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

Page 5

VARIOUS DISEASES: Cases and Deaths.

	Cases	Case rate per 1,000 population	Deaths	Death rate per 1,000 population

Page 9

Notifications of Tuberculosis.

Year	Respiratory		Non-Respiratory
Year	Number	Rate per 1,000 population	Number	Rate per 1,000 population

Page 13

1.- INSPECTIONS FOR THE PURPOSES OF PROVISIONS AS TO HEALTH MADE BY SANITARY INSPECTORS.

Premises		Number on Register	Number of
Premises		Number on Register	Inspections	Written Notices	Occupiers Prosecuted

Page 13

2.- CASES IN WHICH DEFECTS WERE FOUND. (If defects are discovered at the premises on two, three or more separate occasions they should be reckoned as two, three or more "cases".)

Particulars	Number of eases in which defects were found				Number of cases in which prosecutions were instituted
	Found	Remedied	Referred
	Found	Remedied	To H.M. Inspector	By H.M. Inspector

Page 14

OUTWORK.

Nature of Work	SECTION 110			SECTION 111
Nature of Work	No. of outworkers in August list required by Section 110 (1) (c)	No. of eases of default in sending lists to the Council	No. of prosecutions for failure to supply lists	No. of instances of work in unwholesome premises	Notices served	Prosecutions
(1)	(2)	(3)	(4)	(5)	(6)	(7)

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I append a list of various foodstuffs condemned during the year:-

Page 17

Continued from previous page...

Page 19

TABLE I. RODENT CONTROL

Type of premises	RATS		MICE		Total No. of Premises Visited	Total No. of Visits
Type of premises	Premises Visited	No. of Visits	Premises Visited	No. of Visits	Total No. of Premises Visited	Total No. of Visits

Page 19

TABLE II. DISINFESTATION.

Type of Premises	Premises visited	Total number of visits

Page 19

TABLE III. DISINFECTIONS.

Type of Premises	Premises visited	Total number of visits

Page 23

Particulars are given below regarding the various types of heat treated milk which were sampled during the year and submitted to the appropriate tests.

Type of Milk	Number sampled	Results of Examination
		Phosphatase Test		Methylene Blue Test		Turbidity Test
		Satisfactory	Unsatisfactory	Satisfactory	Unsatisfactory	Satisfactory	Unsatisfactory

Page 23

The adulteration in the Borough for the past five years was as follows:-

Year	Number of Samples	Percentage Adulteration

Page 23

The milk adulteration in the Borough for the past five years was as follows:-

Year	Number of Samples	Percentage Adulteration

Page 25

FERTILISERS & FEEDING STUFFS ACT, 1926. Particulars are given below of the samples taken during the year.

Type of sample	No. of samples taken	Analysis agreed	Analysis disagreed

Page 27

Carcases Inspected and Condemned.

	Cattle excluding Cows	Cows	Calves	Sheep and Lambs	Pigs	Horses	Goats

Page 30

Attendances at all the Child Welfare Sessions (Including the Toddlers' Clinics) are set out below for the period 1950-1953:-

	Children under 1 Year				Children 1-5 Years
	1950	1951	1952	1953	1950	1951	1952	1953

Page 31

Indeed, the search for infected children by means of the tuberculin jelly test (which is under consideration) has been shown to be an effective way of tracing active adult cases and bringing them under treatment earlier than would otherwise be possible.

Age	1949	1950	1951	1952	1953

Page 32

The following table shows the amount of B.C.G. vaccination undertaken to protect uninfected contacts of tuberculosis. It will be seen that there has been a steady increase In this work since it was first started in 1950:-

Age	1950	1951	1952	1953

Page 32

Place of Birth and Deaths under 1 month: 1953.

	Number of Infants	Number died within 24 hours	Number died within 28 days	Number survived 28 days

Page 33

STATISTICS. (a) Numbers provided with Dental Care.

	Examined	Needing Treatment	Treated	Made dentally fit

Page 33

(b) Forms of Dental Treatment Provided.

	Extractions	Anaesthetics		Fillings	Scalings or Scaling and gum treatment.	Silver Nitrate Treatment .	Dressings	Radio-graphs	Dentures provided
		Local	General						Dentures provided
		Local	General						Complete	Partial

Page 34

Day Nurseries and Child Minders. Three Day Nurseries remained open during 1953; the following table shows the average attendance at the day nurseries during the years:-

Nursery	No. of Approved Places	Average Daily Attendance
Nursery	No. of Approved Places	Under 2 yrs.	Over 2 yrs.	Total

Page 34

The following are the numbers of mothers and children sent for convalescence during 1953:-

Children under 5 years

Page 39

Number of Live Births in Maternity Units in the Borough.

Hospital	West Ham Residents	Total Live Births

Page 39

Midwives attending at Domiciliary Confinements.

Source	Number (or equivalent number) of midwives on 31.12.53.	Number of Live Births

Page 41

Summary of work carried out by all Home Nurses within the Borough.

Total Cases attended	Total number of visits paid	Average number of visits per case

Page 42

Statistics relating to the types and proportions of cases treated are set out below:-

	Total Cases	New Cases	Total Visits

Page 42

The following table shows the number of persons vaccinated during the years-

	Number of persons vaccinated (or re-vaccInated)
Age at date of vaccinat ion	Under 1	1	2-4	5-14	15 or over	Total

Page 43

The numbers of children immunised during the year by the Council's own staff or reported during the year as having been immunised by general practitioners in the area are shown in the table below:-

	AGE at date of final injection (as regards A) or of reinforcing injection (as regards B)
	Under 1	1	2	3	4	5 to 9	10 to 14	Total

Page 43

IMMUNISATION IN RELATION TO CHILD POPULATION Number of Children at 31st December, 1953, who had completed a course of Immunisation at any time before that date (i.e.. at any time since 1st Januarv 1939).

Age at 31.12.53 i.e., Born in Year	Under 1 1953	1-4 1952-1949	5-9 1948-1944	10-14 1943-1939	Under 15 Total

Page 44

The following table shows the work carried out by the Service during the years 1951. 1952 and 1953:-

		Ambulances	Ambulance Cars	Totals

Page 45

The following table shows the number of home visits and clinic attendances made by the Tuberculosis Health Visitors during the past five years:

Year	Home Visits	Clinic Sessions attended

Page 53

During the year the officers were called upon on 282 occasions with the following results:-

Disposal of Cases	M.	F.	Total

Page 54

The following table shows the type of care which was received by defectives remaining on the register at 31st December, 1953:-

	Under age 16		Age 16 and over		Total
	M.	F.	M.	F.	Total

Page 57

NEW CASES REGISTERED AS BLIND DURING THE YEAR.

Cause of Disability	Total	No Treatment Recommended	Recommended for:-
Cause of Disability	Total	No Treatment Recommended	Medical Treatment	Surgical Treatment

Page 57

NEW CASE0S REGISTERED AS PARTIALLY SIGHTED DURING THE YEAR.

Cause of Disability	Total	No. Treatment Recommended	Recommended for:-
Cause of Disability	Total	No. Treatment Recommended	Optical Treatment	Optical and Educational Treatment

Page 59

Classification of the General Condition of Children assessed at periodic inspections during the years 1951, 1952 and 1953.

Year 1951
	No. of children inspected	A (Good)		B (Fair)		C (Poor)
	No. of children inspected	No.	%	No.	%	No.	%

Page 60

The following percentages relate to the past eight years:-

Year	Excellent	Normal	Sub-normal and bad

Page 64

There is a good deal of evidence to show that ringworm of the scalp is a declining disease. The figures for previous years are given for comparison:-

Year	Total number treated	Received x-ray treatment

Page 64

The incidence in 1952 was 0.01 per cent. It is Interesting to compare this incidence with that of twenty-five to twenty-seven years ago.

Year	Number of cases	School Population	Incidence

Page 65

It is, of course, necessary for many of the patients to attend on more than one occasion, and some indication of the volume of work carried out at these clinics will be obtained from the following table:-

Clinic	No. of Attendances

Page 66

The incidence of defective colour vision remains fairly consistent as the following figures for the past eight years shows:-

Year	No. examined		Defective		Percentage Defective
Year	Boys	Girls	Boys	Girls	Boys	Girls

Page 67

The following figures snow attendances for the year:-

New cases	School Children 307	Maternity & Child Welfare 66

Page 69

The following figures relate to treatment given to school children during the year:-

	Number Treated	Total Number of treatments given

Page 71

To this end the following table has been compiled:-

Year	Number of cases	School Population	Incidence

Page 82

An analysis of the causation of defect in 87 West Ham cases and 10 extra-district cases which were In the Elizabeth Pry Special School during the year 1953 is set out below:-

Defect	West Ham	Extra-District

Page 84

The authority now has four Nursery schools. Children in attendance are examined quarterly and the results are set out below:-

Number examined	Number found to require treatment	Percentage found to require treatment

Page 84

When the children were examined for the first time during the year, their general condition, using the Ministry of Education classification, was assessed as follows:-

Number examined	Good	Percent-age	Pair	Percent-age	Poor	Percentage

Page 88

APPENDIX I. CAUSES OF DEATH IN AGE GROUPS - 1953 (as supplied by Registrar-General). '

Causes of Death.	All Ages		Deaths at different periods of life of residents (civilians) whether occurring within or without the district.
Causes of Death.	All Ages		Under 1 Year		1-5 Years		5-15 Years		15-25 Years		25-45 Years		45-65 Years		65-75 Years		75 and upwards
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 89

STRATFORD MORTUARY

Month	Number received	Males	Females	Over 5 years	Under 5 years	Sent In by Coroner	Sent in by Po 1 ic e	Sent in for sanitary reasons	Number of Post-Mortem Examinations	Number of Inquests held.

Page 90

School Population 1951: 28,178 1952: 29,135 1953: 29,653

TYPE OF WORK	Number of cases dealt with
TYPE OF WORK	1951	1952	1953

Page 91

TABLE I Return of Medical Inspection

A. Periodic medical inspection:
Code Group	No. examined

Page 91

TABLE II Classification of the General Condition of children inspected during the year In the three Prescribed Age Groups.

Number of children inspected	A		B		C
	(Good)		(Fair)		(Poor)
	No.	%	No.	%	No.	%

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

West Ham 1953

55 tables in this report

VARIOUS DISEASES: Cases and Deaths.

Notifications of Tuberculosis.

1.- INSPECTIONS FOR THE PURPOSES OF PROVISIONS AS TO HEALTH MADE BY SANITARY INSPECTORS.

2.- CASES IN WHICH DEFECTS WERE FOUND. (If defects are discovered at the premises on two, three or more separate occasions they should be reckoned as two, three or more "cases".)

OUTWORK.

I append a list of various foodstuffs condemned during the year:-

Continued from previous page...

TABLE I. RODENT CONTROL

TABLE II. DISINFESTATION.

TABLE III. DISINFECTIONS.

Particulars are given below regarding the various types of heat treated milk which were sampled during the year and submitted to the appropriate tests.

The adulteration in the Borough for the past five years was as follows:-

The milk adulteration in the Borough for the past five years was as follows:-

FERTILISERS &amp; FEEDING STUFFS ACT, 1926. Particulars are given below of the samples taken during the year.

Carcases Inspected and Condemned.

Attendances at all the Child Welfare Sessions (Including the Toddlers' Clinics) are set out below for the period 1950-1953:-

Indeed, the search for infected children by means of the tuberculin jelly test (which is under consideration) has been shown to be an effective way of tracing active adult cases and bringing them under treatment earlier than would otherwise be possible.

The following table shows the amount of B.C.G. vaccination undertaken to protect uninfected contacts of tuberculosis. It will be seen that there has been a steady increase In this work since it was first started in 1950:-

Place of Birth and Deaths under 1 month: 1953.

STATISTICS. (a) Numbers provided with Dental Care.

(b) Forms of Dental Treatment Provided.

Day Nurseries and Child Minders. Three Day Nurseries remained open during 1953; the following table shows the average attendance at the day nurseries during the years:-

The following are the numbers of mothers and children sent for convalescence during 1953:-

Number of Live Births in Maternity Units in the Borough.

Midwives attending at Domiciliary Confinements.

Summary of work carried out by all Home Nurses within the Borough.

Statistics relating to the types and proportions of cases treated are set out below:-

The following table shows the number of persons vaccinated during the years-

The numbers of children immunised during the year by the Council's own staff or reported during the year as having been immunised by general practitioners in the area are shown in the table below:-

IMMUNISATION IN RELATION TO CHILD POPULATION Number of Children at 31st December, 1953, who had completed a course of Immunisation at any time before that date (i.e.. at any time since 1st Januarv 1939).

The following table shows the work carried out by the Service during the years 1951. 1952 and 1953:-

The following table shows the number of home visits and clinic attendances made by the Tuberculosis Health Visitors during the past five years:

During the year the officers were called upon on 282 occasions with the following results:-

The following table shows the type of care which was received by defectives remaining on the register at 31st December, 1953:-

NEW CASES REGISTERED AS BLIND DURING THE YEAR.

NEW CASE0S REGISTERED AS PARTIALLY SIGHTED DURING THE YEAR.

Classification of the General Condition of Children assessed at periodic inspections during the years 1951, 1952 and 1953.

The following percentages relate to the past eight years:-

There is a good deal of evidence to show that ringworm of the scalp is a declining disease. The figures for previous years are given for comparison:-

The incidence in 1952 was 0.01 per cent. It is Interesting to compare this incidence with that of twenty-five to twenty-seven years ago.

It is, of course, necessary for many of the patients to attend on more than one occasion, and some indication of the volume of work carried out at these clinics will be obtained from the following table:-

The incidence of defective colour vision remains fairly consistent as the following figures for the past eight years shows:-

The following figures snow attendances for the year:-

The following figures relate to treatment given to school children during the year:-

To this end the following table has been compiled:-

An analysis of the causation of defect in 87 West Ham cases and 10 extra-district cases which were In the Elizabeth Pry Special School during the year 1953 is set out below:-

The authority now has four Nursery schools. Children in attendance are examined quarterly and the results are set out below:-

When the children were examined for the first time during the year, their general condition, using the Ministry of Education classification, was assessed as follows:-

APPENDIX I. CAUSES OF DEATH IN AGE GROUPS - 1953 (as supplied by Registrar-General). '

STRATFORD MORTUARY

School Population 1951: 28,178 1952: 29,135 1953: 29,653

TABLE I Return of Medical Inspection

TABLE II Classification of the General Condition of children inspected during the year In the three Prescribed Age Groups.

TABLE III Verminous Conditions

TABLE IV. Defects Treated

FERTILISERS & FEEDING STUFFS ACT, 1926. Particulars are given below of the samples taken during the year.