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 1936
[Report of the Medical Officer of Health for West Ham]
- Published
- 1937
- Pages
- 234
- Tables
- 113
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Staff of Medical Officer of Health's Departments
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Page 23
Vital Statistics.
Total Male Female -
Page 23
Vital Statistics of the Wards of the Borough, 1936.
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 1936 -
Page 25
Causes of Death at Different Periods of Life in the County Borough of West Ham (Civilians only) during 1936
Causes of Death. Sex All Ages 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75— -
Page 29
Deaths in Council's Institutions.
Under 1 year 1 year & upwards -
Page 30
Chief Vital Statistics since 1887.
Year. Population. Births. Birth Rate. Deaths. Death Rate. Infant Deaths. Infant Mortality Rate. -
Page 33
Results in Cases Considered Suitable for Treatment.
Recovered Relieved Subsequent failure to attend Still under treatment No improvement -
Page 39
Particulars of Bodies received into the Mortuaries during 1936
MONTH STRATFORD MORTUARY. CANNING TOWN MORTUARY. No. of Inquests held on Bodies remaining in Queen Mary's Hospital No. Received Males Females Over 5 yrs Under 5 yrs. Sent in by Coroner Sent, in by Police Sent in on Sanitary Grounds No. pf Post-Mortems No. of Inquest No. Received Males Females Over 5 yrs Under 5 yrs. Sent in by Coroner Sent in by Police Sent in on Sanitary Grounds No. of Post-Mortems No.of Inquests -
Page 40
District Medical Officers.
Number of Men. Number of Women. NumberofChildren. -
Page 41
FOREST GATE HOSPITAL.
MEN WOMEN CHILDREN Total Chronic Sick Mental Epileptic Maternity Chronic Sick Mental Epileptic Born Mental Epileptic Others -
Page 42
WHIPPS CROSS HOSPITAL.
MEN WOMEN CHILDREN Total Acute Sub-acute Chronic Acute Sub-acute Chronic Acute Sub-acute Chronic -
Page 43
CENTRAL HOME.
MEN WOMEN CHILDREN Total Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic Chronic Sick Mental Epileptic -
Page 44
FOREST HOUSE.
MEN WOMEN CHILDREN Total Chronic Sick Mental Epileptic Chronic Sic Mental Epileptic Chronic Sick Mental Epileptic -
Page 51
Centres 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 53
Pupilc, midwives from the hospital attend weekly at the medical consultations at the Council's Antenatal Clinics.
Institution. No. of Maternity Beds (Exclusive of isolation and labour ward bods). No. of Admission, 1936. Total. West Ham Residents. -
Page 55
Number of Children admitted to Hospitals.
No. of Beds No. of cases admitted -
Page 59
Home nursing of puerperal cases is carried out by the nurses from the several District Nursing Associations in the Borough.
Where Nursed Result Home Hospital West Ham Recovered Residents. Died -
Page 61
Notified Causes of Death.
(a) Puerperal Sepsis. Where died -
Page 71
Offensive Trades. There are 27 premises in the Borough were offensive trades or trades analogous thereto are carried on. The table below sets out the nature of these trades:—
Nature of Offensive Trade. No. of Premises licenced -
Page 74
Inspection of Dwelling Houses. The following table shows the number of Inspections and Sanitary Notices served in sixteen Wards of the Borough during the year 1936. (These figures do not include inspections for the purpose of testing drainage or supervising works incidental thereto.):—
Ward Inspections Notices served -
Page 75
1.—Inspection of Factories, Workshops and Workplaces. Inspections made by Sanitary Inspectors.
Number of Premises. (1) Inspections. (2) Written Notices. (3) Occupiers Prosecuted. (4) -
Page 75
2.— Defects found in Factories, Workshops and Workplaces.
Particulars. (1) Number of Defects. Number of offences in respect of which Prosecutions were instituted. (6) Found. (2) Remedied. (3) Referred to H.M. Inspector. (4) -
Page 77
Summary of Shops Visited during the Year 1936
Principle Trade. INFRINGEMENTS. WARNINGS. Refused to serve after hours. Summonses. No. of Visits. Notices NOT exhibited. Open after Hours. Y.P.s working after hours. Verbal. Letters. H-H K E or F H or J -
Page 85
Official Representations were submitted to the Council and Clearance Orders made on January 30th, 1936, in respect of the following areas:—
Houses Persons to be Displaced -
Page 92
The following table shows the number of domiciliary confinements which took place during 1935 in each of the mapped-out areas:—
Area (as shown on map). Proposed Voluntary organisation. No. of births in that area during 1935. No. of births in West Ham during 1935. attended by these midwives. -
Page 93
Table showing the number of whole-time midwives required by the Council from each Organisation for the initial fourteen months.
Voluntary Organisation Number of midwives -
Page 99
SAMPLES ANALYSED BY BOROU G H ANALYST, 1936.
Articles Analysed Genuine Adulterated Official Unofficial Official Unofficial Official Unofficial -
Page 100
Samples Analysed by Borough Analyst, 1936.—Cont.
Articles Analysed Genuine Adulterated Official Unofficial Official Unofficial Official Unofficial -
Page 101
Samples Analysed by Borough Analyst, 1936.— Cont.
Analysed Genuine Adulterated Articles Official Unofficial Official Unofficial Official Unofficial -
Page 101
The adulteration in the Borough for the past seven years was as follows:—
Tear. No. of Samples Examined. % of Adulteration. -
Page 102
The milk adulteration in the Borough for the past seven years was as follows:—
Year. No. of Samples Examined. % of Adulteration. -
Page 104
TABLE I. Showing Animals examined Post-Mortem and those found to be Diseased.
Class of Animals. Number Inspected Affected with T.B. Affected with Other Diseases. Number Perceutage Number Percentage -
Page 105
BOVINES. (Bulls, Bullocks and Heifers).
Disease or Condition Entire Carcases and Viscera Heads Tongues Shins Clods Stickings Briskets Hearts Lungs Diaphragms Stomachs Omenta Intestines Mesenteries Livers Pancreas Spleens Kidneys Kidney Knobs -
Page 107
BOVINES. (Cows).
Disease or Condition Entire Carcases and Viscera Heads Tongues Forequarters Hindquarters. Clods Stickings Briskets Flanks Loins Rumps Top Pieces Hearts Lungs Diaphragms Stomachs Omenta Intestines Mesenteries Livers Pancreas Spleens Kidneys Kidney Knobs Mammary Glands -
Page 109
BOVINES. (Calves).
Disease or Condition Entire Carcases and Viscera Heads Tongues Lungs Livers -
Page 110
OVINES. (Sheep and Lambs).
Disease or Condition. Entire Carcases and Viscera Breasts Loins Hearts Lungs Livers Kidneys -
Page 111
PORCINES (Boars, Sows, and Porkers)
Disease or Condition Entire Carcases and Viscera Heads and Collars Hands and Springs Loins Legs Hearts Lungs Stomachs Intestines Mesenteries Livers Spleens Kidneys -
Page 113
Showing Deposition of Tubercular Lesions found in the Lymphatic Systems of Bovines and Porcines.
Class of Animals Number of Animals affected with T. B. Sub-Maxillary Retropharyngeal Parotid Pre-Scapular 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 Hcpatic Pancreatic Mesenteric -
Page 115
TABLE VIII. Showing Deposition of Tubercular Lesions found in the Bones and Organs and on the Serous Membranes of Bovines and Porcines.
Class of Animals Number of Animals affected with T.B. Vertebrae Adrenal Bodies Kidneys (Substance) Mammary Glands Pleura Peritoneum Hearts Lungs Livers Pancreas Stomachs Omenta Spleens Intestines Mesenteries (Surface) Uteri & Ovaries Testicle and Penis Pericardium Epicardium Myocardium Endocardium Pleura Parenchyma Capsule Substance Capsule Substance Outer Surface Inner Surface Capsule Substance Outer Surface Inner Surface Capsule Substance -
Page 119
The following table shows the number of cases of notifiable diseases during the year 1936, 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 120
The undermentioned Table shows the deaths from Cancer at different age periods during the year 1930:—
Sex All ages 15-24 25—34 35—44 45-54 55—64 65—74 75 -
Page 123
TABLE I.
1936 Admissions. Deaths. Scarlet Fever. Diphtheria. Paratyphoid. Typhoid. Measles. Pneumonia. Erysipelas. Chicken-pox. Puerperal Fever. Whooping Cough. Other Diseases. Total. Scarlet Fever. Diphtheria. Measles. Pneumonia. Erysipelas. Chicken-pox. Puerperal Fever. Whooping Cough. Other Diseases. Total. -
Page 124
The duration of illness on the day of admission of the cases which were discharged or died is shown in the following Table:—
Day of Illness 1st 2nd 3rd 4th 5th 6th 7th Later -
Page 125
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 127
The cases which were discharged or died during the year are classified as follows:—
Type of Disease. Number of Cases. % of Total Deaths. Fatality Rate. -
Page 131
Number sent by Medical Practitioners:—
Positive results Per cent. positive -
Page 132
Number of swabs examined for the Invalid and Crippled Children's Society:—
-
Page 132
In the following table the number of cases examined is compared with those of previous years.
Year 1931 1932 1933 1934 1935 1936 -
Page 134
An analysis of primary notifications and transfers into the West Ham Area of cases suffering from tuberculosis of the lungs is as follows:—
Men Women Children Total -
Page 136
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 136
Seven cases were in residence for under 4 weeks and not classified.
-
Page 138
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 140
Venereal Diseases (L.C.C. Scheme) Summary of work done by the Hospitals during the Year 1936.
London. Middlesex. Essex. Surrey. Kent. Herts. Bucks East Ham. West Ham. Croydon. Total. Other Places. Grand Total. -
Page 141
Venereal Diseases (L.C.C. Scheme). RETURN showing the extent to which the facilities have been utilised during the year ended 31st December, 1936.
Hospital Syp. s.c. New cases Total No. of persons Total attendances No. of inpatients days A.B.C. doses given Pathological examinations Total Gon. Not V.D. Ceased to attend Discharged Spiro Gon. Wass. Others (a) (b) (a) (b) (a) (b) (a) (b) -
Page 143
Venerea1 Diseases. Summary of the work done at the London Clinics for all areas from 1917.
Year. New Cases. Total Venereal Cases. Total N on-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 144
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 157
AVERAGE HEIGHT AND WEIGHT, 1935-1936.
HEIGHT. Age Number Examined 1935 Average Height in inches. Number Examined 1930 Average Height in inches. -
Page 157
WEIGHT.
Age Number Examined average Weight in lbs. Number Examined average Weight lbs. -
Page 180
Number examined: Boys, 20; Girls, 16. Defects referred for treatment, 4; defects referred for observation, 8.
Delects Treatment Observation -
Page 181
The following report has been received from the acting Head Teacher of the Deaf Centre regarding "Leavers":—
Date Leaving Age on Leaving Speech Attainment Nature of Employment -
Page 185
WEEKLY MENU FOR SUMMER MONTHS.
Breakfast. Lunch. Dinner. Tea. Supper. -
Page 188
During the year ,1936 four quarterly routine medical inspections were made. The following particulars indicate the results of same.
Examination Boys examined Girls examined Total Parents present Number of Defects Percentage of Defects -
Page 190
The Edith Kerrison Nursery School has now completed its sixth year. During the year 1930 four quarterly medical inspections were carried out. The following report relates to the findings at these inspections:—
Examination Boys examined Girls examined Total Parents present N umber Defective Percentage of Defects -
Page 191
Using the Board's classification for malnutrition, the returns are as follows—comparison being made with the returns for the "Entrant" examinations in this area.
Nursery School Entrants to Elementary Schools -
Page 194
Chief Defects referred for Treatment and Observation:-
Defect Treatment Observation -
Page 197
The nutrition is of a very high standard.
Number Percentage -
Page 197
Record of defects found:
Treatment Observation -
Page 199
Chief defects referred for Treatment and Observation:—
Defect Treatment Observation -
Page 200
The nutritional state of the pupils is very good, and is very similar to a year ago. The figures for 1935 and for the present year may be regarded as almost identical. They are as follows:—
Year 1935 Year 1936 -
Page 200
Record of nutrition of entrants:—
Number Percentage -
Page 200
Record of nutrition:—
Number Percentage -
Page 202
List of defects found:—
Treatment Observation -
Page 202
The nutrition of the pupils is of a high standard, as will be seen from the following record:—
Number Percentage -
Page 203
The nutrition is of a high standard, as is shown by the following record:—
Number Percentage -
Page 203
Details of defects found:—
Treatment Observation -
Page 209
Defects for Treatment and Observation:—
Defect Treatment Observation -
Page 209
The Nutritional Return is as follows:—
Category Percentage -
Page 214
C.—Children found to require Treatment. Number of Individual Children Found at Routine Medical Inspection to Require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases).
Group. For defective vision (excluding squint). For all other conditions recorded in Table II A. Total. (1) (2) (3) (4) -
Page 215
TABLE II. A.— Return of Defects found by Medical Inspection in the Year ended 31st December, 1936.
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 216
TABLE II.—(Continued)
Defect or Disease. Routine Inspections Special Inspectlons No. of Defects No. of Defects Requiring treatment Requiring to he kept under observation, but not requiring treatment Requiring Treatment ltequirtug to be kept under observation, but not requiring treatment (1) (2) (3) (4) (5) -
Page 216
B.—Classification of the Nutrition of Children Inspected during the year in the Routine Age Groups.
Age-groups Number of Children Inspected A (Excellent) B (Normal) c (Slightly subnormal) D (Bad) No. % No. % No. % No. % -
Page 217
TABLE III. Return of all Exceptional Children in the Area. Blind Children.
At Certified Schools for the Blind. At Public Elementary Schools At Other Institutions. At no School or Institution. Total -
Page 217
Partially Sighted Children.
At Certified Schools for the Blind. At Certified Schools for the Partially Sighted. At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 217
Deaf Children.
At Certified Schools for the Deaf. At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 217
Partially Deaf Children.
At Certified Schools for the Deaf. At Certified Schools for the Partially Deaf. At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 217
Mentally Defective Children. Feeble-minded Children.
At Certified Schools for Mentally Defective Children At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 218
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 218
Children Notified by the Local Education Authority to the Local Mental Deficiency Authority.
Diagnosis. Boys Girls -
Page 218
Physically Defective Children. A. Tuberculous Children. 1.—Children Suffering from Pulmonary Tuberculosis.
At Certified Special Schools At Public Elementary Schools At Other Institutions. At no School or Institution. Total. -
Page 219
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 219
Children Suffering from Multiple Defects.
Combination of Defect. At Certified Special Schools. At Public Elementary Schools. At other Institutions. At no School or Institution. Total. -
Page 220
TABLE IV. Treatment Tables. Croup 1.— Minor Ailments (excluding Uncleanliness, for which see Table 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) -
Page 220
Croup II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group 1).
No. of Defects dealt with. Under the Authority's Scheme. Otherwise. Total. -
Page 221
TABLE IV.—Continued.
No. of Defects dealt with. Under the Authority's Scheme Otherwise Total -
Page 221
Croup III.—Treatment of Detects 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) (i) (ii) (iii) (iv) (i) (ii) (iii) (iv) (i) (ii) (iii) (iv) -
Page 221
Croup IV.—Orthopaedic and Postural Defects.
Under the Authority's Scheme Otherwise. Total number treated. (1) (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. (i) (ii) (iii) (i) (ii) (iii) -
Page 222
TABLE V.—Dental Inspection and Treatment.
-
Page 222
TABLE VI.—Uncleanliness and Verminous Conditions.
-
Page 224
TABLE II. A. Return of Defects found by Medical Inspection in the Year ended 31st December, 1936.
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 225
TABLE II—Cont.
DEFECT OF DISEASE Routine Inspections. Special Inspections No. of Defects. No. of Defects. Requiring Treatment Requiring to be kept under observation, but not requiring Requiring Treatment. Requiring to be kept under observation, but not requiring Treatment (1) (2) (3) (4) (5) -
Page 225
B. Classification of the Nutrition of Children Inspected During the Year in the Routine Age Groups.
Age-groups Number of Children Inspected A (Excellent) B (Normal) C (Slightly subnormal) D (Bad) No. % No. % No. % No. % -
Page 226
TABLE IV. Treatment Tables. Croup I.— Minor Ailments (excluding Uncleanliness, lor which see Table 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) -
Page 226
Croup II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I.).
No. of Defects dealt with. Under the Authority's Otherwise Total. (l) (2) (3) (4) -
Page 227
TABLE IV—cont.
Under the Authority's Scheme Otherwise. Total. -
Page 227
Croup III.—Treatment of Defects 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 227
Croup IV.—Orthopaedic and Postural Defects.
Under the Authority's Scheme (1) Otherwise. (2) Total number treated. 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. (i) (ii) (iii) (i) (ii) (iii) -
Page 228
TABLE V.— Dental Inspection and Treatment.