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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 1955
[Report of the Medical Officer of Health for West Ham]
- Published
- 1956
- Pages
- 170
- Tables
- 121
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Page 5
VARIOUS DISEASES:Cases and Deaths.
Cases Case rate per 1,000 population Deaths Death rate per 1,000 population -
Page 7
Table showing Cases of Infectious Disease Notified & Confirmed. 1955.
Diseases All Age Groups Ages 1954 1955 0-1 1-3 3-5 5-10 10-15 15-25 Over 25 Deaths -
Page 7
The following table shows the age Incidence and case rate per 1,000 population of Scarlet Fever, Measles and Whooping Cough.
Age Scarlet Fever Measles Whooping Cough -
Page 12
The following two tables give details of the type of organism and immunisation state of the cases. TABLE I.
Case Bate of Onset Age Sex Strain School or Occupation -
Page 12
TABLE II.
Immunisation State Year of Birth Primary Immunisation Date and Dose Booster -
Page 14
The age and sex incidence of the confirmed cases was as follows:
Male Female -
Page 14
ERYSIPELAS, Eighteen cases of this disease were notified. The age and sex incidence was as follows:-
Age Male Female -
Page 15
The age and sex incidence was as follows
Age March June September Pecember Total M. F. M. F. M. F. M. F. M. F. -
Page 16
Annual Return of Food Poisoning Notifications, for the year 1955. Food Poisoning Notifications (Corrected).
-
Page 17
The age and sex Incidence of these deaths was as follows:-
Age Groups M. F. -
Page 17
The age and sex distribution of the cases notified was as follows
Age Groups Respiratory Non-respiratory M. F. M. F. -
Page 17
PRIMARY NOTIFICATIONS OF CASES OF TUBERCULOSIS. (Children under 5)
Age 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 -
Page 18
The table below shows the age and sex distribution in respect of the deaths from tuberculosis during the year.
Age Groups Respiratory Non-re spiratory M F. M. F. -
Page 19
(a) notifications of Tuberculosis.
Respiratory Non-respiratory Year Number Rate per 1,000 population Number Rate per 1,000 population -
Page 21
The following table gives an analysis of the age and sex distribution as well as the localisation of the disease in all persons certified as dying from cancer during the year.
Age Groups Malignant Neoplasms Other Malignant & Lymphatic Neoplasms TOTAL Stomach Lung & Bronchus Leukaemia & Aleukaemia Breast Uterus M. F. M. F. M. F. F. F. M. F. -
Page 22
The diagnosis was as follows:-
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Page 25
1.- INSPECTIONS for purposes of provisions as to health (including inspections made by Sanitary Inspectors).
Premises Number on Register Number of Inspections Written notices Occupiers prosecuted -
Page 25
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 cases in which defects were found Number of cases in which prosecutions were instituted Found Remedied Referred To H.M. Inspector By H.M. Inspector -
Page 26
Part VIII OUTWORK (Sections 110 and 111)
Mature of Work SECTION 110 SECTION 111 No. of outworkers in August list required by Section 110 (1) (c) No. of cases 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) -
Page 30
FOODSTUFFS CONDEMNED DURING 1955.
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Page 34
During the year the following areas were officially represented by Clearance Order proc edure:-
Area Houses -
Page 35
The total number of houses and the ward in which they are situate are set out below:-
Ward Houses -
Page 38
The statistics relating to the activities of the Section are given in the tables below:- RODENT CONTROL
Investigational visits to premises Operational visits to premises -
Page 39
DISINFESTATIONS - VERMIN
Invest igational visits to premises Operational visits to premises -
Page 39
DISINFECTIONS
No. of Premises visited Operational visits -
Page 40
The adulteration in the Borough for the past five years was as followss-
Year Number of Samples Percentage Adulteration -
Page 40
The milk adulteration in the Borough for the past five years was as follows:-
Year Number of Samples Percentage Adulteration -
Page 41
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 supplied Results of Examination Phosphatase Test Methylene Blue Test Turbidity Test Satisfactory Unsatisfactory Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 42
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 46
No differentiation is made between major and minor defects, but no defect is recorded unless it is considered necessary to advise treatment or to keep the child under observation.
Defect No. of children in which found -
Page 47
Attendances at all the Child Welfare Sessions (including the Toddlers' Clinics) are set out below for the period 1951 - 1955. The percentage of children in both age groups who have attended shows very little variation from the previous year.
Children under 1 Year Children 1-5 Years Number of Individual children 1951 1952 1953 1954 1955 1951 1952 1953 1954 1955 2,4-06 (83%) 2,042 (74%) 2,336 (81%) 2,309 (85%) 2,166 (84%) 5,917 (41%) 5,596 (44%) 5,526 (46%) 5,169 (47%) 5,012 (45%) -
Page 49
Physiotherapy. The following table shows the number of pre-school children who have attended the Council's Physiotherapy Clinics, which are administered by the School Health Service:-
Sunlight Massage Exercises -
Page 50
At the end of the year there were 87 such children who were being kept under careful observation. Of these 13 had been ascertained .
Ascertained Not Ascertained Total -
Page 50
The 13 children "ascertained" were placed in the following categories:-
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Page 50
The 74 children not yet ascertained would appear to come within the following categories:-
-
Page 50
The ages of children seen by the Educational Psychologist are as follows:-
Age First Exam. Re-Exam. -
Page 52
First Priority:
-
Page 52
The following is an analysis of the temporary admissions and the average number of days the children spent in the Nurseries.
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Page 54
VITAL STATISTICS. The following are the statistics for 1955 compared with the provisional rates for England and Wales which have been published by the Registrar General
For West Ham For England & Wales -
Page 55
The Classification of causes of deaths in infants under 1 year is as follows:-
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Page 55
Although the full details from which the Registrar General compiles his statistics are not accessible to the Health Department, it would appear from such information as is available that the 35 infant deaths classified as "other defined and I11 Defined Diseases" are made up as follows:-
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Page 55
Detailed information is available in respect of the 40 deaths of infants under 4 weeks of age, and is shown in the following tables-
Age Weight Place of birth -
Page 61
Maternity Services. Total live births notified as West Ham births during the year 1955 was 2,577 and of these 15% were born at home and 85% born in hospital.
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Page 61
Number of Live Births in Maternity Units in the Borough.
Hospital West Ham Residents Total Live Births -
Page 61
Midwives attending at Domiciliary Confinements
Source Number (or equivalent number) of midwives on 31.12.55. Number of Live Births -
Page 63
Home Visits.
First Visits Total Visits -
Page 66
General Arrangements. 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 66
Types and proportions of cases treated are set out below:-
Total Cases New Cases Total Visits -
Page 66
Age groups of patients treated are as follows:-
Total Cases New Cases Total Visits -
Page 69
Number of Persons Vaccinated (or re-vaccinated).
Age at date of vaccination Under 1 1 2-4 5 - 14 15 or over Total -
Page 69
TABLE B.
AGE at date of final injection Undefr 1 1-4 5 - 14 TOTAL -
Page 70
TABLE C.
Age at 31.12.55 i.e., Born in Year Under 1 1955 1-4 1954-1951 5-9 1950-1946 10 - 14 1945-1941 Under 15 Total -
Page 75
The following table shows the numbers of contacts given B.C.G. vaccination during the past five years :-
Age 1951 1952 1953 1954 1955 -
Page 75
Tha figures for this work in relation to those of previous years are:-
Year New contacts examined New notified cases on Clinic Register Average number of contacts examined per notified case -
Page 76
The Mass Radiography Unit of the Regional Hospital Board was stationed at the Public Hall, Canning Town, for a period of one month commencing 12th October, 1955. The results of this survey are summarised below:-
Male Female Total -
Page 76
Tuberculous Lesions.
-
Page 76
Other abnormalities revealed.
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Page 77
In this survey attendances by the public, from firms, of scholars and of patients referred by private practitioner were as follows
Group Male Female Total -
Page 77
The numbers falling into the various age groups were as follows:—
Under 14 14 15-19 20-24 25-34 35-44 45-54 55-59 60-64 65 + -
Page 78
Continued from previous page...
Totals under groups Males Females Total -
Page 78
Continued from previous page...
Abnormal findings:— Males Females Total -
Page 80
The age and sex incidence of the cases placed in convalescent homes was:-
SEX Under 25 25 - 45 - 65 - 75 - Total -
Page 83
Nursing Equipment Loaned during the year 1955.
Article Number loaned to TOTAL Tuberculosis Patients Other Patients -
Page 84
The duration of service provided in respect of other new cases during the year was as follows:—
Duration of Case Tuberculosis Cases General Sickness, Aged and Infirm Cases -
Page 89
The following details relate to the work of the Psychiatric Social Worker:-
Referrals -
Page 90
Continued from previous page...
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Page 91
1. Calls received in connection with mental illness numbered 272 and were from:-
-
Page 91
Disposal of cases. Two-hundred-and-three were admitted to hospital:-
M. F. Total -
Page 91
These were admitted to the following hospitals:-
-
Page 92
The age incidence of these admissions was as follows:-
Sex 0 - 15 - 25 - 35 - 45 - 55 - 65 - 75 & over TOTAL -
Page 93
Visits in connection with the Mental Deficiency Acts during the year were as follows:-
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Page 94
Institutional Accommodation. Eleven defectives were admitted to South Ockendon Institution, The age and sex incidence was:-
Male Female -
Page 96
1. Particulars of Mental Defectives on Register as at 31st December, 1955.
Under age 16 Aged 16 and over Total M. F. M. F. -
Page 96
2. Particulars of cases reported during 1955.
Under age 16 Aged 16 and over Total M. F. M. F. -
Page 101
Classification of Registered Blind Persons by Age Groups, Table I.
Total cases on Register (Age at Dec. 31st., 1955.) New Cases Registered Jan. 1st. 1955 to Dec. 31st. 1955. (Age at Redstrati on) M F Total M F Total -
Page 102
TABLE II. Age at which onset of Blindness occurred.
Total cases on Register New Cases Registered Jan. 1st to Dec. 31st. 1955. M. F. Total M F Total -
Page 102
TABLE III. Distribution of Local Blind Persons. I. Children, age under 16.
M. F. TOTAL M F TOTAL -
Page 103
II. A g e Period l6 years and upwards.
Employed. (a) In Workshops for the Blind. M. F. TOTAL M. F. TOTAL -
Page 104
TABLE IV. Nature of Employment. Within Workshops for the Blind,
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Page 105
TABLE VI. Nature of Disability of New Cases Registered as Blind During the year.
Cause of Disability Total No Treatment Recommended Recommended for Medical Treatment Surgical Treatment -
Page 105
(B) PARTIALLY SIGHTED PERSONS. TABLE I. Register of Partially-Sighted Persons. Year ended 31st Dec. 1955. Total No. on Register - Age Groups and Sexes.
-
Page 105
TABLE II Cases newly Registered: Age at Date of Registration.
Age Group 0-1 2-4 5-15 16 - 20 21 - 49 50 - 64' 65 & over Total & Sex M. F. M. F. M. F. M. F. M. F. M. F. M. F. M. F. -
Page 105
TABLE III Removals from Register.
M. F. Total -
Page 105
TABLE IV. Persons Requiring Observation Only (Age 16 and Over)
16 - 20 21 - 49 50 - 64 65 and over Total -
Page 106
TABLE V. Details of Children: (a) age 5 under 16.
Educable Ineducable Total Attending Special Schools Attending Other Schools Not at School -
Page 106
TABLE VI. No. of Persons Registered under the Disabled Persons (Employment) Act, 1944.
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Page 106
TABLE VII. Nature of Disability of New Cases Registered as Partially-Sighted during the Year
Cause of Disability Total No Treatment Recommended Recommended for Optical Treatment Medical Treatment Educational & Optical Treatment -
Page 108
The admissions and discharges of cerebral palsied children aged 2-16 years were as followss-
Total carried over Admissions Transfer to Day Special School Discharges Total on Roll at end of 1955 -
Page 109
Medical Examinations. During the year, the medical officers of the department carried out examinations of new entrants to the Council's service or under the Protracted Sickness scheme as follows:-
Department Medical Examinations.Protracted Sickness Examinations. -
Page 109
Chest X-rays arranged for New Entrants.
By M.R.U. Local Hospitals -
Page 111
Classification of the General Condition of Children assessed at Periodic Inspections
No. of children inspected A (Good) B (Fair) c (Poor) No. No. % No. -
Page 111
The following table shows a comparison of the findings for the past ten yearsi-
Year Excellent Normal Sub-normal and bad -
Page 117
RINGWORM, One case of ringworm of the scalp was treated during the year. It was a single lesion treated at hospital by fungicidal ointment. Last year only one case was treated and in 1953 no case was recorded, this being the only occasion in the history of the Service when no case was found. The reduction in the number of children with ringworm is general and there is a good deal of evidence to show that scalp ringworm is a declining disease. The figures for previous years are given for comparisoni-
Year Total number treated Received X-ray treatment -
Page 118
The incidence in 1955 was 0.0033 per cent. It is interesting to compare this very low incidence with that of twenty-seven to twenty-nine years ago.
Year Number of cases School Population Incidence -
Page 120
Previous annual reports have shown the steady decline of this infestation from the wartime peak of 2,750 cases in 1942; it is interesting to compare the present incidence with that of the middle years between the wars when the rates were also low. To this end the following table has been compiled:-
Year No, of cases School Population Incidence -
Page 121
At the examinations held at the grammar and technical schools during the year the following results were obtained:-
Number examined Colour Defective Percentage Colour Defective -
Page 121
The following figures relate to the findings during the last ten years;-
Number examined Colour Defective Percentage Colour Defective -
Page 123
The following figures relate to the findings during the year -
No. of children tested No. of children retested No. referred to School Medical Officers -
Page 124
1955 AUDIOMETRIC SURVEYS - COMPLETED INVESTIGATIONS
For treatment For observation Refused investigation Removed from area before inv e stlga tlons completed No action Required Totals Defect Minor Aliment Clinic E.N.T. Clinic Hospital General Practitioner Assistant Medical Officer E.N.T. Clinic Recommended to sit In favourable position -
Page 127
The following figures relate to treatment given to school children during the years-
Number treated Total number of treatments given -
Page 131
TABLE A Daytime Clinical Sessions
-
Page 131
TABLE B Routine Dental Inspections of Expectant and Nursing Mothers and Pre-School Children
Mothers Children -
Page 134
The following programme was in operation during the year:-
Senior Speech Therapist Assistant Speech Therapist -
Page 139
AGE INCIDENCE
Under 5 years 5 to 11 years 11 years + -
Page 139
SEX
Male Female -
Page 156
APPENDIX I. CAUSES OF DEATH IN AGE GROUPS - 1955 (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. 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 157
APPENDIX II Particulars of Bodies Received into the Mortuary During 1955
Month Number Received Males Females Over 5 yrs. of Age Under 5 years 1 Sent in by the Coroner Sent in by the Police Sent in for Sanitary Reasons No. of Post-Mortem Examinations held No. of Inquests Held No. of Bodies Temporarily Embalmed -
Page 158
APPENDIX III
TYPE OF WORK Number of cases dealt with 1952 1953 1954 1955 -
Page 159
TABLE I Return of Medical Inspection A. Periodic medical inspection:
Code Group No. examined -
Page 159
C. Pupils found to require treatments
Age Groups Inspected < For defective vision (excluding squint) For any of the other conditions recorded in Table IIA Total individual pupils -
Page 160
TABIE II A. Return of defects found by medical inspection in the year ended 31st December, 1955,
Defect Code Number Disease or Defect Periodic Inspection No. of defects Special Inspections No. of defects Requiring treatment Requiring to be kept under observation Requiring treatment Requiring to be kept under observation -
Page 160
B. Classification of the General Condition of children Inspected during the year in the Periodic Age Groups.
Age Groups Inspected Number of pupils Inspected A (Good) B (Pair) C (Poor) No. % of col.2 No. % of col.2 No. % of col,2 (1) (2) (3) (1) (5) (6) (7) (8) -
Page 161
TABLE III Verminous Conditions
-
Page 161
TABLE IV Defects Treated Group 1, Diseases of the Skin (excluding uncleanliness)
Number of cases treated or under treatment during the year By the Authority Otherwise -
Page 161
Group 2. Diseases of the Eye, Defective Vision and Squint
Number of cases dealt with By the Authority Otherwise -
Page 161
Group 3, Diseases and Defects of the Ear, Nose and Throat
Number of eases treated By the Authority Otherwise -
Page 162
Group 4„ Orthopaedic and postural defects.
-
Page 162
Group 5. Child Guidance Treatment.
Number or cases treated In the Authority's Child Guidance Clinic Elsewhere -
Page 162
Group 6. Speech Therapy
Number of cases treated By the Authority Otherwise -
Page 162
Group 7. Other treatment given
Number of cases treated By the Authority Otherwise -
Page 163
TABLE V Dental Inspection and Treatment