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

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SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA

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RAINFALL, 1954.

MONTH	JOSEPH HOOD RECREATION GROUND			WEST BARNES PUMPING STATION
	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, 1954.

	England and Wales	160 County Boroughs and Great Towns (including London)	160 Smaller Towns (Residential Populations 25,000 to 50,000 at 1951 Census)	London Administrative-County	Merton and Morden
	Rates per 1,000 Population

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The number of illegitimate births registered was 22, the rate dropping to 27.8 per thousand live births, our first reduction in this figure since 1950.

Year	No. illegitimate live births	Rate per thousand live births

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The distribution of institutional births is given below:—

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TABLE II. Numbers and percentages of Institutional births, 1935 1954.

	1935	1936	1937	1938	1939	1940	1941	1942	1943	1944	1945	1946	1947	1948	1949	1950	1951	1952	1953	1954

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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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The seasonal mortality is indicated by the deaths for each quarter of the year, which were:—

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(1) Accidental Deaths-

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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, 1935 -1954.

Year	Bronchitis	F'neumonia	Other Respiratory Diseases	Total	Death Rate

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TABLE V. Causes of Death during 1954.

No.	Cause of Death	Males	Females	Total

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TABLE VI. MATERNAL MORTALITY, 1935 54.

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

Year	1 nfant Mortality _ Rate	Stillbirth Rate

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TABLE VIII. Cases admitted to Isolation Hospitals during the year 1954.

Disease (Final Diagnosis)	Wandle Valley		Grove		Others
Disease (Final Diagnosis)	Cases	Deaths	Cases	Deaths	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 following table compares the year's total is with those of 1954 under the main headings and while in dicating the general scope of the work points out the shift of emphasis between them:—

	1954.	1953.

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I feel it is incumbent on me to include a note of the extent to which the minimal target was not reached:—

	Number
Class of Premises	To visit	Not visited	%

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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 to previous page...

Description.	Amount.	Cause.

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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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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	3.0 \| 3.1	3.2	3.3	3.4	3.5	3.6	3.7	3.8	3.9	4.0	4.1	Total

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Most of the ice cream sold is pre-wrapped and 83 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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The results are summarised as follows :—

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Twenty-one samples were sent to the Public Analyst for chemical examination, results being as follows:—

	Legal Minimum	5%	6%	7%	8%	9%	10%	11%	12%	13%	14%	15%	16%	17%	18%	19%	20%

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Merchandise Marks Acts. The Council are empowered to enforce the requirements of these Acts as far as the marking of imported foodstuffs is concerned in respect of the following articles:—

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FACTORIES ACT, 1937. 1. Inspections for purposes of provisions as to health (includ ing 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
	Found	Remedied	Referred
	Found	Remedied	To H.M. Inspector	By H.M. Inspector

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The following diseases are notifiable in the district:—

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INCIDENCE OF MEASLES, 1935 -1954

Year	Cases	Deaths	Population	Remarks

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TABLE X. Scarlet Fever Monthly Distribution.

Month	Wards									Total
Month	Abbey	Bushey Mead	1 Central	Morden	Park	Ravensbury	Raynes Park _ i	St. Helier	West Barnes	Total

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The incidence in the various wards was as follows:—

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TABLE XI. Infectious Diseases, Notifications, Deaths and Distribution, 1954.

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 1954.

Disease	TOTAL CASES NOTIFIED										Total cases at all ages
Disease	Under 1 year	1-2	3-4	5-9	10-14	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, 1954.

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

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TABLE XIV. Persons Immunised at Clinics, 1954.

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, 1954.

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

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TABLE XVII. Number of Children Immunised at School, 1954

School	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, 1920-1954.

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 31-12-54 i.e born in year	Under 1 1954	1 - 4 1950-53	5-9 1945-49	10-14 1940-44	Total under 15	Estimated Population under 1	Estimated Population 1-4	Estimated Population 5-14	Total Estimated Population under 15

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PRIMARY COURSES. Given by Private Practitioners.

Antigen	Age Groups							Total
	Under ¹	1	2	3	4	5-9	10-14

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Given at Clinics.

Antigen	Age Groups							Total
	Under 1	1	2	3	4	5-9	10-14

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BOOSTING DOSES. Given by Private Practitioners.

Antigen	Age Groups							Total
Antigen	Under 1	1	2	3	4	5-9	10-14	Total

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Given at Clinics.

Antigen	Age Groups							Total
Antigen	Under 1	1	2	3	4	5-9	10-14	Total

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These additions were:—

	Males	Females	Total

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During the year, 100 persons were removed from th register for the following reasons:—

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TABLE XX. Tuberculosis Register at 31st December, 1954.

WARDS	Registered at 31st December, 1954		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 1945 - 54.

Year	Primary 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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The deaths are classified by age and sex in the following table:— TABLE XXII. Deaths due to Tuberculosis, 1954.

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

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I am indebted to Dr. F. J. H. Walters, Medical Director of the Mass Radiography Centre, for the following information in connection with these surveys:

Location	Number of persons examined			Abnormalities							Awaiting diagnosis
	Number of persons examined			Active P.T.			Inactive P.T.		Non-tuberculous
	M	F	Total	M	F	Incidence per 1,000 examined	M	F	M	F

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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		Non-Pulmonary		Total new cases
	M	F	M	F	M	F	M	F	M	F	M	F

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

View report tables

Merton and Morden 1954

57 tables in this report

SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA

RAINFALL, 1954.

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

TABLE I. COMPARATIVE STATISTICS, 1954.

The number of illegitimate births registered was 22, the rate dropping to 27.8 per thousand live births, our first reduction in this figure since 1950.

The distribution of institutional births is given below:—

TABLE II. Numbers and percentages of Institutional births, 1935 1954.

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

The seasonal mortality is indicated by the deaths for each quarter of the year, which were:—

(1) Accidental Deaths-

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

TABLE IV. Deaths from Respiratory Diseases, 1935 -1954.

TABLE V. Causes of Death during 1954.

TABLE VI. MATERNAL MORTALITY, 1935 54.

Infant Deaths — With causes of death.

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

TABLE VIII. Cases admitted to Isolation Hospitals during the year 1954.

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

The following table compares the year's total is with those of 1954 under the main headings and while in dicating the general scope of the work points out the shift of emphasis between them:—

I feel it is incumbent on me to include a note of the extent to which the minimal target was not reached:—

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 to previous page...

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.

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

Continued from previous page...

The results are summarised as follows :—

Twenty-one samples were sent to the Public Analyst for chemical examination, results being as follows:—

Merchandise Marks Acts. The Council are empowered to enforce the requirements of these Acts as far as the marking of imported foodstuffs is concerned in respect of the following articles:—

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

2. Cases in which defects were found.

The following diseases are notifiable in the district:—

INCIDENCE OF MEASLES, 1935 -1954

TABLE X. Scarlet Fever Monthly Distribution.

The incidence in the various wards was as follows:—

TABLE XI. Infectious Diseases, Notifications, Deaths and Distribution, 1954.

TABLE XII. Notification of Infectious Diseases (other than Tuberculosis) by age groups during- the year 1954.

TABLE XIII. Monthly Incidence of Infectious Diseases, 1954.

TABLE XIV. Persons Immunised at Clinics, 1954.

TABLE XV. Persons Immunised by Private Practitioners, 1954.

TABLE XVII. Number of Children Immunised at School, 1954

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

TABLE XVIII. Incidence and Fatality of Diphtheria, 1920-1954.

TABLE XIX. Diphtheria, Immunisation.

Age Distribution of Immunised Children.

PRIMARY COURSES. Given by Private Practitioners.

Given at Clinics.

BOOSTING DOSES. Given by Private Practitioners.

Given at Clinics.

These additions were:—

During the year, 100 persons were removed from th register for the following reasons:—

TABLE XX. Tuberculosis Register at 31st December, 1954.

TABLE XXI. Tuberculosis 1945 - 54.

The deaths are classified by age and sex in the following table:— TABLE XXII. Deaths due to Tuberculosis, 1954.

I am indebted to Dr. F. J. H. Walters, Medical Director of the Mass Radiography Centre, for the following information in connection with these surveys:

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