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Tottenham 1945

[Report of the Medical Officer of Health for Tottenham]

Published
1946
Pages
100
Tables
52

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52 tables in this report

  • Page 5
    STATISTICAL SUMMARY. Year ended, 31st December, 1945.
  • Page 7
    Table I STATISTICS OF TOTTENHAM FOR THE LAST TWENTY YEARS.
    YearPopulationDeathsDeath RateBirthsBirth RateInfantile DeathsInfant Death RateNumber of Cases.
    Puerperal Fever and Puerperal PyrexiaScarlet FeverDiphtheriaTyphoid FeverSmall-Pox
  • Page 8
    Table II Deaths during the year 1945 in the Borough of Tottenham, classified according to Diseases
    Cause of DeathMalesFemalesTotals
  • Page 9
    Table 111 Infantile Deaths in Ages and Sexes during the year 1945.
    Cause of Death.Under 1 week.1—2 weeks.2—3 weeks.3—4 weeks.Total under 4 weeks.1—3 months.3—6 months.6—9 months.9—12 months.Total deaths under 1 year.Males.Females.
  • Page 11
    The following examinations were made during the year in the Council's Laboratory:—
    Swabs (Throat and Nasal).Negative.Positive.Total.
  • Page 13
    The oxygen resuscitator was used on seven occasions.
    Month.Mileage AmbulancesMileage School BusesTotal.
  • Page 15
    No action was taken under the Scabies Order, 1940.
    Age and sex distributionMalesFemalesTotal
  • Page 16
    Summary of Tuberculosis Cases.
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    MalesFemalesMalesFemalesMalesFemalesMalesFemales
  • Page 16
    Non-pulmonary cases affecting:—
    Male.Female.Total.
  • Page 17
    table IV Table of Cases of Infectious Disease coming to the knowledqc of the Medical Officer of Health during the year 1945 in the Borough of Tottenham, classified according to Diseases and Ages.
    Notifiable Disease.Males.FemalesUnder one.1—22—33—44—55—1010—1515—2020—3535—4545—6565 & over.Total Cases Removed to Isolation Hospital by Council
  • Page 21
    Repair of Houses by the Council.
    £.s.d.
  • Page 26
    In this table, the original degree of infestation is indicated as follows:— * .. Infested, but bugs not evident on cursory examination. ** .. Badly infested, bugs evident. *** .. Very badly infested, bugs abundant and immediately obvious. **** .. (One exceptionally bad case).
    Treatment.Individual houses in undermentioned Roads.Original Infestation Category.Observation at Inspection.
    1 week later.3 weeks later.
  • Page 27
    RESULT OF A THIRD VISIT OF INSPECTION.
    Treatment.Individual houses in roads.Date of Revisit.Remarks.
  • Page 28
    Table Showing Number of Treatments.
  • Page -
    SCHOOL MEDICAL AND DENTAL STAFF. Table VII.— School Medical and Dental Staff.
    Name of Officer.Proportion of whole time devoted to
    School Medical Service.Public Health.
  • Page -
    School Nursing Staff. (Excluding Specialist Nurses such as Orthopaedic Nurses).
    Number of OfficersAggregate of time given to S.M.S. work in terms of whole time Officers.
  • Page 32
    ROUTINE MEDICAL INSPECTION. Table I.—Medical Inspections of Children attending Primary and Secondary Schools—Year ended 31st December, 1945. A.— Routine Medical Inspections.
    (1) No. of routine Inspections according to age groups:—
  • Page 32
    Table II.—Classification of the Nutrition of Children Inspected during the year under review in the routine aos groups .
    Inspections.A. (Excellent).B. (Normal).C. (Slightly Sub-Normal).D. (Bad).
    No.0/ /oNo.%No.0/ /oNo.%
  • Page 32
    Table III. Group I.— Treatment of Minor Ailments (excluding Uncleanliness.) Total number of defects treated or under treatment during the year under the Authority's Scheme 5,327 Group II.— Treatment of Defective Vision and Squint.
    Under the Authority's Scheme.
  • Page 35
    With the return of all the evacuated children, however, the position, as the figures show, has more than recovered itself during the year under review.
    Period.Total meals served.
  • Page 38
    Children certified by the School Medical Officer as in need of Institutional Treatment have been registered at the following Schools:—
    Mentally Defective.
    School.Boys.Girls.
  • Page 39
    Continued from previous page...
    School.Boys.Girls.
  • Page 40
    Treatment of Defective Vision and Squint.
    Under the Authority's Scheme.
    Pre-School.School.Adolescents.Totals.
    Errors of refraction (including squint)
  • Page 46
    Summary of Returns.—
    194319441945
  • Page -
    TABLE "A" acute otitis media 1943. SCHOOL CHILDREN.
    Diagnosis.Total (Ears).Tonsils and Adenoids.Treatment.Results.
    Ionisations.Antiseptic Treatment.Tonsils & Adenoids Treatment: Nasal Treatment.Tonsils & Adenoids Operation.Cured.Improved.Still under Treatment or Observation.Left School or Treatment Lapsed.Referred to Hospital for Operation.Did not Attend or Declined Treatment.
  • Page -
    table "a" acute otitis media 1944. SCHOOL CHILDREN.
    Diagnosis.Total (Ears).Tonsils and Adenoids.Treatment.Results.
    Ionisation.Antiseptic Treatment.Tonsils & Adenoids Treatment: Nasal Treatment.Tonsils & Adenoids Operation.Cured.Improved.Still under Treatment or Observation.Left School or Treatment Lapsed.Referred to Hospital for Operation.Did not Attend or Declined Treatment.
  • Page -
    TablE "a" acute otitis media 1945. SCHOOL CHILDREN.
    Diagnosis.Total (Ears).Tonsils and Adenoids.Treatment.Result.
    Ionisation.Antiseptic Treatment.Tonsils & Adenoids Treatment: Nasal Treatment.Tonsils & Adenoids Operation.Cured.Improved.Still under Treatment or Observation.Left School or Treatment Lapsed.Referred to Hospital for Operation.Did not Attend or Declined Treatment.
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  • Page -
    TABLE "B" CHRONIC SUPPURATIVE OTITIS MEDIA, 1943. SCHOOLCHILDREN.
    Diagnosis.Totals (Ears).Diagnosis.Tonsils and Adenoids.Treatment.Results.
    Chronic Tympanic Sepsis, Complicated by:—Granulations: Simple Polypii.Mastoid Disease.Enlarged Tonsils and Adenoids.Nasal Catarrh: Rhinitis: Sinusitis.External Otitis, Eczema.Primary (Ear).Collateral (Nose and Throat).Cured.Improved.Still under Treatment: Observation.Left School or Treatment Lapsed.Referred to Hospital for Operation.Did not attend or Declined Treatment.
    Old Operation.No Operation.| Ionisation.Antiseptic Treatment. Cautery, etc.Mastoid Operation.Tonsils/Adenoids. Conservative Treatment. Nasal Treatm.Tonsils and Adenoids Operation.
  • Page -
    TABLE B "B" CHRONIC SUPPURATIVE OTITIS MEDIA, 1944. SCHOOLCHILDREN.
    Diagnosis.Diagnosis.Treatment.Results.
    Chronic Tympanic Sepsis, Complicated by:—Totals (Ears).Granulations: Simple Polypiii.Mastoid Disease.Enlarged Tonsils and Adenoids.Nasal Catarrh: Rhinitis: Sinusitis.External Otitis, Eczema.Tonsils and Adenoids.Primary (Ear).Collateral (Nose and Throat).Improved.Still under Treatment: Observation.Left School or Treatment Lapsed.Referred to Hospital for Operation.Did not attend or Declined Treatment.
    Old Operation.No Operation.
    Ionisation.Antiseptic Treatment.Mastoid Operation.Tonsils/Adenoids. Conservative Treatment. Nasal Treatm.Tonsils and Adenoids Operation.Cured.
  • Page -
    TABLE "B" CHRONIC SUPPURATIVE OTITIS MEDIA 1945. SCHOOLCHILDREN.
    Diagnosis.Diagnosis.Tonsils and Adenoids.Treatment.Results.
    Chronic Tympanic Sepsis, Complicated by:—Totals (Ears).Granulations: Simple Polypii.Mastoid Disease.Enlarged Tonsils and Adenoids.Nasal Catarrh : Rhinitis: Sinusitis.External Otitis, Eczema.Primary (Ear).Collateral (Nose and Throat).Cured.Improved.Still under Treatment: Observation.Left School or Treatment Lapsed.Referred to Hospital for Operation.Did not attend or Declined Treatment.
    Old Operation.No Operation.
    Ionisation.Antiseptic Treatment. Cautery, etc.Mastoid Operation.Tonsils/Adenoids. Conservative Treatment. Nasal Treatm.Tonsils and Adenoids Operation.
  • Page -
    TABLE "C" nose and throat conditions 1943. SCHOOL CHILDREN.
    Diagnosis. Primary Conditions.Totals.Tonsils and Adenoids.Secondary Conditions.Treatment.Results.
    Otitis Media.Deafness.Nasal Catarrh.Enlarged Tonsils and Adenoids.Diastolisation.Antiseptic Treatment.Proetz Displacement.Tonsils and Adenoids.Cured.Improved.Still under Treatment or Observation.Left school or Treatment Lapsed.Referred Hospital for Operation.Did not attend or Declined Treatment.
    Conservative Treatment.Operative Treatment.
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  • Page -
    TABLE " C " NOSE AND THROAT CONDITIONS 1944. SCHOOL CHILDREN.
    Diagnosis. Primary Conditions.Totals.Tonsils and Adenoids.Secondary Conditions.Treatment.Results.
    Otitis Media.Deafness.Nasal Catarrh.Enlarged Tonsils and Adenoids.Diastolisation.Antiseptic Treatment.Proetz Displacement.Tonsils and Adenoids.Cured.Improved.Still under Treatment or Observation.Left school or Treatment Lapsed.Referred Hospital for Operation.Did not attend or Declined Treatment.
    Conservative Treatment.Operative Treatment.
  • Page -
    NOSE AND THROAT CONDITIONS 1945. TAB LE "C" SCHOOL CHILDREN.
    Diagnosis. Primary Conditions.Totals.Tonsils and Adenoids.Secondary Conditions.Treatment.Results.
    Otitis Media.Deafness.Nasal Catarrh.Enlarged Tonsils and Adenoids.Diastolisation.Antiseptic Treatment.Proetz Displacement.Tonsils and Adenoids.Cured.Improved.Still under Treatment or ObservationLeft school or Treatment Lapsed.Referred Hospital ^ for Operation.Did not attend or Declined Treatment.
    Conservative Treatment.Operative Treatment.
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  • Page -
    1943. TABLE "D" MISCELLANEOUS CASES.
  • Page -
    1944. TABLE "D" miscellaneous cases.
  • Page -
    1945. TABLE "D" miscellaneous cases.
  • Page 47
    The treatment being by nature a lengthy process, no very conclusive results can be shown in this short period.
    Nature of Defect.Number of Cases Treated.Discharged —Cured.Treatment continued into 1946.Left School.Miscellaneous.
  • Page 49
    Environmental conditions. —In this series environmental circumstances seem to have no effect upon the incidence of disease, except for the question of sharing a bed:—
    Cases.With Rheumatism.
  • Page 51
    Summary of Cases Treated by Penicillin.
    Schedule of Defects.Total No. of Cases.Cases Cured.Treatment Discontinued.
  • Page 55
    MATERNITY AND CHILD WELFARE SERVICE CLINICS.
    Clinic.Address.Monday.Tuesday.Wednesday.Thursday.Friday.Saturday.
  • Page 56
    The population of the Borough as estimated by the Registrar-General is 110,600 as compared with the pre-war estimated population of 144,400.
  • Page 58
    DETAILS OF HOME VISITING BY HEALTH VISITORS.
    Expectant Mothers.Children under 1 year.Over 1 yr.Totals.
    First Visits.Re-visits.First Visits.Re-visits.Re-visits.
  • Page 59
    The following table shows the types of infant feeding and their incidence in the total infant population of the Borough.
  • Page 60
    The following table shows the attendances of infants and children under five years of age at the Municipal Health Centres:—
    Centre.Sessions.Weighings . Infant Attendances .New Cases.Weighings. Over 1 year Attendances .New Cases.Examined by Doctor.
  • Page 61
    Table of Attendances at Toddler Clinics.
    Health Centre.Sessions held.Appointments made.Actual Attendnaces.
    New.Re-exams.Total.
  • Page 62
    Percentage of Defects.
    Ear, Nose or ThroatDentalVisionMalnutritionDebility after Ac. Sp. FeversEmotionalT.B. Family HistoryNo Defects Found
  • Page 62
    The arrangement with the School Health Service for children under five to attend the special clinics has continued during the year. Consultations and treatment were as follows:—
    Clinics.No. of Consultations.No. of Treatments.
  • Page 63
    Attendances at Ante-Natal Sessions.
    Centre.Sessions.Attendances .Cases.PostNatal.
  • Page 63
    The following table shows the various institutions in which the confinements took place:—
  • Page 64
    Record of Municipal Midwifery Cases.
  • Page 64
    The following table shows the final results in each of the 14 cases of Puerperal Pyrexia notified during the year:—
    Doctors' Cases.Midwives' Cases.Occurred in Hospitals outside District.Total.Final Results.
    RecoveredDied.
  • Page 72
    WAR-TIME NURSERIES.
    Nurseries.Children ; Places.OpenedAttendances, 1945.Total.Days Open.Av. Daily Attendance
    January to March.April to June.July to September.October to December.Total.
    Under 2Over 2