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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 1929
[Report of the Medical Officer of Health for West Ham]
- Published
- 1930
- Pages
- 210
- Tables
- 124
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Page 8
Vital Statistics.
BIRTHS. Legitimate Illegitimate -
Page 8
DEATHS.
Under 1 year Under 2 years Over 2years -
Page 11
Vital Statistics of the Wards of the Borough, 1929.
Wards. Births Birth Rate Deaths Death Rate Infant Deaths Infant Mortality per 1,000 births Natural increase Births over Deaths Estimated population middle of 1929. -
Page 16
Continued from previous page...
Under 1 year 1 year & upwards -
Page 17
Causes of Death at Different Periods of Life in the County Borough of West Ham during 1929.
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Page 21
Chief Vital Statistics since 1877.
Year. Population. Births. Birth Rate. Deaths. Death Rate. Infant Deaths. Infant Mortality Rate. -
Page 28
The following table sets out the nature of the tases removedas stated on ambulance removal forms :—
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Page 30
Public Health Staff.*
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 33
Continued from previous page...
NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
Page 35
List of Shops Visited during the Year 1929.
Visited. No half-holiday form exhibited. Warned verbally. Warning Notice sent. Refused to serve. Summonses attended. -
Page 49
The following examples typical of many others, will serve to throw a lurid light upon the conditions prevailing:—
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Page 50
Continued from previous page...
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Page 52
Table showing the Different Trades in which Outworkers were engaged during 1929.
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Page 53
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 53
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 54
Outwork in Unwholesome Premises, Section 108.
Nature of Work Instances | Notices served Prosecutions (1) (2) (3) (4) -
Page 56
ANIMAL INOCULATION.
No. From where taken Result -
Page 57
Public Health (Preservatives, etc., in Food) Regulations. Fourteen samples of various foods were reported upon as being adulterated with preservative, as under:— round Ginger containing Sulphur di-oxide Official Prosecution followed
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Page 58
One hundred and eight samples of milk were submitted for Bacteriological Examination, the results being as follows:—
Pasteurized Grade "A" (Tuberculin Tested) Grade "A" Certified Up to Standard Below Standard Up to Standard Below Standard Up to Standard Below Standard Up to Standard Below Standard -
Page 59
UNSOUND FOOD CONDEMNED.
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Page 60
Samples Analysed by Borough Analyst, 1929.
Articles. Analysed. Genuine. Adulterated. Official. Unofficial. Official. Unofficial. Official. Unofficial. -
Page 61
Samples Analysed by Borough Analyst, 1929—Continued.
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Page 64
TABLE I. (Meat Regulations). 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 65
TABLE II. Table showing Meat found to be Unfit for Human Food, and the Disease or Condition which required its Condemnation. BO VIN ES.
Disease or Condition. Entire Carcases and Viscerae. Heads. Tongues. Forequarters. Shins. Aitch Bones. Clods. Stickings. Briskets. Ribs. Flanks. Loins. Rumps. Hearts. Lungs. Diaphragms. Stomachs. Omenta. Intestines. Mesenteries. Livers. Pancreas. Spleens. Kidneys. Kidney Knobs. Mammary Glands. -
Page 66
TABLE 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 Viscerae. Heads and Collars. Hands and Springs. Spare Ribs and Blade Bones. Bellies. Loins. Legs. Hearts. Lungs. Stomachs. Intestines. Mesenteries. Livers. Spleens. Kidneys. Omenta -
Page 67
TABLE IV. Table showing Meat found to be Unfit for Human Food, and the Disease or Condition which required its Condemnation. OVINES.
Disease or Condition. Necks Entire Carcases and Viscerae. Hearts. Lungs. Legs. Breasts. Livers. Shoulders -
Page 68
TABLE V. Table showing Unsound Meat Condemned as a result of Post-Mortem Examinations.
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Page 69
TABLE VI. 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. Sternebrae. Tonsils Adrenal Bodies. Kidneys. (Substance) Mammary Glands Pleura Peritoneum. Hearts. Lungs. Livers. Pancreas Stomachs Omenta. Spleens. Intestines. Mesenteries (Surface). Uteri & Ovaries. Testicles & Penis. Pericardium Epicardium. Myocardium. Endocardium. Pleura. Parenchyma. Capsule. Substance. Capsule. Substance. Outer Surface. Inner Surface. Capsule. Substance. Outer Surface. Inner Surface. Capsule. Inner Surface or Substance. -
Page 70
TABLE VII. Table showing deposition of Tubercular Lesions found in the Lymphatic Systems of Bovinesand Swine
Class of Animals No. of Animals affected with T.B Sub-Maxillary. Retro-Pharyngeal Parotid. Atlantal Pre-Scapula. Pre-Pectoral. Pre-Sternal. Supra-Sternal. Sub-Dorsal. Renal. Lumbar. Iliacs. Pre-Crural. Supra-Mammary or Sup-Inguinal. Ischiatic Popliteal. Pericardial. Bronchial. Anterior Mediastinal. Posterior Mediastinal. Gastric. Splenic. Hepatic. Pancreatic. Mesenteric. -
Page 73
Infectious Diseases. NOTIFIABLE DISEASES (Other than T.B.). The following table shows the number of cases of notifiable diseases occurring during the year 1929, 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 73
* Includes unnotified cases. Table indicating deaths during the past seven years from
Year Scarlet Fever (Whooping Cough) Measles -
Page 75
Summary of Notifications.
Week Ending 1929 Scarlet Fever Diphtheria Enteric Fever Puerperal Fever Small Pox Typhus Fever Cerebro-Spinal Fever Acute Poliomyelitis Acute Polio Encephalitis Encephalitis Lethargica Erysipelas Ophthalmia Neonatorum Tuberculosis Pneumonia Malaria Dysentery Trench Fever Relapsing Fever Continued Fever Puerperal Pyrexia Respiratory Other Forms -
Page 77
Disinfection. 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 79
Table II. shows the annual admissions and deaths from the principal diseases since the Hospital was opened.
1929 Admissions. Deaths. Scarlet Fever. Diphtheria. Typhoid Fever. Measles. Pneumonia Erysipelas. Chicken-pox. Puerperal Fever. Whooping Cough. Other Diseases. Total. Scarlet Fever. Diphtheria. Typhoid Fever. Measles. Pneumonia Erysipelas. Chicken-pox. Puerperal Fever. Whooping Cough. Other Diseases. Total. -
Page 80
Continued from previous page...
Year. Scarlet Fever. Diphtheria. Typhoid Fever. Measles. Pneumonia. Whooping Cough. Erysipelas. Ad. D. Ad. D. Ad. D. Ad. D. Ad. D. Ad. D. Ad. D. -
Page 86
Number sent by medical practitioners :—
Positive Results -
Page 86
Number of Gate cases swabbed:—
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Page 87
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 87
The following table sets out the percentage of deaths from tuberculosis (not notified during life) for the years 1923-1920 inclusive:—
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Page 88
Comparison with the work done in previous years.
Cases 1924 1925 1926 1927 1928 1929 -
Page 88
Examination of Contacts.
1924 1925 1926 1927 1928 1929 -
Page 91
RESIDENTIAL INSTITUTIONS. (A) AVERAGE NUMBER OF BEDS AVAILABLE FOR PATIENTS DURING THE YEAR 1929.
Observation. Pulmonary Tuberculosis. Non-Pulmonary Tuberculosis. Total. "Sanatorium." Beds. " Hospital " Beds. Disease of Bones and Joints. Other Conditions. -
Page 91
(B) RETURN SHOWING THE EXTENT OF RESIDENTIAL TREATMENT DURING THE YEAR 1929.
In Institutions on Jan. 1. Admitted during the year. Discharged during the year. Died in the Institutions. In Institutions on Dec. 31. -
Page 92
Return showing the work of the Dispensary during the year 1929.
Diagnosis. Pulmonary. Non-Pulmonary. Total. Adults. Children. Adults. Children. Adults. Children. M. F. M. F. M. F. M. F. M. F. M. F. -
Page 93
Continued from previous page...
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Page 94
Return showing the immediate results of treatment of patients and of observation of doubtful cases discharged from Residential Institutions during the year 1929.
Condition at time of discharge Duration of Residential Treatment in the Institution. Total Under 3 months 3-6 months 6-12 months More than 12 months Pulmonary Tuberculosis M. F. Ch. M. F. Ch. M. F. Ch. M. F. Ch. -
Page 95
(a) PULMONARY TUBERCULOSIS. Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1929, arranged according to the years in which the patient first came under Public Medical Treatment for pulmonary tuberculosis, and their classification as shown on Form A.
Condition at the time of the last record made during the year to which the Return relates. 1926 1927 1928 1929 Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus. Class T.B. minus Class T.B. plus Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) -
Page 97
(b) NON-PULMONARY TUBERCULOSIS. Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1929, arranged according to the years in which the patient first came under Public Medical Treatment, and their classification as shown on Form A.
Condition at the time of the last record made during the year to which the Return relates. 1926 1927 1928 1929 Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total C1 C2 C3 C4 C1 C2 C3 C4 C1 C2 C3 C4 C1 C2 C3 C4 -
Page 99
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 100
Continued from previous page...
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Page 102
The results of treatment for those discharged are as follows
T.B. Plus. T.B. Minus. Quiescent. Improved. No material improvement. -
Page 105
Venereal Diseases (L.C.C. Scheme). Summary of work done by the Hospitals during the Year 19'29.
London. Middlesex. Essex. Surrey. Kent. Herts. Bucks East 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 Attendances In-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, 1929.
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 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
Table showing Type of Infant Feeding in those Infants born and visited by Health Visitors in 1929.
No. of Infants Completely Breast fed Partially Breast fed Completely Artificial -
Page 113
Centres and Clinics (Municipal and Subsidized by the Council) :
Address where held No. of Sessions held weekly. Day and time of meeting Average per Session. Centre Att. Med. Consults. Expectant Mothers. Children. Expectant Mothers. Children. Arrangement for Medical Supervision. Doctors— -
Page 114
Since August, 1920, Dried Milk has been distributed under the Maternity and Child Welfare Scheme as follows :—
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Page 117
Number notifying intention to practise No. of births attended No. of Records of sending for Medical aid Midwives practising for Associations or Privately -
Page 118
Visits paid during 1929.
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Page 118
Continued from previous page...
Maternity Hospitals. No. of beds No. of cases Weeks spent -
Page 121
Midwives' Act, 1902 and 1918. Analysis of records of sending for Medical Aid, 1929.
PREGNANCY— INFANT— -
Page 122
Arrangements are in force whereby anv infant suffering from Ophthalmia Neonatorum can be admitted to hospital for immediate treatment.
Notified. Cases Treated. Vision Unimpaired V ision Impaired Total Blindness Deaths At home In Hospital -
Page 123
No further cases of "watery blisters" have occurred since in the practice of this midwife.
Midwife or Treated at -
Page 124
Table shewing Causes of Death in those Eight Cases who received Antenatal Supervision.
No. Antenatal Care and Examination by Cause of Death. -
Page 127
Summary of the Cases. (1) Deaths from Sepsis.
Antenatal Care History of Case Certified Cause of Death -
Page 128
Antenatal Care History of Case Certified Cause of Death -
Page 129
Continued from previous page...
Antenatal Care History of Case Certified Cause of Death -
Page 130
STILLBIRTHS.
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Page 130
Age of the Mothers.
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Page 130
Duration of Pregnancy (lunar months).
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Page 130
Number of Pregnancies
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Page 130
Condition of Foetus.
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Page 130
Labour—Presentation.
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Page 131
History of previous pregnancies and labours showed that out of 123 Multiparae in the scries of 178 there were:—
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Page 131
Continued from previous page...
Attributed Cause of Stillbirth. Cases -
Page 132
Stillbirths—Antenatal Supervision. Out of 178 cases of Stillbirths investigated by the Health Visitors, 62 had received no antenatal supervision in any form (34.8 per cent.). In the remaining 116 cases varying degrees of antenatal care were exercised as shewn in the following table:—
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Page 132
Of the puerperal pyrexia cases, 14 occurred in patients confined in but not ordinarily resident in the Borough.
under 20 20-25 25-30 30-35 35-40 over 40 Total -
Page 133
Nature of Confinement—
Normal normal but torn perineum Instrumental Abnormal Presentation Adherent Placenta Antepartum Haemorrhage Post-partum Haemorrhage Abortion Caesarian Section Total -
Page 133
Attended at Confinement by—
Doctor* Midwife Hospital Total -
Page 133
Treated for Puerperal Fever or Pvrexia at—
Home Hospital Total -
Page 134
Attributed Cause of Fever and Pyrexia.
Puerperal Fever. Puerperal Pryexia. -
Page 135
Table showing Causes of Death under One Year.
Cause 1925 1926 1927 1928 1929 -
Page 155
Owing to exceptional circumstances the following schools, with the Board's sanction, were examined on other than school premises, viz. at the places indicated :—
-
Page 157
The following figures give a brier resume 01 the work done and the findings:—
Number Examined Ova Ova and Pediculi Body Pediculi Head and Body Pediculi Sores Dirty -
Page 159
Cases Recommended for Admission to Special Schools.
Boys Girls -
Page 159
Cases not Admitted to Special Schools.
Boys Girls -
Page 167
Following is a summation of the Medical cases attending four Clinics during 1929:—
New Cases Admitted Total Attendance Total Discharged -
Page 171
The following figures summarise the extent of the undertaking for the year under consideration:—
Breakfasts Dinners -
Page 171
The number of children who attended the School Baths under the Committee's scheme during the year is as follows:—
Boys Girls -
Page 172
There were very few objections this year, but the following schools show cases were parents for various reasons objected:—
School Boys Girls Infants -
Page 179
Age Distribution of Examinees.
Age in years Boys Girls. -
Page 179
Findings of Medical Inspection (Chief Defects referred for treatment).
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Page 179
Treatment.
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Page 180
Age Distribution of Examinees.
Age in years Boys Girls -
Page 180
Chief Defects referred for Treatment.
Boys Girls -
Page 181
Conditions remedied during the year (including cases from p revious year)—
Boys Girls -
Page 181
Age Distribution of Examinees.
Age Boys Girls -
Page 181
Chief Defects referred for Treatment.
Boys Girls -
Page 182
Treatment.
Boys Girls -
Page 182
Age Distribution of Examinees.
Age No. Examined -
Page 184
Age Distribution of Examinees.
Age No. of Girls Examined -
Page 186
The number examined were as follows:—
Boys Girls -
Page 187
The chief defects found and referred for treatment were as follows:—
Boys Girls -
Page 187
OnlY one visit of Inspection was made during the year 1929 when the entrants were examined:
Number examined Number Defective Number of Defects requiring treatment Number of Defects requiring observation -
Page 189
I am indebted to Mr. Slattery (Tramways Manager) for the following Table which shows the number of children carried at halfpenny fares in all West Ham and London County Council No. 8 Service cars during school holidays in 1928 and 1929, and the advantage taken by the children of the facilities granted.
1929. 1928. Holiday Period No. of days in operation Number carried No. of days in operation Number carried -
Page 195
A. Routine Medical Inspections. Number of Code Group Inspections:—
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Page 195
B. Other Inspections.
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Page 195
C. Higher Educational Institutions.
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Page 195
D. Continuation Schools.
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Page 196
TABLE II. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1920.
Disease or Defect Routine Inspections. Special Inspections No. of Defects No. of Defects Requiring treatment Requiring to le 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 197
TABLE II.— (Continued)
Disease or Defect Routine Inspection! 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 197
B. —Number of Individual Children found at Routine Medical Inspection to require Treatment (excluding Uncleanliness and Elementary. Dental Diseases):—
Group (1) Number of Children Percentage of Children found to require treatment (4) Inspected (2) Found to require treatment (3) -
Page 198
Numerical Return of all Exceptional Children in the Area in 1929. Puhlic Elementarv School Children.
Boys Girls Total -
Page 199
TABLE III.—Continued. Boys Girls Total
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Page 200
TABLE IV. Return of Defects Treated during the Year ended 31st Dec., 1929. 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 200
Croup II.—Detective Vision and Squint (excluding Minor Eye Defects treated as Miinor Ailments—Group 1).
Number of Defects dealt with. Disease, or Defect (1) Under the Authority's Scheme. (2) Submitted to refraction by private practitioner or at Hospital, apart, from the Authority's Scheme (3) Otherwise. (4) Total. (5) -
Page 201
TABLE IV.—Continued.
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Page 201
Croup III.—Treatment of Defects of Nose and Throat. Number of Defects.
Received Operative Treatment. Received other forms of Treatment. (4) Total number treated. (5) Under the Authority's Scheme, in Clinic or Hospital. (1) By Private Practitioner or Hospital, apart from the Authority's Scheme. (2) Total. (3) -
Page 201
Croup IV.—Dental Defects.
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Page 202
TABLE IV.—Continued.
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Page 202
Croup V.—Uncleanliness and Verminous Conditions.