London's Pulse: Medical Officer of Health reports 1848-1972
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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 1933
[Report of the Medical Officer of Health for West Ham]
- Published
- 1934
- Pages
- 206
- Tables
- 133
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Page 10
Staff of Medical Officer of Health's Department†.
NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
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NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
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NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
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NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
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NAME QUALIFICATIONS OFFICES HELD (Wholetime appointments except where otherwise stated) -
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NAME QUALIFICATION'S OFFICES HELD (Wholetime appointments except where otherwise stated) -
Page 19
Vital Statistics.
Live Births Total Male Female Birth Rate 15.5. Legitimate 4289 2178 2,111 Illegitimate 117 65 52 -
Page 20
Vital Statistics of the Wards of the Borough, 1933.
Wards. Births Birth Bate Deaths Death Rate Infant Deaths Infant Mortality per 1,000 births Natural increase Births over Deaths Estimated resident population middle of 1933 -
Page 25
Deaths in Council's Institutions.
Under 1 year 1 year & upwards -
Page 25
Deaths in other Institutions.
Under 1 year 1 year & upwards -
Page 27
Causes of Death at Different Periods of Life in the County Borough of West Ham (Civilians only) during 1933.
Causes of Death. Sex All Ages 0— 1— 2— 5— 15— 25– 35— 45— 55— 65— 75— -
Page 31
Chief Vital Statistics since 1887.
Year. Population. Births. Birth Rate. Deaths. Death Rate. Infant Deaths. lntant Mortality Rate. -
Page 43
List of Shops Visited during the Year 1933.
Class of Shop. J Visited. No half-holiday form exhibited. Warned verbally. Warning Notice sent. Refused to serve. Summonses attended. -
Page 44
Particulars of Bodies Received into the Mortuaries during 1933.
Month. Stratford Mortuary. Canning Town Mortuary. Number received. No. of bodies remaining in and viewed at Queen Mary's Hospital. 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 5 yrs. Sent in by Coroner. Sent in by Police. Sent in on Sanitary grounds. Number of Postmortems No. of Inquests -
Page 45
District Medical Officers.
Number of Men. Number of Women. Number of Children. -
Page 46
FOREST GATE HOSPITAL.
MEN WOMEN CHILDREN Total Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic -
Page 47
WHIPPS CROSS HOSPITAL.
Acute MEN Sub-acute Chronic Acute WOMEN Sub-acutc Chronic Acute CHILDREN Sub-acute Chronic Total -
Page 48
CENTRAL HOME.
MEN WOMEN CHILDREN Total Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic -
Page 49
FOREST HOUSE.
MEN WOMEN CHILDREN Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic Total -
Page 50
Total number of notified births, 5,835, of which number there were 5,662 live births and 173 stillbirths.
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Page 50
Number of Births in the Borough in the last five years (net number of births of West Ham Residents):
1929 1930 1931 1932 1933 -
Page 51
Visits paid by all Health Visitors during 1933.
First Visits Total Visits -
Page 52
Attendances for Dental Treatment in 1933. Expectant and Nursing Mothers.
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Page 52
Children under five years of age.
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Page 53
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 57
Attendances at the Sunlight Clinic in 1933.
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Page 58
The Forest Gate Hospital, under the Public Assistance Committee also admits a large number of women to its maternity wards.
No. of beds West Ham Residents No. of cases admitted No. Confined No. of weeks spent. -
Page 61
During the year 1933.
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Page 61
Number of Foster Mothers on the Register.
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Page 62
Puerperal Sepsis.
Notified Cause of Death Age of Mother Pregnancy Remarks Legitimate illegitimate -
Page 62
Maternal Deaths from causes other than Sepsis.
Notified Cause of Death Age of Mother Pregnancy Remarks Legitimate illegitimate -
Page 66
Notified Causes of Deaths under One Year.
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Page 66
Table showing Causes of Death (1—5 years).
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Page 67
The wards allocated to the respective Medical Officers are as follows, namely:—
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Page 68
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Page 68
The following figures will show to some extent how the work of the District Medical Officers has increased:—
Number of cases seen. 1931 1932 -
Page 78
GROUP 1.
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Page 79
Summary of Work done 1st April, 1933, to 31st March, 1934.
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Page 83
CASES OF DISEASE IN CHILDREN ABSENT
Department Name Address School B. G. I. Disease -
Page 84
Cases of Sickness extracted from the Superintendent of Visitors' School Attendance Returns
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Page 86
Summary of Work of Sanitary Inspectors.
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Page 87
Abatement of Nuisances.
Ward Notices served in respect of 1 nspections -
Page 88
1.—Inspection of Factories, Workshops and Workplaces.
Premises. (1) Number of Inspections. (2) Written Notices. (3) Occupiers Prosecuted. (4) -
Page 88
2.—Defects found in Factories, Workshops and Workplaces.
1 articulars. Number of Detects. Number of offences in respect to which Prosr-eotions were instituted. Found. Remedied. Referred to H.M. I nspector. -
Page 90
Offensive Trades.
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Page 95
3. Action under Statutory Powers during the year:—
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Page 98
The following table sets out samples taken under the above Act during the year:—
Sampled Officially— No. of Samples taken Analysis agrees Analysis disagrees Article -
Page 99
FERTILISERS.
Article No. of Samples taken Analysis agrees Analysis disagrees -
Page 99
Sampled Unofficially—
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Page 100
Samples Analysed by Borough Analyst, 1933.
Articles Analysed Genuine Adulterated Official Unofficial Official Unofficial Official Unofficial -
Page 101
Samples Analysed by Borough Analyst, 1932.
Articles Analysed Genuine Adulterated Official Unofficial Official Unofficial Official Unofficial -
Page 103
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 104
TABLE II.
BOVINES. PORCINES. -
Page 106
INFECTIOUS DISEASES. NOTIFIABLE DISEASES (Other than Tuberculosis). The following table shows the number of cases of notifiable diseases during the year 1933, 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 106
Table indicating deaths during the past eight years from:—
Year Scarlet Fever Whooping Cough Measles -
Page 111
TABLE I.
1933 Admissions. Deaths. Scarlet Fever. Diphtheria. Typhoid Fever. Measles. Pneumonia Erysipelas. Chicken-pox. Puerperal exia Whooping Cough. Other Diseases. Total. _ Scarlet Fever. Diphtheria. Typhoid Fever. Measles. Pneumonia Erysipelas. Chicken-pox. Puerperal Pyrexia Whooping Cough. Other Diseases. Total. -
Page 113
TABLE 11.
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 116
In 28 cases the patient was found after admission to be suffering- from a second infection as follows :—
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Page 116
Of the 927 cases discharged, 299, or 32 per cent. suffered from complications as follows:—
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Page 119
Active Immunisation Against Diphtheria and Scarlet Fever. Schick Test.
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Page 119
Cate Cases. The following is a record of cases suspected to be suffering from infectious disease which were brought direct to the Hospital for diagnosis :—
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Page 120
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Page 120
Schick Test, 1933.
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Page 120
Dick Test, 1933.
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Page 121
Number sent by Medical Practitioners :—
Positive results Per cent positive -
Page 121
Number sent by other Institutions:—
Positive results Per cent positive -
Page 121
Number of gate cases swabbed:—
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Page 121
Number of swabs examined for the Invalid Children's Aid Association:—
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Page 122
Number of swabs examined for the Invalid and Crippled Children's Society:—
Positive results Per cent. positive -
Page 122
Disinfecting Station.
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Page 122
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 123
The following table sets out the percentage of deaths from tuberculosis (not notified during life) for the years 1924—1933, inclusive:—
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Page 124
Comparison with work done in previous Years.
Year 1928 1929 1930 1931 1932 1933 -
Page 126
I he grades ot cages discharged and the results ot treatment were as follows:—
T.B. Minus T.B. plus Grade I. T.B. plus Grade II. T.B. plus Grade III. Total -
Page 127
FEMALES.
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Page 127
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 129
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 132
Venereal Diseases (L.C.C. Scheme). Summary of work done by the Hospitals during the Year 1933.
London. Middlesex. Essex. Surrey. Kent. Herts. Bucks East Ham. West Ham. Croydon. Total. Other Places. Grand Total. -
Page 132
PATHOLOGICAL EXAMINATIONS.
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Page 133
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 135
Venereal Diseases (L.C.C. Scheme). Return showing the extent to which the facilities have been utilised during the year ended 31st December, 1938.
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. M (b) M (b) (a) (b) (a) (b) -
Page 137
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 147
AVERAGE HEIGHT AND WEIGHT, 1932-1933. HEIGHT.
Age 1932. 1933 Number Examined Average Height in inches. Number Examined Average Height in inches. -
Page 147
WEIGHT.
Age Number Examined Average Weight in lbs. Number Examined Average Weight in Ibs. -
Page 149
The following table gives a summary of work of the Nurses in the process of following-up during the year:—
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Page 150
The following figures give an indication of the attendances at the Medical Clinics, of which there are four in the Borough, one of them (Balaam Street) being served by two Doctors:—
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Page 158
During the year the School Attendance Officers reported the following cases):-
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Page 158
The following Table gives an analysis of the defects for which children were excluded from school during the year, by the Assistant School Medical Officers:— Exclusions during 1933.
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Page 164
Age Distribution of Examinees. M.D. and P.D. Children.
Age Number Examined -
Page 165
Treatment
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Page 165
Observation
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Page 165
The following Table shows the number of defects treated at the Clinics during the year:—
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Page 166
Knox Road Special School.
M.D. P.D. -
Page 166
Grange Road Special School.
P.D. M.D. -
Page 169
WEEKLY MENU FOR SUMMER MONTHS.
Breakfast. Lunch. Dinner. Tea. Supper. -
Page 173
I he following report relates to the findings at these inspections.
Examinations Boys examined Girls examined Total Parents present Number Defective Percentage of Defects -
Page 177
Age Distribution of Examinees.
Age Number Examined -
Page 177
Chief Defects referred for Treatment.
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Page 178
Age Distribution of Examinees.
Age No. Examined -
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Chief Defects referred for Treatment.
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Page 178
Recommendations were left with the Principal re the following, amongst other conditions:—
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Page 180
In the summer, 86 children were inspected prior to their leaving school and in October, 105 "entrants" were examined medically.
Treatment Observation -
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Pupils examined.
Age Boys Girls -
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Chief Defects referred for Treatment and Observation.
Defect BOYS GIRLS Treatment Observation Treatment Observation -
Page 181
The Entrants were examined in November, 1933. The following constitutes a resume of the examination.
Boys. Girls. No. Examined. No. Defective. No. Examined. No. Defective. -
Page 182
Chief Defects referred for Treatment or Observation.
Treatment Observation -
Page 186
TABLE I. RETURN OF MEDICAL INSPECTIONS. Year ending- 31st December, 1933. ELEMENTARY SCHOOLS.
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Page 187
TABLE II. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1933. ELEMENTARY SCHOOLS.
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 ? observation, but not requiring treatment (1) (2) (3) (4) (5) -
Page 188
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 188
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 189
TABLE III. Return of all Exceptional Children in the County Borough. Children Suffering from Multiple Defects. Children suffering from any combination of the following types of defect:—
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Page 189
Blind Children.
At Certified Schools for the Blind. At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 189
Partially Blind Children.
At Certified Schools for the Blind. At Certified Schools for the Partially Blind. At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 189
Deaf Children.
At Certified Schools for the Deaf. At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 190
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At Certified Schools for the Deaf. At Certified Schools for t he Partially Deaf. At Public Elementary Schools At Other Institutions. At no School 0r Institution. Total. -
Page 190
Mentally Defective Children. Feeble-minded Children.
At Certified Schools for Mentally Defective-Children. At Public Ele m§ntary Schools At Other Institutions. At no School or Institution. Total. -
Page 190
Children Notified by the Local Education Authority to the Local Mental Deficiency Authority.
Diagnosis. Boys Girls -
Page 191
Epileptic Children. Children Suffering from Severe Epilepsy.
At Certified Special Schools At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 191
1.—Children Suffering from Pulmonary Tuberculosis. (including pleura and intra-thoracic glands)
At Certified Special Schools At Elementary Public Schools At Other Institutions. At no School or Institution. . Total. -
Page 191
II.—Children Suffering from Non-Pulmonary Tuberculosis.
At Certified Special Schools At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 191
B. Delicate Children. Children (except those included in other groups) whose general health renders it desirable that they should be specially selected for admission to an Open-Air School.
At Certified Special Schools At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 192
C. Crippled Children. Children (other than those diagnosed as tuberculous and in need of treatment for that disease) who are suffering from a degree of crippling sufficiently severe to interfere materially with a child's normal mode of life, i.e., children who generally speaking are unable to take part, in any complete sense, in physical exercises or games or such activities of the School curriculum.
At Certified Special Schools At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 192
D . Children with Heart Disease. Children whose defect is so severe as to necessitate the provision of educational facilities other than those of the Public Elementary School.
At Certified Special Schools. At Public Elementary Schools. At Other Institutions. At no School or Institution. Total. -
Page 193
TABLE IV. Return of Defects Treated during- the Year ended 31st Dec., 1933. ELEMENTARY SCHOOLS. Treatment Table. Croup 1.— Minor Ailments (excluding Uncleanliness, for which sec Group VI)
Disease or Defect. Number of Defects treated, or under treatment during the year. Under the Authority's Scheme. Otherwise. Total. (1) (2) (3) (4) Skin— -
Page 193
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. By private practitioner or at Hospital, apart from the Authority's Scheme Otherwise. Total. (1) (2) (3) (4) (5) -
Page 194
TABLE IV.—Continued. Number of Children for whom spectacles were prescribed:—
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Page 194
Group III.— Treatment of Delects of Nose and Throat.
Number of Defects. Received Operative Treatment. Received other forms of Treatment. Total number treated. Under the Authority's Scheme, in Clinic or Hospital. By Private Practitioner or Hospital, apart from the Authority's Scheme. Total. (1) (2) (3) (4) (5) -
Page 194
Croup IV.—Orthopaedic and Postural Delects.
Number of children treated. Under the Authority's Scheme (1) Otherwise. (2) Residential treatment with education. Residential treatment without education. Non-Residential treatment at an orthopaedic clinic. Residential treatment with education. Residential treatment without education. Non-Residential treatment at an orthopaedic clinic. -
Page 195
Group V.—Dental Defects. (.1) Number of Children who were:—
-
Page 196
TABLE II. A. Return of Defects found by Medical Inspection in the Year ended 31st December, 1933.
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 obser vation, but not requirin Treatment (1) (2) (3) (4) (5) -
Page 197
Continued from previous page...
defect or disease. (1) Routine Inspections. Special Inspections. No. of Defects. No. of Defects. Requiring Treatment (2) Requiring to be kept under observation, but not requiring Treatment. (3) Requiring Treatment. (4) Requiring to be kept under observation, but not requiring Treatment. (5) -
Page 197
B. Number of Individual Children Found at Routine Medical Inspection to Require Treatment (excluding Uncleanliness and