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Kensington 1927

[Report of the Medical Officer of Health for Kensington]

Published
1928
Pages
94
Tables
110

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110 tables in this report

  • Page -
    The population of the Borough as ascertained at the Census in 1921 was 175,859, but for 1927 the Registrar-General has estimated it to be 176,700. From this latter figure the inhabitants in the different Wards of the Borough have been estimated to be as shown in the following table:—
  • Page 4
    MARRIAGES. During the year, 1,921 marriages were registered, representing a rate of 21.7 per 1,000 of the population. The place of marriage is set out in the following table:—
  • Page 4
    BIRTHS. The number of births registered was 2,657, after correction for inward and outward transfers ; and the birth rate for the Borough was 15.0 per 1,000 population. Distributed according to sex and legitimacy the births were as follow:—
    Male.Female.Total.
  • Page 4
    Table showing the number of births and the birth rates in England and Wales, London Kensington and the various districts in the Borough in 1927, and the rates for the previous five years:—
    District.1927.Birth-rates in previous years.
    No. of Births.Birth-rate.1926.1925.1924.1923.1922.
  • Page 5
    The decline in the birth rate in Kensington since 1881, which is similar to that taking place throughout the country, is shown in the following table :—
    Period.Birth-rate per 1.000 population.
  • Page 5
    The following table indicates the source of notification and the kinds of births notified.
    Source of Notification.Number of Births Notified.
    Still Births.Live Births.Total Births.
  • Page 5
    Percentage of Births in Kensington notified during the past five years, in accordance with the Notification of Births Act, 1907.
    Year.Percentage.
  • Page 6
    The following table shows the number of deaths and the death-ratesin England and Wales, London, Kensington and the various districts in the Borough in 1927, and the rates for the previous five years :—
    District.1927.Death-rates in previous years.
    No. of Deaths.Death-rate.1926.1925.1924.1923.1922.
  • Page 6
    Table showing Kensington death-rates since 1896:—
    Period.Death-rate per 1,000 living.
  • Page 7
    Causes of Death.—The following list shows certain causes of death which are important in themselves or from the fact that they contributed a considerable share to the total mortality for the year:—
    Cause of Death.Number of Deaths.
  • Page 7
    The following table shows the zymotic death rate for London and Kensington in each of the last five years.
    Deaths from Principal Zymotic Diseases per 1,000 persons living.
    Period.Kensington.London.
  • Page 7
    DEATHS FROM CANCER, 1927.
    Parts Affected.Sex.Total.
    Male.Female.
  • Page 8
    The deaths in the several wards, etc., are set out in the following table:—
  • Page 8
    Although the number of deaths from this disease was twenty less than in the previous year, there is no doubt that the death rate from cancer is steadily increasing. The number of deaths from this disease occurring in Kensington in each of the past five years is compared in the following table with the deaths occurring in similar periods twenty years ago :—
    Year.No. of Deaths.Year.No. of Deaths
  • Page 8
    Table showing the number of deaths in 1927 from certain diseases of public health importance, arranged in four weekly periods.
    Four Weeks emdingMeasles.Scarlet Fever.Whooping. Cough.Diphtheria.Influenza.Phthisis.Cancer.Bronchitis.Pneumonia.Diarrhoea and Enteritis.
  • Page 9
    The following table gives the births and the infantile deaths and death rates in England and Wales, London, Kensington and the various Wards of the Borough for the year 1927, and the infantile death rates for the previous four years.
    1927.Infantile Mortality Rates in previous four years,
    District.No. of Births.No. of Deaths of children under 1 year of age.J Infantile Mortality rate.
    1926192519241923
  • Page 9
    INFANTILE MORTALITY RATES, 1896-1927.
    Period.England and Wales.London.Kensington.
  • Page 10
    CAUSES OF, AND AGES AT. DEATH OF INFANTS UNDER ONE YEAR OF AGE IN KENSINGTON DURING 1927.
    Causes of Death.Under 1 week.1—2 weeks.2—3 weeks3—4 weeks.Total 4 weeks.1—3 months.3-6 months.6—9 months9—12 months.Total Infant Deaths under 1 year.
  • Page 11
    The causes of death in the " above standard" cases were as follow :—
  • Page 11
    The wards to which the children belonged are :—
  • Page 11
    The following table compares the legitimate and illegitimate births, infant deaths and infantile mortality rates in Kensington for 1927.
    Total.Legitimate.Illegitimate.
  • Page 11
    The following table shows the number of illegitimate births occurring in the Borough during the last five years :—
  • Page 12
    The following table compares the total infantile mortality rate for the Borough in recent years with the illegitimate infantile mortality rate :—
    Year.Deaths of all children under 1 year of age per 1,000 births.Deaths of illegitimate children under 1 year of age per 1,000 illegitimate births.
  • Page 14
    * SUMMARY OF WORK CARRIED OUT BY THE DISINFECTING STAFF DURING 1927.
    Nature of Infection.Premises Disinfected.Rooms Disinfected.Disinfections at Wood Lane.No. of Articles Disinfected.
  • Page 14
    During 1927 the Council had an arrangement with the Lister Institute of Preventive Medicine, Chelsea Gardens, S.W.I, for the bacteriological examination, at the expense of the Council, of specimens from Kensington cases sent to them by medical practitioners in regard to diphtheria, tuberculosis, typhoid fever, syphilis and other diseases. The examinations in 1927 were as follow :—
    Disease suspected.No. of examinations.No. of positive results.
  • Page 16
    CLEANSING OF VERMINOUS PERSONS. The cleansing of verminous persons is carried out at the Medicinal Baths, Blechynden Mews, and the record of work done during the year is as follows :-
    Total Cleansings.
  • Page 18
    TABLE SHOWING NUMBER EXAMINED AND DEFECTS FOUND.
    Boys.Girls.
    Entrants.Age 8.Age 12.Age 14.Entrants.Age 8.Age 12.Age 14.
    Number examined10626607228401088751847817
    Defect.Cases.Cases referred for treatment.Cases.Cases referred for treatment.Cases.Cases referred for treatment.Cases,Cases referred for treatment.Cases.Cases referred for treatment.Cases.Cases referred for treatment.Cases,Cases referred for treatment.Cases.Cases referred for treat ment.
  • Page 19
    TABLE SHOWING THE CONDITIONS IN REGARD TO CLOTHING, NUTRITION, CLEANLINESS, TEETH AND VISION OF THE CHILDREN EXAMINED.
    Age Group.Number examined.Clothing and Boots.Nutrition.Cleanliness of Head.Cleanliness of BodyTeeth.Vision.
    Good.Fair.Poor.Good.Average.Below normal.Bad.Clean.NitsPediculi.Clean.Dirty.Pediculi.All sound.Less than 4 decayed.Four or more decayed.6/6 in both eyes.6/9 in either or both eyes.6/12 or worse in either eye
  • Page 19
    SCHOOL TREATMENT CENTRES. There is in Notting Dale a School Treatment Centre managed by a voluntary committee and the work performed thereat during 1927 is as follows :—
    New Cases.Total attendances.
  • Page 19
    A School Treatment Centre has also been established at the Baby Clinic premises in Tavistock Crescent and the record of work for the year 1927 is as follows :—
  • Page 19
    The following is a table of cases attended and visits paid by nurses of the Kensington District Nursing Association on behalf of the Council from January 1st to December 31st, 1927 :—
    Cases.Visits.
  • Page 20
    The cases attended and visits paid by the Golborne Home Nurse during the past year are given in the following table :—
    Cases Attended.Visits Paid.
  • Page 21
    SUBSCRIPTIONS BY THE BOROUGH COUNCIL TO VOLUNTARY HEALTH ORGANISATIONS DURING 1927. Subscriptions to Hospitals, etc.
    £s.d.
  • Page 21
    Payments to Maternity and Child Welfare Institutions
    £s.d.
  • Page 22
    The following table shows a summary of the inspections, etc., carried out by the Male Sanitary Inspectors during the year :—
    DESCRIPTION OF INSPECTIONS, &cNUMBER OF DISTRICTTemporary InspectorsGrand Total
    ]284567891012
  • Page 23
    The following table shows the number of notices which have been issued in respect of nuisances, defects, etc., found in the various districts during the year :—
    NUMBER OF DISTRICTTemporary InspectorsGrand Total
    123456 7891012
  • Page 24
    Summary of Works completed under the supervision of the Sanitary Inspectors during the Year-
    DESCRIPTION OF WORK, &c.NUMBER OF DISTRICT.Grand Total.
    12345678910
  • Page 25
    Summary of Legal Proceedings.
    Nature of Offence.Number of Summonses heard before the Magistrates.Magistrates' Decisions.
  • Page 26
    The following table deals with (a) drainage work undertaken voluntarily by owners and supervised by the officers of the Public Health Department from April 1st to December 31st, and (b) all drainage work required by notices served under the Public Health (London) Act, 1891, and carried out under the supervision of the Sanitary Inspectors:—
    Voluntary work.Work under notice.
  • Page 30
    Continued from previous page...
    Trade or Business.Workshops.Factories.Total.
  • Page 31
    The following table shows the various trades and occupations carried on in registered workshops and factories where women are employed:—
    Trade or Business.Workshops.Factories.Total.
  • Page 31
    The nature of the work given out to the 116 home workers on the register is as follows :—
  • Page 32
    I.—Inspections.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 33
    In eignteen cases both the original sample obtained from the purveyor and that obtained from the consignor were found to be of genuine composition and the following table gives the details in respect of four cases where the original sample was adulterated and samples taken from the wholesaler were genuine:—
    Case No.Amount of adulteration in sample taken from the retailer.Result of samples taken from the wholesaler.Action taken.
  • Page 34
    The alterations made in the Council's Register of Dairymen are shown in the following table: —
    Purveyors of milk in sealed bottles.Dairymen.Dairies and Milkshops.
  • Page 34
    During the year nine samples of " Certified Milk " and three of " Pasteurised Milk " were taken for the purpose of ascertaining whether they complied with the bacteriological standards laid down in the Milk (Special Designations) Order, which are as follow :—
    Special Class of Milk.Maximum number of bacteria permitted per c.c.Standard for bacillus coli.
  • Page 35
    The results of the examinations of the nine samples of " Certified Milk " are shown in the following table: —
    Sample collected on.Bacteria per 1 c,c.Coli per l/10th c.c.
  • Page 36
    Average Composition of Formal Milk Samples taken in 1927.
    Months,Number of Formal Samples Taken.Average Composition of all Samples Submitted, Genuine and Adulterated.Average Composition of Genuine Samples.Ministry of Agriculture Standard.
    Percentage of Milk Fat.Percentage of Solids not Fat.Percentage of Milk Fat.Percentage of Solids not Fat.Percentage of Milk Fat.Percentage of Solids not Fat
  • Page 37
    The following table shows the number of animals slaughtered in the Borough in 1927.
    Month.Beasts.Animals Slaughtered. Swine.Sheep.
  • Page 39
    (a) Formal Samples. —These are samples which are taken strictly in conformity with the requirements of the Sale of Food and Drugs Act, 1875, and during the year the Food Inspector collected 683, of which 35 or 5.1 per cent. were adulterated. Particulars of formal samples collected are as follow :—
    Nature of Sample.Number Taken.Number Adulterated.
  • Page 41
    PROCEEDINGS TAKEN UNDER THE SALE OF FOOD AND DRUGS ACTS
    Article Analysed.Nature and Amount of Adulteration.Action taken.
  • Page 42
    Nature of Offencc.Result.
  • Page 42
    Proceedings taken under the Milk and Dairies Order, 1926.
    Nature of Offence.Result.
  • Page 43
    (c) In regard to the foods mentioned in the first column of the following table, there will be no offence under the Regulations in respect of the presence of either sulphur dioxide or benzoic acid provided that the preservative is not present in a proportion greater than that indicated in the third column.
    Food.Preservative.Parts per Million.
  • Page 45
    Notwithstanding the recommendation of the Departmental Committee in 1901 in regard to cream, and the Milk and Cream Regulations, cream free from preservatives can be supplied in Kensington as is shown in the following table which indicates the extent to which preservatives have been found in samples of cream taken in the Borough since 1908 for analysis under the Sale of Food and Drugs Act, 1875.
    Year.No. of samples taken for analysis.No. free from preservative.No. containing boric acidPercentage free from preservative.Highest amount of boric acid found in any one sample.Lowest amount of boric acid found in any one sample.Average amount of boric acid found in those samples preserved with this drug.
  • Page 47
    Table showing Notifications of certain Infectious Diseases received in 1923-27.
    Year.Scarlet Fever.Diphtheria.Enteric Fever.Erysipelas.Ophthalmia Neonatorum.Puerperal Fever.†Puerperal PyrexiaPneumonia.Malaria.Encephalitis Lethargica.p. M'ltis & Polio. Encephalitis.‡Acute Rheumatism.Cerebro spinal Meningitis.Dysentery.*Enteritis.Total.
  • Page 47
    Table showing Cases of Infectious Diseases occurring in 1927, arranged in Four-Weekly Periods.
    Four Weeks endingScarlet FeverDiphtheria.Enteric Fever.Erysipelas.Ophthalmia Neonatorum.Puerperal Fever.Puerperal Pyrexia.Pneumonia.Malaria.Encephalitis Lethargica.P. M'itls & Polio-Encephalitis.†Acute Rheumatism.Cerebro spinal Meningitis.Dysentery.Enteritis.Total.
  • Page 48
    The following table shows the number of cases notified in the various wards in each four-weekly period during 1927.
    District.Period No. 1.Per iod No. 2.Period No. 3.Period No. 4.Period No. 5.Period No. 6.Period No. 7.Period No. 8.Period No 9Period No. 10.Period No. 11Period No. 12.Period No. 13.
  • Page 49
    The following table shows the number of cases notified in the various wards in each four-weekly period during 1927.
    District.Period No. 1.Period No. 2.Period No. 3.Period No. 4.Period No. 5.Period No. 6.Period No. 7.Period No. 8.Period No. 9.Period No. 10.Period No. 11Period No. 12.Period No. 13
  • Page 50
    Ophthalmia Neonatorum.— The following table gives particulars of ophthalmia cases notified in 1927 and the results of treatment.
    Case No.Cases.Vision unimpaired.Vision impaired.Total Blindness.Deaths.
    Notified.Treated.
    At home.In hospital.
  • Page 51
    The following table gives details of the five definite cases:—
    No.Sex.Age.Date of Notification.Result.
  • Page 52
    In 1927, two cases of polio-myelitis were notified to the Public Health Department and the following table gives details:—
    No.Sex.Age.Date of Notification.Result.
  • Page 52
    Cerebro Spinal Meningitis. —There were five cases of this disease notified during the year Particulars are subjoined:—
    No.Sex.Age.Date of Notification.Result.
  • Page 53
    Food on which children were fed before illness.
  • Page 54
    The following table shows the number or cases of both forms of the disease notified in the Borough and the several Wards therein during each year since 1919.
    District.Years.
    1919.1920.1921.1922.1923.1924.1925.1926.1927.
  • Page 55
    The following summary shows the age and sex distribution of the cases notified and the deaths from this disease during the year:—
    Age Periods. (Years).New Cases†Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary
    M.F.m. |F.M.F.M.F.
  • Page 55
    The following table shows the number of notifications of pulmonary and non-pulmonary tuberculosis received since 1919, together with the number of deaths and death-rates in each year.
    Year.Pulmonary Tuberculosis.Other Forms of Tuberculosis.Tuberculosis (all forms).
    No. of Notifications.No. of Deaths.Deaths per 100,000 persons living.No. of Notifications.No. of Deaths.Deaths per 100,000 persons living.No. of Deaths.Deaths per 100,000 persons living.
  • Page 55
    Deaths from Tuberculosis in 1927 Allocated to District of Usual Residence of Patients.
    Pulmonary Tuberculosis.Other Forms of Tuberculosis.
  • Page 56
    The places where deaths from tuberculosis occurred are set forth in the following list:—
    Pulmonary Tuberculosis.Non-Pulmonary Tuberculosis.
  • Page 56
    The number of new cases seen at the Dispensary during the year, with the original diagnoses made, is shown in the following table:— New Cases.
    Adults.Children under 15 yrs.Total.
    Males.Females.Males.Females.
  • Page 57
    The subsequent disposal of these 109 was as follows:—
  • Page 57
    Records. The following table shows the number of cases of tuberculosis on the Register of Notifications on 1st January, 1927, the number of cases removed from the Register on account of their having been cured or having removed from the district or having died, the number of cases added to the Register during the year and the number of cases remaining thereon on 31st December, 1927.
    Pulmonary.Non-Pulmonary.
    MalesFemalesMalesFemales
  • Page 59
    Home Visiting The number of home visits paid in 1927 by the Council's Women Health Officers is shown in the following table:—
    Women Health Officers.total.
    No. 1No. 2No. 3No. 4No. 5No. 6No. 7
  • Page 59
    The following table giving the number of rooms occupied by the families of definite cases of tuberculosis diagnosed in 1927 by the Tuberculosis Officer, and the number of occupants, ascertained by the Women Health Officers on their visits to the homes, is inserted to show the difficulties experienced in securing home isolation in many cases:—
    No. of Occupants
    12345678910
  • Page 60
    The work done at the Dispensary during the year is shown in the following table:-
  • Page 60
    The cases of tuberculosis attended and the visits paid by the Nurses of the Association during the past five years are shown in the following table:—
    Year.Cases.Visits.
  • Page 62
    In twelve of these the assistance was given for the first time during the past twelve months, the articles issued being as follow:—
  • Page 62
    The total stock of bedding, etc., on loan on December 31st, 1927, was:—
  • Page 62
    The following table shows the number of disinfections carried out during the year:—
  • Page 62
    Specimens examined by the Tuberculosis Officer:—
  • Page 67
    No. of rooms occupied by family
    Description of Work.Health Officers.
    No. 1.No. 2.No. 3.No. 4.No. 5No, 6.No. 7.Total.
  • Page 68
    The work done at the Infant Welfare Centres during the year 1927 is shown in the following table:—
    Particulars of Work done.Archer Street.Bramley Road with Kenley Street Branch.Camp-den Hill.Earl's Court.Gol-borne.Lancaster Road.Raymede.Totals
  • Page 70
    table showing the dental treatment performed at the various centres in 1927
    CentreNo. of patients.No. of attendances.Extractions.Fillings.Dentures.Other Treatments.
  • Page 71
    The following are the records for the year ending December 31st, 1927:—
  • Page 71
    Records for the year 1927:—
  • Page 72
    A record of the work done in 1927 is shown in the following table:—
  • Page 73
    Statement of Work done, &c.
    1924. Oct. 1st to Dec. 31st.1925.1926.1927.
  • Page 73
    DAY NURSERIES. The following table shows a record of children's attendances at the four Day Nurseries in the Borough in the year 1927.
    Gol-borne.Lancaster Road.Notting Hill Day NurserySt. Clement's, Tread -gold St.Totals
  • Page 73
    HOMES FOR DESERTED, WIDOWED OR UNMARRIED MOTHERS AND THEIR CHILDREN. A record of work done in 1927 is shown in the following table:—
    466, Uxbridge Road.2, Upper Phillimore Place.Totals.
  • Page 74
    RECORD OF WORK DONE IN 1927.
  • Page 74
    record of work done in 1927.
  • Page 74
    The following statistics show the work done by this officer during the year under review:—
  • Page 75
    Particulars of Fresh Milk supplied under the Council's Scheme.
    No. of pints of Milk granted.Price per pint paid by Recipients.Estimated Cost to Council.
    13,982Free£s.d.
  • Page 75
    Particulars of Dried Milk supplied Free or below Cost Price under the Council's Scheme.
    No. of packets of Milk granted.Price per lb. packet paid by Recipients.Estimated Cost to Council.
    140Free£s.d.
  • Page 75
    Particulars of Dried Milk supplied at Cost Price under the Council's Scheme.
    Name of Welfare Centre at which the dried milk was distributed.No. of lib. packets sold.Value of milk sold.
    £sd.
  • Page 75
    Particulars of Dinners supplied under the Council's Scheme.
    No. of Dinners granted.Price per Dinner paid by Recipients.Estimated Cost to Council.
    350Free£s.d.
  • Page 76
    The dried milk and dinners supplied during the year by the Board of Guardians under this scheme are shown below:—
    No. of packets of Dried Milk supplied.Cost to the Board of Guardians.No. of Dinners suppliedCost to the Board of Guardians.
  • Page 76
    There are 2,091 mews-dwellings in the Borough and the following table shows the number situated in North and South Kensington, with the number of rooms they contain: —
    North KensingtonSouth KensingtonThe Borough
  • Page 77
    In 1927 there were in the Borough seven common lodging houses, particulars of which appear in the following table:—
    Ward.Name of Keeper.Address of Common Lodging House.No. of Lodgers for which licensed in 1927.
    Male.Female.Total.
  • Page 79
    The housing accommodation provided by the Council together with that provided by the County Council and occupied by Kensington families may be summarised as follows: —
    Pre-War.Number of persons accommodated.
  • Page 79
    The accommodation in North Kensington now owned and managed by housing associations ls shown in the following table: —
    Single-Family Houses.Self-contained Flats.Tenement Houses Let in Lodgings.Totals.
    No. of Houses.No. of Families accommodated in Tenement Houses.Houses or self-contained flats.Families.
  • Page 80
    The following table shows the number of cases of overcrowding and indecent occupation detected in the last three years and the effectiveness of the action taken can be deduced therefrom:
    Overcrowding:—192519261927
  • Page 82
    The principal improvements secured in carrying out the work indicated in the above table are as follow:—
  • Page 84
    APPENDIX. TABLE I. Vital Statistics of Whole District for 1927 and previous Years.
    YearPopulation estimated to Middle of each Year.Births.Total Deaths Registered in the District.Transferable Deaths.Nett Deaths belonging to the District
    Uncorrected Number.Nett.
    of Nonresidents registered in the District.of Resi-dentsnot registered in the District.Under 1 Year of AgeAt all Ages.
    Number.Rate.*,Number.Rate.*Number.Rate per 1,000 Nett Births.Number.Rate. *
    12345678910111213
  • Page 85
    TABLE II. Cases of Infectious Disease notified during the Year, 1927.
    Notifiable DiseaseNumber of Cases Notified.Total Cases Notified in each Ward.Total Cases Removed to Hospital.
    At all Ages.At Ages.—Years.St. Charles.Golborne.Norland.Pembridge.Holland.Earl's Court.Queen's Gate.Redcliffe.Brompton.
    Under 1.1 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65 and upwards.
  • Page 86
    TABLE III. Causes of Death at Different Periods of Life in 1927.
    Causes of DeathSex.All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years45 and under 65 years.65 and under 75 years.75 and upward
  • Page 87
    TABLE IV. INFANT MORTALITY DURING THE YEAR 1927. Nett Deaths from stated Causes, at Various Ages, under One Year of Age.
    Cause of Death.Under 1 week.1-2 Weeks.2-3 Weeks.3-4 Weeks.Total under 4 Weeks.1-3 Months.3-6 Months.6-9 Months.9-12 Months.Total Deaths under One Year.
  • Page 88
    TABLE V. The Work of the Women Health Officers for the Year 1927.
    HEALTH OFFICERSTotal.
    1234567
  • Page 89
    TABLE VI. Vaccination Officer's Return respecting the Vaccination of Children whose Births were Registered in 1926.
    DATE.Registration Sub-Districts comprised in Vaccination Officer's District.Number of Births returned in Birth List Sheets.Number of these Births duly entered in Columns 1, 2, 4, and 5 of the Vaccination Register (Birth List Sheets), viz,:Number of these Births which are not entered in the Vaccination Register, on account, (as shown by Report Book) of
    Column I, Successfully Vaccinated.Column II.Column V, Dead, Unvaccinated.Postponement by Medical Certificate.Removed to other Districts and notified to Vaccination Officers of the Districts.Removal to places unknown, or which cannot be reached, and cases not having been found.Not accounted for.Total Number of Certificates of Successful Vaccination received during the Calendar Year, 1927.
    Insusceptible of Vaccination.Certificate of Conscientious Objection.
  • Page 90
    TABLE VII. PARTICULARS OF THE STAFF OF THE PUBLIC HEALTH DEPARTMENT AT THE END OF 1927. (as required by Ministry of Health Circular 359).
    Year of Appointment