.Livers.Spleens.Kidneys.Omenta
  • Page 71
    OVINES.
    Disease or Condition.Entire Carcase and Viscera.Hearts.Lungs.Intestines.Mesenteries.Livers.
  • Page 72
    APPENDIX V. Table showing Unsound Meat Condemned as a result of Post-Mortem Examinations.
  • Page 73
    APPENDIX VI. 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.TonsilsAdrenal Bodies.Kidneys. (Parenchyma)Tongue (Parenchyma)PleuraPeritoneum.Hearts.Lungs.L ivers.Pancreas.Stomachs.Omenta.Spleens.Intestines.Mesenteries (Surface).Uteri &. OvariesTesticles & Penis.
    PericardiumEpicardium.Myocardium.Endocardium.Pleura.Parenchyma.Capsule.Parenchyma.Capsule.Parenchyma.Outer Surface.Inner Surface.Capsule.Parenchyma.Outer Surface.Inner Surface.Capsule.Parenchyma.
  • Page 74
    APPENDIX VII. Table showing deposition of Tubercular Lesions found in the Lymphatic Systems of Bovinesand 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-Mammary or Sup-Inguinal.IschiaticPopliteal.Pericardial.Bronchial.Anterior Mediastinal.Posterior | Mediastinal.Gastric.Splenic.Hepatic.Pancreatic.| Mesenteric.
  • Page 77
    Infectious Diseases. NOTIFIABLE DISEASES (Other than T.B.). The following table shows the number of cases of notifiable diseases occurring during the year 1928, together with the number removed to hospitals and the total number of deaths from each disease.
    Diseases.Cases Notified.Removed to HospitalTotal Deaths.
  • Page 79
    Summary of Notifications.
    Week Ending 1928Scarlet FeverDiphtheriaEnteric FeverPuerperal FeverSmall PoxTyphus FeverCerebral Spinal FeverAcute PoliomyelitisAcute Polio EncephalitisEncephalitis LethargicErysipelasOphthalmia NeonatorumTuberculosisPneumoniaMalariaDysenteryTrench FeverRelapsing FeverContinued FeverPuerperal Pyrexia
    RespiratoryOther Forms
  • Page 81
    Disinfection. The following return sets out the diseases for which disinfection took place in the Northern and Southern parts of the Borough respectively :—
    DiseaseNorthSouthTotals
  • Page 83
    The following Table shows the admissions and deaths for each month of the year:—
    1928Admissions.Deaths
    Scarlet Fever.Diphtheria.Typhoid Fever.Measles.PneumoniaErysipelas.Chicken-pox.Puerperal Fever.Whooping Cough.Other Diseases.Total.Scarlet Fever.Diphtheria.Typhoid Fever.Measles.PneumoniaErysipelas.Chicken-pox.Puerperal Fever.Whooping Cough.Other DiseasesTotal
  • Page 88
    Cate Cases. The following is a record of cases suspected to be suffering from infections which were brought direct to the Hospital for diagnosis :—
  • Page 88
    Bacteriological Work. In additional to the routine bacteriological work of the Hospital, the following examinations were made for medical practitioners :—
  • Page 88
    Disinfecting Station.
  • Page 91
    Tuberculosis. 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.
    M.F.M.F.M.F.M.F.
  • Page 92
    Comparison with previous years.
    Cases1922192319241925192619271928
  • Page 92
    Examination of Contacts.
    No. of19241925192619271928
  • Page 95
    RESIDENTIAL INSTITUTIONS. (A) AVERAGE NUMBER OF BEDS AVAILABLE FOR PATIENTS DURING THE YEAR 1928.
    Observation.Pulmonary-Tuberculosis.N on-Pulmonary Tuberculosis.Total.
    "Sanatorium." Beds." Hospital " Beds.Disease of Bones and Joints.Other Conditions.
  • Page 95
    (B) RETURN SHOWING THE EXTENT OF RESIDENTIAL TREATMENT DURING THE YEAR 1928.
    In Institutions on Jan. 1.Admitted during the year.Discharged during the year.Died in the Institutions.In Institutions on Dec. 31.
  • Page 96
    Return showing the work of the Dispensary during the year 1928.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 97
    Continued from previous page...
  • Page 98
    Return showing the immediate results of treatment of patients* and of observation of doubtful cases discharged from Residential Institutions during the year 1928.
    Condition at time of dischargeDuration of Residential Treatment in the Institution.Total
    Under 3 months3-6 months6-12 monthsMore than 12 months
  • Page 99
    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 100
    Continued from previous page...
  • Page 102
    The results of treatment for those discharged are as follows:
    T.B. MinusQuiescentImprovedNo material Improvement
  • Page 105
    Venereal Diseases (L.C.C. Scheme). Summary of work done by the Hospitals during the Year 1928.
    London.Middlesex.Essex.Surrey.Kent.Herts.BucksEast Ham.West Ham.Croydon.Total.Other Places.Grand Total.
  • Page 106
    Venereal Diseases. 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.Gonorrhoea.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.Clinic.Practitioners.
  • Page 107
    Venereal Diseases (L.C.C. Scheme). Return showing the extent to which the facilities have been utilised during the year ended 31st December, 1928.
    Hospital.New Cases.No. of Persons.Total attendances.No. of Inpatient days.Sal. Subs, doses given.Spiro.Pathological Examinations.
    Syp.S.C.Gon.Not V.D.Total.Ceased to attend.DischargedGon.Wass.Others.Total.
    (a)(b)(a)(b)(a)(b)(a)(b)
  • Page 109
    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 110
    Number of Births in the Borough in the last 5 years:—
    19241925192619271928
  • Page 110
    Table shewing Type of Infant Feeding in those Infants born and visited by Health Visitors in 1928.
    No. of InfantsComplete Breast fedPartial Breast fedComplete Artificial
  • Page 111
    The work is carried out at the School Dental premises while the School Dentists are engaged at the Schools.
  • Page 112
    Attendances at the Sunlight Clinics. (1) Municipal—2 sessions per week.
  • Page 112
    Average number of attendances per child, 13.9. (2) Voluntary—3 sessions per week.
  • Page 113
    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 116
    Number of Applications from Expectant Mothers, 954.
  • Page 116
    They have made excellent use of the antenptal clinics available for examination of their patients, besides undertaking antenatal supervision themselves.
    Midwives practising for Associations or PrivatelyNumber notifying intention to practiseNo. of births attendedNo. of Records of sending for Medical aid
  • Page 117
    Private Practice : Midwives residing within Borough—
  • Page 117
    Practising within, but residing without Borough—
  • Page 117
    Visits paid during 1923.
  • Page 118
    Orthopoedic work is carried on at the Children's Hospital, Balaam Street, Plaistow.
    Maternity Wards.No. of bedsNo. of casesWeeks spent
  • Page 118
    St. Mary's Hospital, Plaistow, E.13.
  • Page 119
    Continued from previous page...
  • Page 119
    Children's Hospital, Balaam Street, E.13.
  • Page 122
    Age of Mother.
    Under 2020-2525-3030-3535-40Over 40Total
  • Page 122
    No. of Pregnancies.
    12345678910 or over
  • Page 122
    Duration of Pregnancy.
    Full-termPrematureAbortion.
  • Page 123
    Nature of Confinement.
    NormalNormal but torn perineumInstru-| mentalPresentation AbnormalAdherent PlacentaAntepartum Haemor.Post-partum HaemorrhageAbor tion
  • Page 123
    Attended at Confinement by—
    Doctor (including all cases, also where the Dr. was sent for by Midwife).MidwifeHospital
  • Page 123
    Treated for Puerperal Fever or Puerperal Pyrexia at—
    Home.Hospital.
  • Page 125
    OPHTHALMIA NEONATORUM.
    Notified.Cases Treated.Vision UnimpairedVision ImpairedTotal BlindnessDeaths
    At homeIn Hospital
  • Page 126
    Two midwives practising together, connected with an institution, had one case of pemphigus, three cases of watery blisters, and one case of puerperal pyrexia within a period of three weeks. In this case it may be assumed that infection took place directly from case to case, in spite of apparently complete disinfection after each case of the respective midwife.
    Doctor or MidwifeNo. of CasesRecoveryDeath
    PemphigusWateryPemphigusWateryPemphigusWatery
    BlistersBlistersBlisters
  • Page 129
    Continued from previous page...
  • Page 129
    Table showing Causes of Death under One Year.
    Cause1925192619271928
  • Page 133
    History of the Cases. (1) In which death was attributed to Puerperal Fever.
    Antenatal CareHistory of CaseCertified Cause of Death
  • Page 134
    Continued from previous page...
    Antenatal CareHistory of CaseCertified Cause of Death
  • Page 135
    Continued from previous page...
    Antenatal CareHistory of CaseCertified Cause of Death
  • Page 153
    The following tables give a brief resume of the work entailed and findings in connection with special duty:—
    Number ExaminedOvaOva and PediculiBody PediculiHead and Body PediculiSoresDirtyVisited
  • Page 156
    Cases Recommended for Admission to Special Schools.
    BoysGirls
  • Page 156
    Cases Not Admitted to Special Schools.
    BoysGirls
  • Page 156
    Unfit for School.
  • Page 156
    Children on the Roll.
  • Page 157
    Cases to remain at Special Schools—
    BoysGirls
  • Page 157
    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 i n 1927
  • Page 158
    Weight.
    19141927
    AgeNumber examined 1914Average Weight in lbs. 1914Number examined 1927Average Weight in lbs. 1927Increase in Weight of Children examined in 1927
  • Page 158
    The following Table gives an analysis of the entries therein for the year :— Exclusions during 1928.
  • Page 159
    Tinea Tonsurans—
  • Page 172
    WEEKLY MENU.
  • Page 174
    The number of school children who attended the Corporation Washing Baths during 1928 is given in the following Table:—
    BovsGirls
  • Page 175
    The following Table gives a list of Schools and Departments from which "refusals" were received during 1928:—
  • Page 176
    The following Table gives a list of defects notified to the Teachers, often with suitable recommendations of an educational value:—
  • Page 177
    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 178
    KNOX ROAD SPECIAL SCHOOL. Physically Defective.
    BoysGirls
  • Page 179
    Continued from previous page...
    Mentally Defective—BoysGirls
  • Page 179
    GRANGE ROAD SPECIAL SCHOOL. Physically Defective—
    BoysGirls
  • Page 181
    DEFECTIVE CHILDREN. Provision is made by the Authority for defective children at their two Special Schools, Knox Road and Grange Road.
    Number of places occupied
    Mental DefectivesPhysical Defectives
    BoysGirlsBoysGirls
  • Page 183
    Age Distribution of Examinees.
    Age in yearsBoysGirls.
  • Page 183
    Findings of Medical Inspection (Chief Defects referred for treatment).
    ConditionBoysGirls
  • Page 184
    Age Distribution of Examinees.
    Age in yearsBoysGirls
  • Page 184
    Chief Defects referred for Treatment or Observation.
    Treatment.Observation.
    BoysGirlsBoysGirls
  • Page 186
    Age Distribution of Examinees.
    AgeNo. Examined
  • Page 186
    Chief Defects Referred for Treatment.
    DefectTreatment
  • Page 187
    Age Distribution of Examinees.
    AgeBoysGirls
  • Page 188
    Chief Defects referred for Treatment or Observation.
    TreatmentObservation
    Defect or Condition.BoysGirlsBoysGirls
  • Page 188
    Age Distribution.
    AgeNo. of Girls Examined
  • Page 189
    Continued from previous page...
    AgeNo. of Girls Examined
  • Page 189
    Chief Defects referred for Treatment or Observation.
    DefectsTreatmentObservation
  • Page 191
    The numbers examined were as follows :—
    The Crove.BoysGirls
  • Page 192
    The Russell.
    BoysGirls
  • Page 193
    I am indebted to Mr. Slattery for the following Table, which shows the number of children carried at Halfpenny Fares on all West Ham Cars and L.C.C. No. 8 Service Cars during School Holidays in 1927 and 1928, and the advantage taken by the children of the facilities granted :—
    19271928
  • Page 197
    TABLE 1.—RETURN OF MEDICAL INSPECTIONS. A. Routine Medical Inspections.
  • Page 197
    B. Other Inspections.
  • Page 197
    C. Higher Educational Institutions.
  • Page 197
    D. Continuation Schools.
  • Page 198
    TABLE II. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1928.
    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 199
    TABLE II. — (Continued)
    Disease or DefectRoutine InspectionsSpecial 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 199
    B.—Number of Individual Children found at Routine Medical Inspection (to require Treatment (excluding Uncleanliness and . Dental Diseases) :— Elementary.
    GroupNumber of ChildrenPercentage of Children found to requiro treatment
    InspectedFound to require treatment
    (1)(2)(3)(4)
  • Page 200
    TABLE III. Numerical Return of all Exceptional Children in the Area in 19'28. Public Elementary School Children.
    BoysGirlsTotal
  • Page 201
    TABLE III.— Continued.
    CoysGirlsTotal
  • Page 202
    TABLE IV. Return of Defects Treated during the Year ended 31st Dec., 1928. 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 202
    Croup 11.—Defective Vision and Squint (excluding Minor Eye Defects treated as Manor Ailments—Group 1).
    Disease, or DefectNumber of Defects dealt with.
    Under the Authority's Scheme.Submitted to refraction by private practitioner or at Hospital, apart from the Authority's SchemeOtherwise.Total.
    (1)(2)(3)(4)(5)
  • Page 203
    TABLE IV.—Continued.
  • Page 203
    Croup III.—Treatment of Defects of Nose and Throat.
    Numbar of Defects.
    Received Operative Treatment.
    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 203
    Croup IV.—Dental Defects.
    (a) Inspected by the Dentist:
    Aged
  • Page 204
    TABLE IV.—Continued.
  • Page 204
    Croup V.—Uncleanliness and Verminous Conditions.