[Report of the Medical Officer of Health for Tottenham]

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Attendances at Ante-Natal Sessions.

Centre.	Sessions	Attendances.	Cases.	Post-Natal.

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The infant welfare centres are staffed by whole-time medical officers experienced in child health, and by the health visitors for the districts served. The following table shows the attendances of infants and children under five years of age :—

Centre.	Sessions.	Weighings. Infant Attendances.	New Cases.	Weighings. Over 1 year Attendances.	New Cases.	Examined by Doctor.

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Arrangements with the school health service for children under five to attend the special clinics has continued during the year. The number of consultations was 727. Children referred for artificial sunlight numbered 53.

Specialist Clinic.	No. of Consultations.	No. of Treatments.

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The average daily attendance at Tottenham nurseries throughout the year was as follows:-

Nurseries.	Attendances, 1947 (Whole days).							Days Open.	Av. Daily Attendance.
	January to March.	April to June	July to September.	October to December.	Total.		Total.
	January to March.	April to June	July to September.	October to December.	Under 2	Over 2	Total.

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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.	Totals.

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Puerperal Pyrexia. The following table shows the final results in each of the 24 cases of puerperal pyrexia notified during the year:—

Domiciliary Confinements.	Occurred in Institutions outside District.	Total.	Final Results.
Domiciliary Confinements.	Occurred in Institutions outside District.	Total.	Recovered	Died.

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Care of the Premature Infant.

Number of Premature Infants.		Stillborn.	Live Births.	Sets of Twins.	Alive after first month	Alive after 1 year.

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Attendances and Treatment given:

Centres.	Total Attendances.	Number of Schick Tests.	Number of Individual cases completed.		Totals.
Centres.	Total Attendances.	Number of Schick Tests.	0—4 yrs.	4—15 yrs.	Totals.

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Immunisation in Relation to Child Population. Number of Children who had completed a full course of Immunisation at any time up to 31st December, 1947.

Age at 31.12.47 i.e., Born in Year.	Under 1 1947	1 1946	2 1945	3 1944	4 1943	5 to 9 1938-42	10 to 14 1933-37	Total Under 15

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Diphtheria Notifications and Deaths, in Relation to Immunisation.

Notifications.			Deaths.
Age at date of Notification.	Number of Cases Notified.	Number of cases in preceding column in which the child had completed a full course of immunisation.	Age at date of Death.	Number of Deaths.
Under 1	Nil.	Nil.	Under 1	Nil.

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Ambulance Statistics.

Month.	Mileage Ambulances	Mileage School Buses	Total.

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CLINIC SERVICES

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The proportion of children in various types of school taking meals and milk in the final quarter of 1947, as shown in the return to the Ministry of Education, is as follows:—

Type of School.	Percentage of Roll.

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ORTHOPAEDIC CLINIC.

New Cases dealt with at Clinic during year.	Total No. of children treated during year.	Total No. of treatments during year.	Schedule of New Defects. *
New Cases dealt with at Clinic during year.	Total No. of children treated during year.	Total No. of treatments during year.	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	N A D

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School Medical and Dental Staff. Table VI.— School Medical and Dental Staff.

Name of Officer.	Proportion of whole time devoted to
Name of Officer.	School Medical Service.	Public Health.

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School Nursing Staff. (Excluding Specialist Nurses such as Orthopaedic Nurses).

	Number of Officers.	Aggregate of time given to S.M.S. work in terms of whole-time Officers.

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Table I.— Medical Inspection of Pupils Attending Maintained Primary and Secondary Schools.

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C. —Pupils Found to Require Treatment. Number of Individual Pupils found at Periodic Medical Inspection to Require Treatment (excluding Dental Diseases and Infestation with Vermin).

Group	For defective vision (excluding squint).	For any of the other conditions recorded in Table IIA.	Total individual pupils.
(1)	(2)	(3)	(4)

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Table II.— Return of Defects Found by Medical Inspection in the Year Ended 31st December, 1947.

Defect or Disease	Periodic 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)

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B.— Classification of the General Conditions of Pupils Inspected During the Year in the Age Groups.

Age Group	Number of Pupils Inspected	A.		B.		C.
		(Good)		(Fair)		(Poor)
		No.	% of col.2	No.	% of col.2	No.	% of col.2
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

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Table III.— Treatment Tables. Group I.—Minor Ailments (excluding Uncleanliness, for which see Table V).

(a)	Number of Defects treated, or under treatment during the year.

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Group V.—Child Guidance Treatment and Speech Therapy.

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Table IV.— Dental Inspection and Treatment.

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Table V.— I nfestation with V ermin.

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TOTTENHAM— E.N.T. CLINIC—1947. TABLE "A" acute otitis media. SCHOOL CHILDREN.

Diagnosis.	Total (Ears).	Tonsils and Adenoids.		Treatment.				Results.
	Total (Ears).	Tonsils and Adenoids.		Zinc Iomnisation.	Antiseptic Treatment.	Tonsils & Adenoids Treatment: Nasal Treatment, etc.	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.
	A	B		C	D	E	F	G	H	I	J	K	L

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T ottenham— e.n.t. clinic—1947. TABLE "B" CHRONIC SUPPURATIVE OTITIS MEDIA. SCHOOLCHILDREN.

Diagnosis.				Diagnosis.						Tonsils and Adenoids.	Treatment.					Results.
	Chronic Tympanic Sepsis, Complicated by:—		Totals (Ears).	Granulations: Simple Polypi.	Mastoid Disease.		Enlarged Tonsils and Adenoids.	Nasal Catarrh: Rhinitis: Sinusitis.	External Otitis, Eczema.		Primary (Ear).			Collateral (Nose and		Cured.	Improved.	Still under Treatment: Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not attend or Declined Treatment.
	Chronic Tympanic Sepsis, Complicated by:—		Totals (Ears).	Granulations: Simple Polypi.	Old Operation.	No Operation.	Enlarged Tonsils and Adenoids.	Nasal Catarrh: Rhinitis: Sinusitis.	External Otitis, Eczema.		Ionisation.	Antiseptic Treatment. Cautery, etc.	Mastoid Operation.	Tonsils /Adenoids. Conservative Treatment. Nasal Treatm.	Tonsils and 4 Adenoids Operation.	Cured.	Improved.	Still under Treatment: Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not attend or Declined Treatment.

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TOTTENHAM— E.N.T. CLINIC—1947. TABLE "C " NOSE AND THROAT CONDITIONS. SCHOOL CHILDREN.

Diagnosis. Primary Conditions.	Totals.	Tonsils and Adenoids.	Secondary Conditions.				Treatment.					Results.
			Otitis Media.	Deafness.	Nasal Catarrh, etc.	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.
			Otitis Media.	Deafness.	Nasal Catarrh, etc.	Enlarged Tonsils and Adenoids.	Diastolisation.	Antiseptic Treatment.	Proetz Displacement.	Conservative Treatment.	Operative Treatment.	Cured.	Improved.	Still under Treatment or Observation.	Left school or Treatment Lapsed.	Referred Hospital for Operation.	Did not attend or Declined Treatment.
A.	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	R

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TABLE D" MISCELLANEOUS.

Conditions.	Total	Tonsils / Adenoids previously removed.	Preschool

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Summary of Tuberculosis Cases.

Age Periods.	New Cases.				Deaths.
	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	Males	Females	Males	Females	Males	Females	Males	Females

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Non-pulmonary cases affecting:—

	Male.	Female.	Total.

Page 56

Cleansing facilities were afforded at the Public Cleansing Station, Mark field Road, and the Municipal Health Centres.

1947—Age and sex distribution	Males	Females	Total.

Page 58

Disinfection Work.

Page 65

This treatment, which was commenced in October, 1946, was described fully in my 1946 Report, but I am now able to publish the following statistical summary of the results:—

Page 66

The sixth treatment of sewers was carried out during June anc July, with the following results:—

Number of Treatments.

Page 66

Dwelling-houses and Business Premises Treated Apart from the Special Scheme.

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HOUSING PROGRESS. New Houses and Flats provided under Housing Legislation, since 1919.

	Houses.	Flats.	Total.

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Continued from previous page...

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The following articles of food were condemned, namely:—

	Tins.	Pounds.	Ozs.	Packets	Bottles.	Jars.

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Continued from previous page...

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1.— Inspections for purposes of provisions as to health (including inspections made by Sanitary Inspectors).

Premises.	Number on Register.	Number of
Premises.	Number on Register.	Inspections.	Written notices.	Occupiers prosecuted
(1)	(2)	(3)	(4)	(5)

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2.—Cases in which Defects were found.

Particulars.	Number of cases 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.
(1)	(2)	(3)	(4)	(5)	(6)

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OUTWORK (Sections 110 and 111).

Nature of Work	Section 110			Section III
Nature of Work	No. of ouf-workers in August list required by Section 110(l)(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)	(3)	(4)	(5)	(6)	(7)	(8)

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Table I STATISTICS OF TOTTENHAM FOR THE LAST TWENTY YEARS.

Year	Population	Deaths	Death Rate	Births	Birth Rate	Infantile Deaths	Infant Death Rate	Number of Cases.
Year	Population	Deaths	Death Rate	Births	Birth Rate	Infantile Deaths	Infant Death Rate	Puerperal Fever and Puerperal Pyrexia	Scarlet Fever	Diphtheria	Typhoid Fever	Small-Pox

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Table II Deaths during the year 1947 in the Borough of Tottenham classified according to Diseases.

Cause of Death	Males	Females	Totals

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Table III Infantile Deaths in Ages and Sexes during the year 1947

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.

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Table IV Table of Cases of Infectious Disease coming to the knowledge of the Medical Officer of Health during the year 1947 in the Borough of Tottenham, classified according to Diseases and Ages.

Notifiable Disease.	Males.	Females	Under one.	1—2	2—3	3—4	4—5	5—10	10—15	15—20	20—35	35—45	45—65	65 & over.	Total Cases Removed to Hospital by Council

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

View report tables

Tottenham 1947

46 tables in this report

Attendances at Ante-Natal Sessions.

The infant welfare centres are staffed by whole-time medical officers experienced in child health, and by the health visitors for the districts served. The following table shows the attendances of infants and children under five years of age :—

Arrangements with the school health service for children under five to attend the special clinics has continued during the year. The number of consultations was 727. Children referred for artificial sunlight numbered 53.

The average daily attendance at Tottenham nurseries throughout the year was as follows:-

DETAILS OF HOME VISITING BY HEALTH VISITORS.

Puerperal Pyrexia. The following table shows the final results in each of the 24 cases of puerperal pyrexia notified during the year:—

Care of the Premature Infant.

Attendances and Treatment given:

Immunisation in Relation to Child Population. Number of Children who had completed a full course of Immunisation at any time up to 31st December, 1947.

Diphtheria Notifications and Deaths, in Relation to Immunisation.

Ambulance Statistics.

CLINIC SERVICES

The proportion of children in various types of school taking meals and milk in the final quarter of 1947, as shown in the return to the Ministry of Education, is as follows:—

ORTHOPAEDIC CLINIC.

School Medical and Dental Staff. Table VI.— School Medical and Dental Staff.

School Nursing Staff. (Excluding Specialist Nurses such as Orthopaedic Nurses).

Table I.— Medical Inspection of Pupils Attending Maintained Primary and Secondary Schools.

C. —Pupils Found to Require Treatment. Number of Individual Pupils found at Periodic Medical Inspection to Require Treatment (excluding Dental Diseases and Infestation with Vermin).

Table II.— Return of Defects Found by Medical Inspection in the Year Ended 31st December, 1947.

B.— Classification of the General Conditions of Pupils Inspected During the Year in the Age Groups.

Table III.— Treatment Tables. Group I.—Minor Ailments (excluding Uncleanliness, for which see Table V).

Table IV.— Dental Inspection and Treatment.

Table V.— I nfestation with V ermin.

TOTTENHAM— E.N.T. CLINIC—1947. TABLE "A" acute otitis media. SCHOOL CHILDREN.

T ottenham— e.n.t. clinic—1947. TABLE "B" CHRONIC SUPPURATIVE OTITIS MEDIA. SCHOOLCHILDREN.

TOTTENHAM— E.N.T. CLINIC—1947. TABLE "C " NOSE AND THROAT CONDITIONS. SCHOOL CHILDREN.

TABLE D" MISCELLANEOUS.

Summary of Tuberculosis Cases.

Non-pulmonary cases affecting:—

Cleansing facilities were afforded at the Public Cleansing Station, Mark field Road, and the Municipal Health Centres.

Disinfection Work.

This treatment, which was commenced in October, 1946, was described fully in my 1946 Report, but I am now able to publish the following statistical summary of the results:—

The sixth treatment of sewers was carried out during June anc July, with the following results:—

Dwelling-houses and Business Premises Treated Apart from the Special Scheme.

HOUSING PROGRESS. New Houses and Flats provided under Housing Legislation, since 1919.

Continued from previous page...

The following articles of food were condemned, namely:—

Continued from previous page...

1.— Inspections for purposes of provisions as to health (including inspections made by Sanitary Inspectors).

2.—Cases in which Defects were found.

OUTWORK (Sections 110 and 111).

Table I STATISTICS OF TOTTENHAM FOR THE LAST TWENTY YEARS.

Table II Deaths during the year 1947 in the Borough of Tottenham classified according to Diseases.

Table III Infantile Deaths in Ages and Sexes during the year 1947

Table IV Table of Cases of Infectious Disease coming to the knowledge of the Medical Officer of Health during the year 1947 in the Borough of Tottenham, classified according to Diseases and Ages.