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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 1932
[Report of the Medical Officer of Health for West Ham]
- Published
- 1933
- Pages
- 216
- Tables
- 115
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Page 13
Vital Statistics.
Total Male Female -
Page 13
Vital Statistics of the Wards of the Borough, 1932.
Wards. Births Birth Rate Deaths Death Rate Infant Deaths Infant Mortality per 1,000 births natural increase Births over Deaths Estimated resident population middle of 1932 -
Page 19
Deaths in Council's Institutions.
Under 1 year 1 year & upwards -
Page 19
Deaths in other Institutions.
Under 1 year 1 year & upwards -
Page 21
Causes of Death at Different Periods of Life in the County Borough of West Ham (Civilians only) during 1932.
Causes of Death. Sex All Ages 0 1 2 5 15 25 35 45 55 65 75— -
Page 25
Chief Vital Statistics since 1877.
Year. Population. Births. Birth Rate. Deaths. Death Rate. Infant Deaths. Infant Mortality Rate. -
Page 35
Staff of Medical Officer of Health's Department*.
NAME QUALIFICATION'S OFFICES HELD (Wholetime appointments except where otherwise stated) -
Page 36
Continued from previous page...
Mame Qualifications Offices Held(wholetime appointments except where otherwise stated) -
Page 37
Continued from previous page...
Mame Qualifications Offices Held(wholetime appointments except where otherwise stated) -
Page 38
Continued from previous page...
Mame Qualifications Offices Held(wholetime appointments except where otherwise stated) -
Page 39
Continued from previous page...
Mame Qualifications Offices Held(wholetime appointments except where otherwise stated) -
Page 40
Continued from previous page...
Mame Qualifications Offices Held(wholetime appointments except where otherwise stated) -
Page 43
List of Shops Visited during the Year 1932.
Class of Shop. Visited. No half-holiday form exhibited. Warned verbally. Warning Notice sent. Refused to serve. Summonses attended. -
Page 46
Particulars of Bodies Received into the Mortuaries during 1932.
Month. Stratford Mortuary. Camming Town Mortuary. Number received. No. of bodies in Queen Mary's Hospital. >torty on whom inquests were held. Males Females 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. Males Females Over 5 yrs. Under 6 yrs. Sent in by Coroner. Sent in by Police. Sent in on Sanitary grounds. Number of Postmortems. No. of Inquests -
Page 50
The following table sets out the nature of these trades:—
Nature of Offensive Trade. No. of Premises licenced -
Page 55
The following table shows the number of Inspections and Sanitary Notices, served in respect of, in the sixteen Wards of the Borough during the vear 1932 :—
Inspections Notices served in respect of Ward San. Insp. Name -
Page 57
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 57
2.—Defects found in Factories, Workshops and Workplaces.
Particulars. Number of Delects. Number of offences in respect to which Prosecutions were instituted. Found. Remedied. Referred to H.M. Inspector. (i) (2) (3) (4) (5) -
Page 66
Samples Analysed by Borough Analyst, 1932.
Articles Analysed Genuine Adulterated Official Unofficial Official Unofficial Official Unofficial -
Page 67
Samples Analysed by Borough Analyst, 1932.— Contd.
Articles Analysed Genuine Adulterated Official Unofficial Official Unofficial Official Unofficial -
Page 71
TABLE 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 73
TABLE II. Table showing Meat found to be Unfit for Human Food, and the Disease or Condition which required its Condemnation. BOVINES.
Disease or Condition. Entire Carcases and Viscera Heads. Tongues. Forequarters. Shins. Clods. Stickings. Chucks. Briskets. Ribs. Flanks. Loins. Rumps. Hearts. Lungs. Diaphragms. Stomachs. Omenta. Intestines. Mesenteries. Livers. Pancreas. Spleens. Kidneys. Kidney Knobs. Mammary Glands. Top Pieces. -
Page 75
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 Carcases 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 76
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. Kidneys Entire Carcases and Viscera. Chumps. Lungs. Legs. Breasts. Livers. Omenta -
Page 77
TABLE V. Table showing Unsound Meat Condemned as a result of Post-Mortem Examinations.
Bovines— -
Page 79
TABLE VI. Table showing deposition of Tubercular Lesions found in the Bones 1 and Organs and on the Serous Membranes of Bovines and Swine.
Class of Animals No. of Animals affected with T.B. Cervical Vertebrae Dorsal Vertebrae 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 81
TABLE VII. 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. Atlantal Pre-Scapula. Pre-Pectoral. Pre-Sternal. Supra-Sternal. Sub-Dorsal. Renal. Lumbar. Iliacs. Pre-Crural. Supra-Mammary or Sup-Inguinal. Ischiatic Popliteal. Xiphoid. Bronchial. Anterior Mediastinal. Posterior Mediastinal. Gastric. Splenic. Hepatic. Pancreatic. Mesenteric. -
Page 83
The following table sets out samples taken under the above Act during' the years :—
Article No. of Samples taken Analysis agrees Analysis disagrees -
Page 83
FERTILISERS.
Article No. of Samples taken Analysis agrees Analysis disagrees -
Page 84
The following table shows the number of cases of notifiable diseases during the year 1932, 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 84
Table indicating deaths during the past eight years from :—
Year Scarlet Fever Whooping Cough Measles -
Page 87
The chief causes of death during the year arc briefly summarised as follows :—
-
Page 88
TABLE I.
1932 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 89
TABLE II.
Scarlet Fever. Diphtheria. Typhoid Fever. Measles. Pneumonia. Whooping Cough. Erysipelas. Other Diseases. Total Year. Ad. D. Ad. D. Ad. D Ad. D. Ad. D. Ad D. Ad. D. Ad. D. Ad. D. -
Page 91
Complications:—Of the 560 cases discharged during the year, 198, or 35 per cent., suffered from complications as follows :
-
Page 95
Active Immunisation Against Scarlet Fever and Diphtheria. Schick Test, 1932.
-
Page 95
Dick Test, 1932.
-
Page 95
Schick Test, 1932.
-
Page 96
Dick Test, 1932.
-
Page 96
Cate Cases. The following is a l'ecord of cases suspected to be suffering from infectious disease which were brought direct to the Hospital for diagnosis :—
-
Page 96
Number sent by medical practitioners—
Positive Results -
Page 97
Continued from previous page...
Number of Gate cases swabbed :— Positive Results -
Page 97
Number of swabs examined for the Invalid Children's Aid Association
-
Page 97
Number of swabs examined for the Invalid and Crippled Children's Society
-
Page 97
Disinfecting Station, 1932.
-
Page 98
Tuberculosis. The following table sets out the number of cases of Tuberculosis and the number of deaths during the year at certain age periods.
Age Periods. New Cases. Deaths. Pulmonary. Non-pulmonary. Pulmonary. Non-pulmonary. M. F. M. F. M. F. M. F. -
Page 98
The following table sets out the percentage of deaths from tuberculosis (not notified during life) for the years 1924—1932, inclusive :—
-
Page 99
Comparison with work done in previous years.
Year 1927 1928 1929 1930 193,1 1932 -
Page 99
Examination of Contacts.
Year 1927 1928 1929 1930 1931 1932 -
Page 100
now remains. Seven patients have been under treatment at the Papworth Colony : five now remain.
Burrow Hill Preston Hall Papworth Total -
Page 103
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 104
Continued from previous page...
-
Page 104
The following table shews the comparison of rainfall for the past three years:—
Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec. -
Page 106
The results of treatment for those discharged are as follows:
T.B. Minus T.B. plus Grade I. T.B. plus Grade II. T.B. plus Grade III. Total -
Page 107
The following was the rainfall for the past three years in inches:—
Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec. -
Page 109
Venereal Diseases (L.C.C. Scheme). Summary of work done by the Hospitals during the Year 1932.
London. Middlesex. Essex. Surrey. Kent. Herts. Bucks East Ham. West Ham. Croydon. Total. Other Places. Grand Total. -
Page 110
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 111
Venereal Diseases (L.C.C. Scheme). Return showing the extent to which the facilities have been utilised during the year ended 31st December, 1932.
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 113
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 114
Number of Births in the Borough in the last 5 years:—
1928 1929 1930 1931 1932 -
Page 114
The routine for the visiting of infants and young children in their homes is as follows:—
Age period. Minimum number of visits per year -
Page 115
Visits paid by all Health Visitors during 1932.
First Visits. Total Visits. -
Page 117
Centres and Clinics (Municipal and Subsidized by the Council):
Address Where Held. Number of Sessions held weekly (excluding Dental Sessions) Day and Time of Meeting. Average per Session. Arrangements for Medical Supervision. Centre Attendances. Medical Consultations. Expectant Mothers. Children. Expectant Mothers. Children. -
Page 119
Attendances for Dental Treatment in 1932.
-
Page 123
The Forest Gate Hospital, under the Public Assistance Committee, also admits a large number of women to its Maternity Wards.
West Ham Residents No. of beds No. of cases admitted No. Confined No. of weeks spont -
Page 123
If necessary, such children can be admitted to the surgical ward of the Society's Hospital, where the Council reserve four beds for this purpose.
West Ham Residents No. of beds No. of cases admitted No. of weeks spent -
Page 124
Number of children under school age who were sent to Convalescent Homes during:
1925 1927 1928 1929 1930 1931 1932 -
Page 126
During the year 1932
-
Page 128
Number of cases notified in 1932, 17; all of whom were West Ham residents:—
At home In hospital Result Recovered Died -
Page 128
Puerperal Pyrexia. Number of cases notified in 1932, 48; of whom 36 were resident in West Ham. The remaining 12 occurred in patients confined in institutions in the Borough, but normally non-resident in West Ham.
At home In hospital Result Recovered Died -
Page 135
District Medical Officers.
Number of Men. Number of Women. Number of Children. -
Page 136
WHIPPS CROSS HOSPITAL.
MEN WOMEN CHILDREN Total Acute Sub-acute Chronic Acute Sub-acute Chronic Acute Sub-acute Chronic -
Page 137
CENTRAL HOME.
MEN WOMEN CHILDREN Total Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic -
Page 138
FOREST GATE HOSPITAL.
MEN WOMEN CHILDREN Total Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic -
Page 139
FOREST HOUSE.
MEN WOMEN CHILDREN Total Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic -
Page 152
The following figures give a brief resume of the work done, and the findings:—
Number Examined Ova Ova and Pediculi Body Pediculi Head find Body Dirty Pediculi Sores -
Page 152
The percentages for head and body vermin are respectively 1.36 and .107.
-
Page 152
Conditions remedied during the year under Cleanliness scheme:—
-
Page 154
Cases Recommended for Admission to Special Schools.
Boys Girls -
Page 154
Cases not Admitted to Special Schools.
Boys Girls -
Page 155
Continued from previous page...
Boys Girls -
Page 155
AVERAGE HEICHT AND WEICHT, 1931—1932.
Age HEIGHT. 1931. 1932. Number Examined Average Height in inches. Number Examined Average Height in inches. -
Page 156
The following Table gives an analysis of the cases entered in the School Diseases Register during the year :—
Exclusions during 1932. -
Page 157
The following Table gives a summary of work of the Nurses, in the process of following-up during the year:—
-
Page 167
WEEKLY MENU FOR SUMMER MONTHS.
Breakfast. Lunch. Dinner. Tea. Supper. -
Page 170
1 he number of school children who attended the Corporation Washing Baths under the Committee's scheme during the year was as follows :—
Boys Girls -
Page 170
There were a few exceptions this year; the following schools show cases where parents for various reasons objected :—
School Boys Girls Infants -
Page 171
Continued from previous page...
School Boys Girls infants -
Page 174
GRANGE ROAD SPECIAL SCHOOL.
Mentally Defective Physically Defective -
Page 175
From the following table we get a rather interesting set of percentages. Of the fifty-three physically defectives and seventy mentally defectives that have been followed up the last preceding "three year" period, this gives the results:—
Department Working or in Training At Home Helping, Unfit or Unemployed In Other Schools or Removed In Institutions and Hospitals for Treatment and Training Deceased Returned to Special School after Treatment in Hospital, etc. -
Page 175
The provision at the Special Schools, Grange Road and Knox Road is as follows :—
Mentally Defective Physically Defective -
Page 178
i he supply ot meals is under the direction of the Superintendent of the School Dining Centres. Winter: MENU (DINNERS). Summer:
1st week. 2nd week. 1st week. 2nd week. -
Page 180
This School has now completed its second year. It was opened in August, 1930, and the first medical inspection was carried out in September of the same year. At first the examinations were held monthly, but after June, 1931, they were held quarterly. The following reports relate to the four examinations carried out during the year 1932.
Examinations Boy 9 examined Girls examined Total Parents present Number Defective Percentage of Dcfects -
Page 185
All the pupils were medically examined during the months of September and October. The following is a resume of the examination.
Number Examined Number Defective Boys Girls Boys Girls -
Page 185
Chief Defects referred for Treatment and Observation.
Number Examined Number Defective Boys Girls Boys Girls -
Page 187
Age Distribution of Examinees.
Age No. Examined -
Page 188
Age Distribution of Examinees
Age No. of Girls Examined -
Page 190
In November, 220 children were inspected. This included the "Entrants." 36 children were found to need treatment— defective vision accounting for the major portion of medical attention required.
Treatment Observation -
Page 191
Continued from previous page...
-
Page 192
The entrants were examined at the new premises in Carter Road in November, 1932. The following constitutes a resume of this examination.
BOYS. GIRLS. No. Examined. No. Defective. No. Examined. No. Defective. -
Page 192
Following up and Treatment.
-
Page 194
I am indebted to the Acting 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 1930, 1931 and 1932, and the advantage taken by the children of the facilities granted.
Holiday Period 1932 Number carried 1931 Number carried 1930 Number carried -
Page 201
TABLE I. RETURN OF MEDICAL INSPECTIONS. A.—Routine Medical Inspections.
Number of Code Group Inspections: -
Page 202
TABLE II. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1932.
Defect or Disease. 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 bo kept observation, but not requiring treatment (1) (2) (3) (4) (5) -
Page 203
TABLE II.— (Continued)
Defect or Disease. 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 203
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 (1) (2) (3) (4) -
Page 204
TABLE III. Return of all Exceptional Children in the Area.
Children Buffering from the following types of Multiple Defect, i.e., any combination of Total Blindness, Total Deafness, Mental Defect, Epilepsy, Active Tuberculosis, Crippling (as defined ir penultimate category of the Table), or Heart Disease Boys 4 Girls. 5 Total. 9 -
Page 205
TABLE III.—Continued.
-
Page 206
TABLE IV. Return of Defects Treated during the Year ended 31st Dec., 1932. Treatment Table. Croup I.—Minor Ailments (excluding Uncleanliness for which see Group V).
Disease or Defect. Number of Defects treated, or under treatment during the year. Under the Authority's Scheme. Otherwise. Total. -
Page 206
Croup II. —Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group 1).
Defect or Disease. Number of Defects dealt with. Under the Authority's Scheme. Submitted to refraction by private practitioner or at Hospital, apart from the Authority's Scheme Otherwise. Total (1) (2) (3) (4) (5) -
Page 207
TABLE IV.—Continued.
-
Page 207
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 207
Croup IV.—Dental Defects.
-
Page 208
TABLE IV.—Continued.
-
Page 208
Croup V.—Uncleanliness and Verminous Conditions.