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

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RAINFALL, 1949.

MONTH	JOSEPH HOOD RECREATION GROUND			WEST BARNES PUMPING STATION
	Inches	Days with 0.01in. or more	Days with 0.04in. or more	Inches	Days with 0.01in. or more	Days with 0.04in. or more

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

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TABLE I. COMPARATIVE STATISTICS, 1949. (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 Administrafive County	Merton and Morden

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There were 37 illegitimate births, all of which were live births. This gives an illegitimate birth rate of 37.5 per thousand. The appended table shows the comparison since 1937:—

Year	No. illegimate live births	Rate per thousand live births

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

Year	Estimated population	Total Live 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, 1929-1949.

Year	Bronchitis	Pneumonia	Other Respiratory Diseases	Total	Death Rate

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TABLE IV. Causes of Death during the year 1949.

No.	Cause of Death	Males	Females	Total

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TABLE V. Primary Causes of Death.

Cause of Death		AGE GROUPS											Total
Cause of Death		1-5	6-15	16-25	26-35	36-45	46-55	56-65	66-75	76-85	86-95	Over 95	Total

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TABLE VI. Secondary Causes of Death. (Primary where not included in Table V.)

Cause of Death	AGE GROUPS											Total
Cause of Death	1-5	6-15	16-25	26-35	36-45	46-55	56-65	66-75	76-85	86-95	Over 95	Total

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TABLE VII. Maternal Mortality, 1930-1949. With Comparable Rates for England and Wales.

Year	Death rate per thousand total births.
	Sepsis		Other causes		Total
	Merton and Morden	England and Wales	Merton and Morden	England and Wales	Merton and Morden	England and Wales

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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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TABLE VIII. Infant Mortality and Stillbirth Rates for the past 10 years.

Year	Infant Mortality Rate	Stillbirth Rate

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The figures relating to cases and visits in this district during tne year are as follows:—

	Cases	Visits

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TABLE IX. Cases admitted to the Wandle Valley Isolation Hospital during the Year 1949.

Disease	Cases	Deaths

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Below is given the provisional classification according to the condition on admission.

	Male	Female	Total

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The salvage tonnage for the year 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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Results of Chemical Analyses of New Milk Samples. Solids not fat (legal standard is 8.5%).

Less than 8.5	8.5	8.6	8.7	8.8	8.9	9.0	9.1	9.2	Total

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Milk fat (legal standard 3.0%).

Less than 3.0	3.1	3.2	3.3	3.4	3.5	3.6	3.7	3.8	3.9	4.0	4.1	4.2	Total

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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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Continued from previous page...

Article	Total Samples	Genuine	Not Genuine	Action Taken

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Ice-cream (Heat Treatment) Regulations, 1947. These regulations came into operation on the 1st May, 1947. At the end of the year, there was only one manufacturer of ice-cream on the register and 69 dealers and 15 vendors were registered. 49 samples were obtained and submitted for examination with the following results:—

No.	Grade	Methylene Blue Test	Coliform B.	Remarks

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Infringements: —

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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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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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INCIDENCE OF MEASLES 1930-1949.

Year	Cases	Deaths	Population	Remarks

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ANTERIOR POLIOMYELITIS, 1949.

Case No.	Age. (Years)	Hospital to which admitted	Date of Onset	Returned to Registrar General	Confirmed by Hospital	Hospital Diagnosis	Sequel

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Anterior Poliomyelitis 1949— cont.

Case No.	Age (Years)	Hospital to which admitted	Date of Onset	Returned to Registrar General	Confirmed by Hospital	Hospital Diagnosis	Sequel

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TABLE X. Scarlet Fever — Monthly Distribution.

Month	Wards									Total
Month	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 XI. Infectious Diseases, Notifications, Deaths and Distribution, 1949.

Disease	Cases Notified	Case Rate per 1,000 population	Deaths among notified cases	Percentage of deaths to cases	Distribution of Cases in Wards									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 XII. Notification of Infectious Diseases (other than Tuberculosis) by age groups during the year 1949.

Disease	TOTAL CASES NOTIFIED										Total cases at all ages
Disease	Under 1 year	1-3	3-5	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 XIII. Monthly Incidence of Infectious Disease, 1949.

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

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TABLE XIV. Persons Immunised at Clinics during 1949.

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

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TABLE XV. Persons Immunised by Private Practitioners, 1949.

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 XVI. Children Immunised in Day Nurseries.

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TABLE XVII. Number of Children Immunised at Schools, 1949.

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 XVIII. Incidence and Fatality of Diphtheria, 1920-1949.

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

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TABLE XIX. Diphtheria Immunisation.

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Age Distribution of Immunised Children.

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TUBERCULOSIS. One hundred and thirty one new cases were added to the register of tuberculous persons, compared with 119 in 1948.

	Males	Females	Toral

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TABLE XX. Tuberculosis Register at 31st December, 1949.

Wards	Registered at 31st December, 1949		Totals	Number on Register at mid-year
Wards	Pulmonary	Non-Pulmonary	Totals	Number on Register at mid-year

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TABLE XXI. Tuberculosis 1940-49.

Year	Primary Notifications			Total New Cases			Number on Register at end of year
Year	Pul.	Non-Pul.	Total	Pul.	Non-Pul.	Total	Pul.	Non-Pul.	Total

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The deaths are classified by age and sex in the following table: — TABLE XXII. Deaths Due to Tuberculosis, 1949.

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

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The appended table or statement shows the value and extent of the work done.

	Male	Female	Total

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The non-tuberculosis abnormalities comprise the following conditions:—

	Male	Female

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TABLE XXIII. 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
	Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary		new cases

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Merton and Morden 1949

51 tables in this report

RAINFALL, 1949.

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

TABLE I. COMPARATIVE STATISTICS, 1949. (Registrar General's Figures with Corresponding Figures for Merton and Morden added).

There were 37 illegitimate births, all of which were live births. This gives an illegitimate birth rate of 37.5 per thousand. The appended table shows the comparison since 1937:—

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

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

TABLE III. Deaths from Respiratory Diseases, 1929-1949.

TABLE IV. Causes of Death during the year 1949.

TABLE V. Primary Causes of Death.

TABLE VI. Secondary Causes of Death. (Primary where not included in Table V.)

TABLE VII. Maternal Mortality, 1930-1949. With Comparable Rates for England and Wales.

Infant Deaths — With causes of death.

Continued from previous page...

TABLE VIII. Infant Mortality and Stillbirth Rates for the past 10 years.

The figures relating to cases and visits in this district during tne year are as follows:—

TABLE IX. Cases admitted to the Wandle Valley Isolation Hospital during the Year 1949.

Below is given the provisional classification according to the condition on admission.

The salvage tonnage for the year 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...

Results of Chemical Analyses of New Milk Samples. Solids not fat (legal standard is 8.5%).

Milk fat (legal standard 3.0%).

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

Continued from previous page...

Infringements: —

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

Cases in which defects were found.

INCIDENCE OF MEASLES 1930-1949.

ANTERIOR POLIOMYELITIS, 1949.

Anterior Poliomyelitis 1949— cont.

TABLE X. Scarlet Fever — Monthly Distribution.

The incidence in the various wards was as follows: —

TABLE XI. Infectious Diseases, Notifications, Deaths and Distribution, 1949.

TABLE XII. Notification of Infectious Diseases (other than Tuberculosis) by age groups during the year 1949.

TABLE XIII. Monthly Incidence of Infectious Disease, 1949.

TABLE XIV. Persons Immunised at Clinics during 1949.

TABLE XV. Persons Immunised by Private Practitioners, 1949.

TABLE XVI. Children Immunised in Day Nurseries.

TABLE XVII. Number of Children Immunised at Schools, 1949.

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

TABLE XVIII. Incidence and Fatality of Diphtheria, 1920-1949.

TABLE XIX. Diphtheria Immunisation.

Age Distribution of Immunised Children.

TUBERCULOSIS. One hundred and thirty one new cases were added to the register of tuberculous persons, compared with 119 in 1948.

TABLE XX. Tuberculosis Register at 31st December, 1949.

TABLE XXI. Tuberculosis 1940-49.

The deaths are classified by age and sex in the following table: — TABLE XXII. Deaths Due to Tuberculosis, 1949.

The appended table or statement shows the value and extent of the work done.

The non-tuberculosis abnormalities comprise the following conditions:—

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