[Report of the Medical Officer of Health for Merton & Morden]

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RAINFALL, 1947.

MONTH	JOSEPH HOOD RECREATION GROUND			WEST BARNES PUMPING STATION
MONTH	Inches	Days with o.Iin. or more	Days with o.4in. or more	Inches	Days with o.Iin. or more	Days with o.4in. or more

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The appended table sets out the comparison for the past five years of the local infant mortality rate with that for England and Wales: —

	England and Wales	Merton and Morden

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SUMMARY OF VITAL STATISTICS. (Registrar General's Figures).

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TABLE I. COMPARATIVE STATISTICS, 1947. Registrar General's Figures with Corresponding Figures for Merton and Morden added).

	England and Wales	126 County Boro's and Great Towns including London	148 Smaller Towns (Residential Populations 25,000 to 50,000 at Census)	London Administive County	Merton and Morden

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The illegitimate birth rate shows signs of resuming peace time levels. Expressed as rates per thousand live births the appended table shows the trend over the past eleven years.

Year	No. illegimate live births	Rate per thousand live births

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They occurred in the following hospitals, etc.: —

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TABLE II Showing Births and Deaths with Rates since the Amalgamation of Merton and Morden.

Year	Estimated population	Total Births	Birth Rate	Total Deaths	Death Rate	Natural Increase

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CANCER DEATH RATE. No. of deaths from Cancer for past 10 years.

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TABLE III. Deaths from Respiratory Diseases, 1927-1947.

Year	Bronchitis	Pneumonia	Other Respirator> Diseases	Total	Death Rate

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TABLE IV. Causes of Death during the year 1947.

No.	Cause of Death	Males	Females	Total

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TABLE V. Maternal Mortality, 1927-1947.

Year	Death rate per thousand total births.
Year	Sepsis	Other causes	Total

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Infant Deaths — With causes of death.

Sex.	Age.	Cause of Death.

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Continued from previous page...

Sex.	Age.	Cause of Death.

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The total number of premature babies notified during the year were as follows, born: —

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Two nurses are employed for general nursing in Merton and Morden. The figures relating to cases and visits in this district during the year are as follows: —

	Cases	Visits

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Laboratory Facilities. The routine laboratory work for the district is undertaken by the Nelson Hospital. The appended table shows the pathological work undertaken during the year:—

Examinations	No. performed	Positive result

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AMBULANCE CALLS, 1947.

Month	Calls received from public	Calls received from neighbouring Authorities	Total calls received	Calls transferred to other Authorities	Calls answered by own ambulance

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CLINICS AND TREATMENT CENTRES. 1.—Maternity and Child Welfare Clinics (provided by the Council).

Centre	Clinic	Times of Clinics

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TABLE VI. Cases admitted to the Wandle Valley Isolation Hospital during the Year 1947.

Disease	Cases	Deaths

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TABLE VII. Attendances at Ante-Natal Clinics.

Clinic	No. on Register	Attendances		Sessions	Average per Session
Clinic	No. on Register	Primary	Total	Sessions	Average per Session

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TABLE VIII. Attendances at Infants' Consultation Clinics.

Centre	No. on Register	Attendances		Sessions	Average Attendance per Session
Centre	No. on Register	*Primary	Total	Sessions	Average Attendance per Session

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TABLE IX. Attendances at all Centres over last 10 years.

Year	No. of Infants attending during year	No. of Women attending Maternity Clinics	ATTENDANCES			Grand Total
			Infants		Maternity
			Primary under I year	Total

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TABLE X. Number of Children under one year and Expectant Mothers attending the Centres in relation to the Registered Births.

Year	Registered births	Infants under 1 year		Mothers who attended either Ante-Natally or Post-Natally.
Year	Registered births	Primary attendances	Percentage of registered births	Number attended	Percentage of registered births

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The number of visits made for the various purposes were as shown below: —

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with that money, be able to build proper homes for these old folk and their care will be the responsibility of the Home Help Service.

Service	Full Cost	Partial Cost	Free of Cost	Total

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TABLE XI. Attendances at Dental Clinics during 1947.

Cases referred from	Number who attended during year	Number of Attendances made

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TABLE XII. Dental Scheme 1947 — Operations Performed.

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TABLE XIII. Day Nurseries — Average Daily Attendances, 1947.

Nursery	Jan.	Feb.	March	April	May	June	July	August	Sept.	Oct.	Nov.	Dec.

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The salvage tonnage for the year under reveiw was as follows:—

	Tons.		Tons.

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Unsound Food. The undermentioned articles of food were found, upon inspection, to be unfit for human consumption; were surrendered and either destroyed or disposed of for animal feeding or salvage:—

Description.	Amount.	Cause.

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Continued from previous page...

Description.	Amount.	Cause.

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Food and Drugs Act, 1938. The following table shows the number and nature of the samples submitted to the Public Analyst:—

Article	Total Samples	Genuine	Not Genuine	Action Taken

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Twenty samples were obtained and submitted for examination with the following results:—

No.	Grade	Methylene Blue Test	Coliform B.	Remarks

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FACTORIES ACT, 1937. 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

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

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TABLE XIV. Scarlet Fever — Monthly Distribution.

	Wards									Total
	Abbey	Bushey Mead	Central	Morden	Park	Ravensbury	Raynes Park	St. Helier	West Barnes	Total

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The incidence in the various wards was as follows:—

Wards	Cases	Incidence per 1.000 population

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TABLE XV. Infectious Diseases, Notifications, Deaths and Distribution, 1947.

Disease	Cases Notified	Case Rate per 1,000 population	Deaths among notified cases	Percentage of deaths to cases	WARDS Distribution of Cases									No. of cases removed to hospital	Percentage of cases removed to hospital
Disease	Cases Notified	Case Rate per 1,000 population	Deaths among notified cases	Percentage of deaths to cases	Abbey	Bushey Mead	Central	Morden	Park	Ravensbury	Raynes Park	St. Helier	West Barnes	No. of cases removed to hospital	Percentage of cases removed to hospital

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TABLE XVI. Notification of Infectious Diseases (other than Tuberculosis) by age groups during the year 1947.

Disease	TOTAL CASES NOTIFIED												Total cases at all ages
Disease	Under 1 yr.	1-2	2-3	3-4	4-5	5-10	10-15	15-25	25-35	35-45	45-65	65 and over	Total cases at all ages

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TABLE XVII. Monthly Incidence of Infectious Disease, 1947.

Disease	January	February	March	April	May	June	July	August	September	October	November	December	Total

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TABLE XVIII. Persons Immunised at Clinics during 1947.

WARDS	AGE GROUPS				Total Completed Primary	Total Single Boosting Injections
	0-5 years		5-15 years
	Completed Primary	Single Boosting Injections	Completed Primary	Single Boosting Injections

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TABLE XIX. Persons Immunised by Private Practitioners, 1947.

WARDS	AGE GROUPS				Total Completed Primary	Total Single Boosting Injections
	0-5 years		5-15 years
	Completed Primary	Single Boosting Injections	Completed Primary	Single Boosting Injections

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TABLE XX. Children Immunised in Day Nurseries.

Nursery	Completed

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TABLE XXI. Number of Children Immunised at Schools, 1947.

SCHOOL	Incomplete	Completed Primary	Single Boosting Injections

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The number immunised since the inauguration of the Public Clinics in 1934 is as follows:—

	At Clinics	By Doctors	In Schools	At Day Nurseries	Total

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TABLE XXII. Incidence and Fatality of Diphtheria, 1920-1947.

Year	Population	No. of cases	Incidence rate per 1,000 population	No. of deaths	Percentage of deaths to cases

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TABLE XXIII. Diphtheria Immunisation.

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Age Distribution of Immunised Children.

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 Immunised	Estimated Population 0-5	Estimated Population 5-15	Total Population up to 15

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TUBERCULOSIS. One hundred and thirty new cases were added to the register of tuberculous persons, compared with 119 in 1946. These additions were:—

	Males	Females	Total

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TABLE XXIV. Tuberculosis Register at 31st December, 1947.

Wards	Registered at 31st December, 1947		Totals	Number on Register at mid-year
Wards	Pulmonary	Non-Pulmonary	Totals	Number on Register at mid-year

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TABLE XXV. Deaths Due to Tuberculosis, 1947.

Ages Years	Pulmonary		Non-Pulmonary		Totals
Ages Years	Males	Females	Males	Females	Totals

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TABLE XXVI. Tuberculosis — New Cases, Age and Sex, Distribution and Manner of Admission to Register.

Age Groups Years	Primary Notifications ("A").				Cases transferred from other districts.				Cases brought to notice otherwise than by notification and transfer.				Total new cases
	Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary
	M	F	M	F	M	F	M	F	M	F	M	F

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Merton and Morden 1947

52 tables in this report

RAINFALL, 1947.

The appended table sets out the comparison for the past five years of the local infant mortality rate with that for England and Wales: —

SUMMARY OF VITAL STATISTICS. (Registrar General's Figures).

TABLE I. COMPARATIVE STATISTICS, 1947. Registrar General's Figures with Corresponding Figures for Merton and Morden added).

The illegitimate birth rate shows signs of resuming peace time levels. Expressed as rates per thousand live births the appended table shows the trend over the past eleven years.

They occurred in the following hospitals, etc.: —

TABLE II Showing Births and Deaths with Rates since the Amalgamation of Merton and Morden.

CANCER DEATH RATE. No. of deaths from Cancer for past 10 years.

TABLE III. Deaths from Respiratory Diseases, 1927-1947.

TABLE IV. Causes of Death during the year 1947.

TABLE V. Maternal Mortality, 1927-1947.

Infant Deaths — With causes of death.

Continued from previous page...

The total number of premature babies notified during the year were as follows, born: —

Two nurses are employed for general nursing in Merton and Morden. The figures relating to cases and visits in this district during the year are as follows: —

Laboratory Facilities. The routine laboratory work for the district is undertaken by the Nelson Hospital. The appended table shows the pathological work undertaken during the year:—

AMBULANCE CALLS, 1947.

CLINICS AND TREATMENT CENTRES. 1.—Maternity and Child Welfare Clinics (provided by the Council).

TABLE VI. Cases admitted to the Wandle Valley Isolation Hospital during the Year 1947.

TABLE VII. Attendances at Ante-Natal Clinics.

TABLE VIII. Attendances at Infants' Consultation Clinics.

TABLE IX. Attendances at all Centres over last 10 years.

TABLE X. Number of Children under one year and Expectant Mothers attending the Centres in relation to the Registered Births.

The number of visits made for the various purposes were as shown below: —

with that money, be able to build proper homes for these old folk and their care will be the responsibility of the Home Help Service.

TABLE XI. Attendances at Dental Clinics during 1947.

TABLE XII. Dental Scheme 1947 — Operations Performed.

TABLE XIII. Day Nurseries — Average Daily Attendances, 1947.

The salvage tonnage for the year under reveiw was as follows:—

Unsound Food. The undermentioned articles of food were found, upon inspection, to be unfit for human consumption; were surrendered and either destroyed or disposed of for animal feeding or salvage:—

Continued from previous page...

Food and Drugs Act, 1938. The following table shows the number and nature of the samples submitted to the Public Analyst:—

Twenty samples were obtained and submitted for examination with the following results:—

FACTORIES ACT, 1937. 1. Inspections for purposes of provisions as to health (including inspections made by Sanitary Inspectors).

2. Cases in which Defects were found.

TABLE XIV. Scarlet Fever — Monthly Distribution.

The incidence in the various wards was as follows:—

TABLE XV. Infectious Diseases, Notifications, Deaths and Distribution, 1947.

TABLE XVI. Notification of Infectious Diseases (other than Tuberculosis) by age groups during the year 1947.

TABLE XVII. Monthly Incidence of Infectious Disease, 1947.

TABLE XVIII. Persons Immunised at Clinics during 1947.

TABLE XIX. Persons Immunised by Private Practitioners, 1947.

TABLE XX. Children Immunised in Day Nurseries.

TABLE XXI. Number of Children Immunised at Schools, 1947.

The number immunised since the inauguration of the Public Clinics in 1934 is as follows:—

TABLE XXII. Incidence and Fatality of Diphtheria, 1920-1947.

TABLE XXIII. Diphtheria Immunisation.

Age Distribution of Immunised Children.

TUBERCULOSIS. One hundred and thirty new cases were added to the register of tuberculous persons, compared with 119 in 1946. These additions were:—

TABLE XXIV. Tuberculosis Register at 31st December, 1947.

TABLE XXV. Deaths Due to Tuberculosis, 1947.

TABLE XXVI. Tuberculosis — New Cases, Age and Sex, Distribution and Manner of Admission to Register.