[Report of the Medical Officer of Health for Mitcham]

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STATISTICS

Live Births.	Total	Male	Female	Rate per 1,000 of population

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Deaths from pregnancy, childbirth and abortion: —

	Rate per 1,000 total births

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Percentage of Births Occurring in Institutions

Year	Total births	Births in hospitals, etc.	Percentage of births occurring in institutions

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The birth rates, death rates per 1,000 of population, and the infantile mortality rates for the years 1938-57 are shown in the following table: —

Year	Births per 1,000 population		Deaths per 1,000 population		Infant Mortality per 1,000 live births
Year	mitcham	England & Wales	mitcham	England & Wales	mitcham	England & Wales

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After 1949 the actual Birth and Death Rates for Mitcham are modified by a comparability factor to correspond with the average age and sex distributions of England and Wales.

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Infant Mortality During the year 11 deaths were registered of infants under one year of age: —

	Males	Females	Total

Page 11

Deaths of Infants under One Year of Age

Age	No.	Cause of Death
Age	No.	Prematurity	Congenital Defects	Accidents of birth	Infectious conditions	Other conditions

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The following table shows the results of the findings of these inquests: —

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Deaths Registered during the Year 1957

Cause of Death	Males	Females	Total

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Birth-Rates, Death Rates, Analysis of Mortality and Maternal Mortality in the Year 1957

	England and Wales	Mitcham
	Rates per 1,000 home population

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I beg to submit a summary of the visits and works carried out in the Borough by myself and the District Public Health Inspectors: —

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Houses inspected for defects 658

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Yards paved or repaired 4

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Unsound Food Dealt With

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Food premises by type of business.

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Food premises by type, registered under Section 16, Food and Drugs Act, 1955.

Page 30

Eight samples of ice-cream were taken and examined for bacteriological purity. The results are tabulated below: —

	Provisional Grade.
	I	II	III	IV

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Tea Cup Swabs. Result

Colony Count (per cnp).	Coliforms		Faecal Coli		Satisfactory.	Unsatisfactory.
Colony Count (per cnp).	Present.	Absent.	Present.	Absent.	Satisfactory.	Unsatisfactory.

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Beer Glass Swabs. Result

Colony Count (per glass).	Coliforms		Faecal Coli		Satisfactory.	Unsatisfactory.
Colony Count (per glass).	Present.	Absent.	Present.	Absent.	Satisfactory.	Unsatisfactory.

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Carcases and Offal Inspected and Condemned in Whole or in Part

	Cattle, excluding cows	Cows	Calves	Sheep and Lambs	Pigs

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FACTORIES ACT, 1937 I.—Inspections for purposes of provisions as to health (including inspections made by Public Health Inspectors): —

Premises	M/c line No.	Number on Register	Number of			M/c line No.
Premises	M/c line No.	Number on Register	Inspections	Written notices	Occupiers prosecuted	M/c line No.
(1)	(2)	(3)	(4)	(5)	(6)	(7)

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2.— Cases in which defects were found: —

Particulars	M/c line No.	Number of cases in which defects were found				Number of cases in which prosecutions were instituted	M/c line No.
		Found	Remedied	Referred
		Found	Remedied	To H.M. Inspector	By H.M. Inspector
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

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3.—Outwork (Sections 110 and 111): —

Nature of Work	Section 110					Section 111
Nature of Work	M/c line No.	Number of out-workers in August list required by Sect. 110 (1) (c)	Number of cases of default in sending lists to the Council	Number of prosecutions for failure to supply lists	Number of instances of work in unwholesome premises	Notices served	Prosecutions	M/c line No.
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)

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3.—Outwork (Sections 110 and 111) continued :—

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Visits

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The monthly incidence of infectious disease was: —

	Smallpox	Scarlet Fever	Diphtheria	Typhoid Fever	Erysipelas	Pneumonia	Puerperal Pyrexia	Ophthalmia Neonatorum	Dysentery	Meningococcal Infections	Poliomyelitis Paralytic	Poliomyelitis Non-Paralytic	Measles	Whooping Cough	Food Poisoning	Paratyphoid	Malaria	Acute Encephalitis Infective	Acute Encephalitis Post-Infectious	Totals

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Infections Disease Notification, 1938-57

Disease	1938	1939	1940	1941	1942	1943	1944	1945	1946	1947	1.1.48 to 4.7.48	5.7.48 to 31.12.48	1949	1950	1951	1952	1953	1954	1955	1956	1957

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The following figures show the number of children immunised and reinforced during the year (this includes those children who received the combined diphtheria and whooping cough phophylaxis): —

	Immunised.	Reinforced.	Total.

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The following figures show the number of the child population considered immunised at 31st December, 1957: —

Age at 31.12.57, i.e. born in year	Under 1 1957	1 to 4 1956-1953	5 to 9 1952-1948	10 to 14 1947-1943	Under 15 Total

Page 41

The following figures show the number of children immunised and reinforced during the year (this includes those children who received the combined diphtheria and whooping cough prophylaxis): —

	Age at date of final injection (as regards A) or of re-inforcing injection (as regards B)
	Under 1	1	2	3	4	5 to 9	10 to 14	Total

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The site distribution for 1957 was as follows: —

Page 44

The following table shows the number of deaths from cancer, together with the death rate as compared with England and Wales: —

Year.	Number of Deaths.	Death Rate per 1,000 of population
Year.	Number of Deaths.	Mitcham.	England and Wales.

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Continued from previous page...

1945	103	1.91	1.74

Page 45

Tuberculosis During the year 22 new cases of tuberculosis were notified, viz: —

	Males	Females	Total

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The following table shows the number of new cases, the type of disease and the deaths from tuberculosis during the year: —

Age Periods	New Cases				Deaths
	Respiratory		Non-Respiratory		Respiratory		Non-Respiratory
	M.	F.	M.	F.	M.	F.	M.	F.

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New cases coming to the knowledge of the Medical Officer of Health during the year through death returns and posthumous notifications: —

Age Periods	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	Total

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The sources from which information as to the above-mentioned cases was obtained are as follows: —

		Number of Cases
		Pulmonary	Non-Pulmonary

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The percentage of non-notified tuberculosis deaths (i.e., new cases coming to the knowledge of the Medical Officer of Health after death of the case) is 40.

Page 47

A mass radiography unit comes to Mitcham every year and is granted free use of the Vestry Hall (Town Hall). In 1957 the unit carried out its work from 15th June—13th July, and also from 13th —17th June at Colliers Wood. The following summary was supplied by the Medical Director of the Unit, Dr. F. J. H. Walters: —

	Male.	Female.

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Mitcham 1957

39 tables in this report

STATISTICS

Deaths from pregnancy, childbirth and abortion: —

Percentage of Births Occurring in Institutions

The birth rates, death rates per 1,000 of population, and the infantile mortality rates for the years 1938-57 are shown in the following table: —

After 1949 the actual Birth and Death Rates for Mitcham are modified by a comparability factor to correspond with the average age and sex distributions of England and Wales.

Infant Mortality During the year 11 deaths were registered of infants under one year of age: —

Deaths of Infants under One Year of Age

The following table shows the results of the findings of these inquests: —

Deaths Registered during the Year 1957

Birth-Rates, Death Rates, Analysis of Mortality and Maternal Mortality in the Year 1957

I beg to submit a summary of the visits and works carried out in the Borough by myself and the District Public Health Inspectors: —

Houses inspected for defects 658

Yards paved or repaired 4

Unsound Food Dealt With

Food premises by type of business.

Food premises by type, registered under Section 16, Food and Drugs Act, 1955.

Eight samples of ice-cream were taken and examined for bacteriological purity. The results are tabulated below: —

Tea Cup Swabs. Result

Beer Glass Swabs. Result

Carcases and Offal Inspected and Condemned in Whole or in Part

FACTORIES ACT, 1937 I.—Inspections for purposes of provisions as to health (including inspections made by Public Health Inspectors): —

2.— Cases in which defects were found: —

3.—Outwork (Sections 110 and 111): —

3.—Outwork (Sections 110 and 111) continued :—

Visits

The monthly incidence of infectious disease was: —

Infections Disease Notification, 1938-57

The following figures show the number of children immunised and reinforced during the year (this includes those children who received the combined diphtheria and whooping cough phophylaxis): —

The following figures show the number of the child population considered immunised at 31st December, 1957: —

The following figures show the number of children immunised and reinforced during the year (this includes those children who received the combined diphtheria and whooping cough prophylaxis): —

The site distribution for 1957 was as follows: —

The following table shows the number of deaths from cancer, together with the death rate as compared with England and Wales: —

Continued from previous page...

Tuberculosis During the year 22 new cases of tuberculosis were notified, viz: —

The following table shows the number of new cases, the type of disease and the deaths from tuberculosis during the year: —

New cases coming to the knowledge of the Medical Officer of Health during the year through death returns and posthumous notifications: —

The sources from which information as to the above-mentioned cases was obtained are as follows: —

The percentage of non-notified tuberculosis deaths (i.e., new cases coming to the knowledge of the Medical Officer of Health after death of the case) is 40.