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

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RAINFALL, 1951.

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

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

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TABLE I. COMPARATIVE STATISTICS, 1951. (Registrar General's Figures with Corresponding Figures for Merton and Morden added).

	England and Wales	126 County Boroughs and Great Towns including London	148 Smaller Towns (Residential Populations 25.000 to 50,000 at 1931 Census)	London Administrative-County	Merton and Morden

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Reproduced on page 14 is an extract from Table IV of the preliminary census report 13 showing the population growths in the Surrey part of the outer ring, which will probably be of considerable local interest.

	Area in Statute Acres (Land and Inland Water)	POPULATION							Increase (+) or Decrease (—) per cent, in the Intercensal Period
		1921	1931			1951
		Persons	Persons	Males	Females	Persons	Males	Females	1921-31	1931-51

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Illegitimate Births. There were 28 illegitimate births, a slight increase over last year, but the illegitimate birth rate would seem to have fallen from the high level of the war and immediate post-war years. The appended table shows the levels since 1937.

Year	No illegitimate live births	Rate per thousand live births

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TABLE II. Numbers and percentages of Institutional births, 1935 -1951.

	1935	1936	1937	1938	1939	1940	1941	1942	1943	1944	1945	1946	1947	1948	1949	1950	1951

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TABLE III. 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 IV. Deaths from Respiratory Diseases, 1932-1951.

Year	Bronchitis	Pneumonia	Other Respiratory Diseases	Total	Death Rate

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TABLE V. Causes of Death during year 1951.

No.	Cause of Death	Males	Females	Total

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TABLE VI. Maternal Mortality, 1932-1951. 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.	Came of Death.

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

Year	Infant Mortality Rate	Stillbirth Rate

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The Association serves Wimbledon and the Raynes Park, Grand Drive and Morden Park Estate areas of Merton and Morden. The figures relating to cases and visits during the year are as follows :—

	Cases.	Visits.

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TABLE VIII. Cases admitted to Isolation Hospitals during the year 1951.

Disease (Final Diagnosis)	Wandle Valley		Grove		Others
Disease (Final Diagnosis)	Cases	Deaths	Cases	Deaths	Cases	Deaths

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TABLE IX. Cases admitted to Hospitals.

Disease	Year
Scarlet Fever	1951	1950	1949	1948	1947	1946	1945	1944	1943	1942	1941	1940	1939	1938	1937	1936	1935	1934	1933

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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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Carcases Inspected.

	Cattle	Cows	Calves	Sheep	Pigs

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Food and Drugs. The following table shows the number and nature of the samples submitted to the Public Analyst in accordance with the Food and Drugs Act, 1938, and his classification of them as genuine or otherwise.

Article	Total Samples	Genuine	Not Genuine

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Continued from previous page...

Article	Total Samples	Genuine	Not Genuine

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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 is 3.0%).

Less than 3.0	3.1	3.2	3.3	3.4	3.5	3.6	3.7	3.8	3.9	40	4.1	4.2	Total

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Most of the ice cream sold is pre-wrapped and 71 samples were obtained and submitted for examination with the following results:—

No.	Provisional Grade	Methylene Blue Test	Coliform B.	Remarks

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Continued from previous page...

No.	Provisional 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	\V ritten 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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The three schools shown below provided 30% of the total cases, the other schools had generally only a single figure level of incidence:—

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She was admitted to hospital and there the diagnosis was confirmed by agglutination tests and blood culture.

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Cases of Poliomyelitis since 1943.

1951	1950	1949	1948	1947	1946	1945	1944	1943

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WHOOPING COUGH TABLE.

Year	No. of Deaths	Age group of deaths				No. of Cases
Year	No. of Deaths	Under 1 year	Over 1 & under 2 years	Over 2 & under 5 years	Over 5 & under 15 years	No. of Cases

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INCIDENCE OF MEASLES 1932 -1951.

Year	Cases	Deaths	Population	Remarks

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TABLE X. Scarlet Fever — Monthly Distribution.

Month	Wards									Total
Month	Abbey	Bushey Mead	Central	Morden	Park	Ravensbury	Raynes Park	St. Hcher	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, 1951.

Disease	Cases Notified	Case Bate 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 Bate per 1,000 population	Deaths among notified cases	Percentage of deaths to cases	Abbey	Bushey Mead	Central	Morden	Park		Ravensbury	Eaynes 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 1951.

Disease	TOTAL CASES NOTIFIED										Total cases at all ages
Disease	Under 1 year	1-2	3-4	5-9	10-14 j	15-24	25-34	35-44	45-64	65 and over	Total cases at all ages

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TABLE XIII. Monthly Incidence of Infectious Diseases, 1951.

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 1951.

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 XV. Persons Immunised by Private Practitioners, 1951.

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, 1951.

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 Nnrseries	Total

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TABLE XVIII . Incidence and Fatality of Diphtheria, 1920-1951.

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.

Age at 31.12.51 i.e. born in year	Under 1 1951	1 1950	2 1949	3 1948	4 1947	5 to 9 1942-6	10 to 15 1937-41	Total Immunised	Estimated Population 0-5	Estimated Population 5-15	Total Population up to 15

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TUBERCULOSIS. One hundred and sixty-one new cases were added to the register of tuberculous persons, compared with 178 in 1950. These additions were:—

	Males	Females	Total

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TABLE XX. Tuberculosis Register at 31st December, 1951.

Wards	Registered at. 31st December, 1951.		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 1942-51.

Year	Frimary Notifications			Total New Cases			No. on Register at end of year
Year	Pul.	Non Pul.	Total	Pul.	Non-Pul.	Total	Pul.	Non-Pul.	Total

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TABLE XXII. Deaths due to Tuberculosis, 1951.

Ages Years	Pulmonary		Non-Pulmonary		Totals
	Males	Females	Males	Females

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I am indebted to Dr. Walters, the Medical Director of the Mass Radiography Centre of the South-West Metropolitan Regional Hospital Board, for the following summary of the findings of the Unit:—

	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 new cases
	Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary		Pulmonary		N on-Pulmonary
	M	F	M	F	M	F		F	M	F	M	F

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Merton and Morden 1951

53 tables in this report

RAINFALL, 1951.

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

TABLE I. COMPARATIVE STATISTICS, 1951. (Registrar General's Figures with Corresponding Figures for Merton and Morden added).

Reproduced on page 14 is an extract from Table IV of the preliminary census report 13 showing the population growths in the Surrey part of the outer ring, which will probably be of considerable local interest.

Illegitimate Births. There were 28 illegitimate births, a slight increase over last year, but the illegitimate birth rate would seem to have fallen from the high level of the war and immediate post-war years. The appended table shows the levels since 1937.

TABLE II. Numbers and percentages of Institutional births, 1935 -1951.

TABLE III. 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 IV. Deaths from Respiratory Diseases, 1932-1951.

TABLE V. Causes of Death during year 1951.

TABLE VI. Maternal Mortality, 1932-1951. With Comparable Rates for England and Wales.

Infant Deaths — With causes of death.

Continued from previous page...

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

The Association serves Wimbledon and the Raynes Park, Grand Drive and Morden Park Estate areas of Merton and Morden. The figures relating to cases and visits during the year are as follows :—

TABLE VIII. Cases admitted to Isolation Hospitals during the year 1951.

TABLE IX. Cases admitted to Hospitals.

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 :—

Carcases Inspected.

Food and Drugs. The following table shows the number and nature of the samples submitted to the Public Analyst in accordance with the Food and Drugs Act, 1938, and his classification of them as genuine or otherwise.

Continued from previous page...

Solids not fat (legal standard is 8.5%).

Milk fat (legal standard is 3.0%).

Most of the ice cream sold is pre-wrapped and 71 samples were obtained and submitted for examination with the following results:—

Continued from previous page...

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.

The three schools shown below provided 30% of the total cases, the other schools had generally only a single figure level of incidence:—

She was admitted to hospital and there the diagnosis was confirmed by agglutination tests and blood culture.

Cases of Poliomyelitis since 1943.

WHOOPING COUGH TABLE.

INCIDENCE OF MEASLES 1932 -1951.

TABLE X. Scarlet Fever — Monthly Distribution.

The incidence in the various wards was as follows:—

TABLE XI. Infectious Diseases, Notifications, Deaths and Distribution, 1951.

TABLE XII. Notification of Infectious Diseases (other than Tuberculosis) by age groups during the year 1951.

TABLE XIII. Monthly Incidence of Infectious Diseases, 1951.

TABLE XIV. Persons Immunised at Clinics during 1951.

TABLE XV. Persons Immunised by Private Practitioners, 1951.

TABLE XVI. Children Immunised in Day Nurseries.

TABLE XVII. Number of Children Immunised at Schools, 1951.

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

TABLE XVIII . Incidence and Fatality of Diphtheria, 1920-1951.

TABLE XIX. Diphtheria Immunisation.

Age Distribution, of Immunised Children.

TUBERCULOSIS. One hundred and sixty-one new cases were added to the register of tuberculous persons, compared with 178 in 1950. These additions were:—

TABLE XX. Tuberculosis Register at 31st December, 1951.

TABLE XXI. Tuberculosis 1942-51.

TABLE XXII. Deaths due to Tuberculosis, 1951.

I am indebted to Dr. Walters, the Medical Director of the Mass Radiography Centre of the South-West Metropolitan Regional Hospital Board, for the following summary of the findings of the Unit:—

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