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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Hackney 1923

[Report of the Medical Officer of Health for Hackney]

Published
1924
Pages
144
Tables
101

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101 tables in this report

  • Page 16
    COMPARATIVE TABLE, YEAR 1923.
    Name of Borough.Population.Birth Rate.Zymotic Death Rate.Death Rate all causes.Infant Mortility
  • Page 17
    Table showing Estimated Population, Area and Density of the Registration Sub-Districts in Hackney at middle of 1923.
    NorthCentralSouth-WestSouth-EastTotal for HackneyTotal for London
  • Page 17
    2. EXTRACTS FROM VITAL STATISTICS OF THE YEAR.
    Births—Total.M.F.
  • Page 18
    The following table gives the number of marriages and marriage-rates for the Borough of Hackney and London during the years, 1913-1923.
    Year.Borough of Hackney.London.
    Marriages.Marriage rate.
  • Page 19
    Notifications of Births (Live and Still-born) received during the year 1923.
    Year 1923.Medical PractitionersMid wives.Parents and Others.Total,
    Live.Still.Live.Still.Live.Still.Live.Still.
    M.FM.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 20
    The following table gives the number of registered births, birth-rates, etc., for the Sub-districts in the Borough:—
    Registration District of HackneyRegistration Sub-districtAll London
    NorthCentralSouth-WestSouth-East
  • Page 21
    Birth-rate for the Borough of Hackney and its Sub-Districts for the years 1913-1923 compared with that of London.
    YearBorough of HackneyNorth Sub-DistrictCentral Sub-DistrictSouth-West Sub-DistrictSouth-East Sub-DistrictLondon
  • Page 21
    Amongst the Registration Sub-districts the death-rate was lowest in the North Sub-district (10.0 per 1,000), the highest in the South-west Sub-district (113 per 1,000).
    Sub-district.Population (estimated).Total No. of Births, Uncorrected.Birth rate. Uncorrected.Total Deaths Cor'ted.Death-rate.Deaths under 1 year.Infant Mortality per 1,000 Births. Uncorrected.
  • Page 22
    The following shows the death-rate of Hackney from all causes per 1,000, compared with London during the last decade
    Year.Hackney.London.Year.Hackney.London.
  • Page 22
    The relative position from a health point of view occupied by Hackney as compared with other Metropolitan Boroughs maybe seen from the following table, compiled from figures supplied by the Registrar-General, showing the death-rates from all causes and the death-rate of infants under 1 year of age for the year 1923 :—
    Boroughs.Death rate from all causes per 1,000 living.Deaths under 1 year to 1,000 births.
  • Page 23
    Nett deaths from stated causes at various ages under 1 year of age.
    Cause of Death.Under 1 week1-2 weeks2-3 weeks3-4 weeksTotal under 4 weeks4 we' ks ard under 3 months.3 months and under 6 months.6 months and under 9 month .9 months and under 12 months.Total Deaths under 1 year.
  • Page 27
    Inquests.
    Verdict.Sex.
    Male.Female.
  • Page 28
    Table showing nature of Suicidal and Accidental Deaths in the Borough of Hackney during the year 1923.
    Nature of Suicide.No.Nature of Accidental Death.No.
  • Page 29
    TABLE I. Vital Statistics of Whole District during 1923 and Previous Years.
    Year.Population estimated to middle of each year.Births.Total Deaths Registered in the District.Transferable DeathsNett Deaths belonging to the District.
    Uncorrected Number.Nett Number.Rate.of Nonresidents registered in the District.of residents not registered in the District.Under 1 Year of AgeAt all Ages.
    Number.Rate.
    Number.Rate per 1,000 Nett Births.Number.Rate.
    12345678910111213
  • Page 30
    TABLE II.—HACKNEY BOROUGH. Notifiable Diseases during the Year 1923 (Age groups of notifications).
    Di seases.At all Ages.Cases Notifiedl'otal Cases Notified ii each Locality.Total cases removed to Hospital.
    At Ages—Years.1234
    Under 1.1 to 22 to 33 to 44 to 55 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 and upwards.North.1 Central.South-East.South-West
  • Page 31
    Notifiable Diseases during- the Year 1923. (Age Groups of Deaths).
    Disease.Total cases notified.Cases admitted to Hospital.Age Groups of Deaths.Total deaths at all ages.
    Under 11 to 22 to 33 to 44 to 55 to 1010 to 1515 .to 2020 to 3535 to 4545 to 6565 and upwards.
  • Page 33
    The list of home contacts is as follows:—
    Age.OccupationVaccination.
  • Page 36
    Summary of Proceedings under the Vaccination Acts, 1867 to 1898, during the year 1923.
    Registration Sub-District.No. of Cases in Birth Lists received during Year.No. of Certificates of Vaccination received.No. of Certificates of Postponement owing toNo. of Certificates under Section 2 of Vaccination Act, 1898, and No. of Statutory Declarations under Section 1 of the Vaccination Act, 1907.No. of Certificates of Insusceptibility or of having had Smallpox.No. of Cases.No. of Entries in Lists sen to Public Vaccinator
    Health of Child.Condition of House.Prevalence of Infectious , Disease.Parents Remove* out of District.Otherwise not found.
  • Page 37
    The following table shows the distribution of scarlet fever in the respective Sub-districts of the Borough:—
    Sub-Districts.North.Central.South-west.South-east.
  • Page 38
    The following table shows the distribution of diphtheria in the respective Sub-districts of the Borough:—
    Sub-Districts.North.Central.South-west.South-east
  • Page 39
    The following- table shows the number of attacked persons under 15 years of age not known to have had a previous attack of Scarlet Fever and Diphtheria as they are housed, as follows:—
    Disease.Cases removed to HospitalCases nursed at Home
    Less than 1 person per room1 to 2 persons per roomMore than 2 persons per roomLess than 1 person per room1 to 2 persons per roomMore than 2 persons per room
  • Page 40
    The table below gives the distribution of the notified cases in the Sub-districts of the Borough:—
    Sub-Districts.North.Central.South-west.South-east.
  • Page 41
    The following table shows the distribution of the disease in the sub-districts of the Borough:—
    Sub-Districts.North.Central.South-west.South-east.
  • Page 41
    Ophthalmia Neonatorum. —There were:—
    CasesVision UnimpairedVision ImpairedTotal BlindnessDeaths
    NotifiedTreated
    At HomeIn Hospital
  • Page 43
    The following table gives the distribution of the deaths from this disease in the different sub-districts of the Borough:—
    Sub-Districts.North.Central.South-west.South-east.
  • Page 44
    Below is given a table showing the number of deaths and death rates due to malignant disease in this Borough for the 10 years ending 1923:—
    London. Borough of Hackney.Years.1914191519161917191819191920192119221923
  • Page 45
    Deaths frotn Cancer of Breast during the Year 1923.
    Age.Civil State.When growth was When a Doctor first noticed. was first consulted.Whether there was an operation, and if so, wjienRemarks.
  • Page 46
    Continued from previous page...
    AgeCivil State.When growth was first noticed.When a Doctor was first consulted.Whether there was an operation, and if so, whenRemarks.
  • Page 47
    Continued from previous page...
  • Page 48
    Continued from previous page...
    Age.Civil State.When growth was first noticedWhen a Doctor was first consulted.Whether there was an operation, and if so, whenRemarks.
  • Page 49
    Continued from previous page...
  • Page 50
    Continued from previous page...
    Age.Civil State.When growth was first noticedWhen a Doctor was first consulted.Whether there was an operation, and if so, whenRemarks.
  • Page 51
    TUBERCULOSIS.
    Age PeriodsNew CasesDeaths
    PulmonaryNon-PulmonaryPulmonaryNon-Pulmonary
    M.F.M.F.M. -F.M.F.
  • Page 52
    These deaths are classified as follows:—
  • Page 52
    In the following table the yearly deaths from tuberculous diseases in the Borough for the last 25 years are shown, grouped in periods of three years:—
    Three year periods.Annual average number of deaths from Tuberculous Disease.Percentage decrease on the period 1898-1900.
  • Page 53
    The deaths are distributed in the sub-districts of the Borough as shown below:—
    Sub-Districts.North.Central.South-west.South-east.
  • Page 54
    Summary of Notifications during the Period from 31st December, 1922, to 29th December, 1923.
    Age period.Notifications on Form A. Number of Primary NotificationsTotal Notifications, on Form A.
    0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsNotifications. Primary Total
  • Page 54
    Continued from previous page...
    Age Periods.Number of Notifications on Form B.Number of Notifications on Form C.
    Number of Primary Notifications.Total Notifications on Form B.Poor Law Institutions.Sanatoria.
    Under 55 to 1010 to 15Total Primary Notifications.
  • Page 55
    Visits paid by Tuberculosis Visitors.
    New Cases.ContactsSailors and SoldiersOther Persons.Total.Insured.Non-insured.
  • Page 57
    DISPENSARY DEATHS. Condition of Patient on First Attendance. Pulmonary Tuberculosis
    1st Stage.2nd Stage.3rd Stage.
  • Page 57
    Duration of illness before attending Dispensary
  • Page 58
    ALL DEATHS FROM TUBERCULOSIS. Interval elapsing between Notification and Death.
    1921.1922.1923.
    Pul.Non-pul.Pul.Non-pul.Pul.Non-pul.
  • Page 59
    2.— The Sources of the New Cases.
    Total.Tuberculous.
  • Page 60
    3.— The Diagnosis of the New Cases.
    Diagnosis.Insured.Uninsured.Total.
    Males.Females.Children under 16.Males.Females.
  • Page 60
    5.— Sputum Examinations of Insured and Uninsured Patients.
    Insured.Uninsured.Total.
  • Page 61
    6.— Other Figures.
    Insured.Uninsured.
  • Page 61
    2.— The Sources of the New Cases.
    Total.Tuberculous.
  • Page 62
    3.— The Diagnosis of the New Cases.
    Diagnosis.Insured.Uninsured.Total.
    Males.Females.Children under 16. .Males.Females.
  • Page 62
    5.— Sputum Examinations of Insured and Uninsured Patients.
    Insured.Uninsured.Total.
  • Page 63
    6.— Other Figures.
    Insured.Uninsured.
  • Page 64
    The following table shows the place of death of Hackney inhabitants, and it is apparent from this table what a large proportion of deaths occur in the patients' homes.
    Place where death occurred.Pulmonary Tuberculosis.Other forms of Tuberculosis.Totals.
  • Page 65
    Number of rooms fumigated and cleansed each month during 1923.
    Month.Roomsfumigated.Roomscleansed.
  • Page 66
    Articles Disinfected, 1923.
    Description of Articles.January.February.March.April.May.June.July.August.September.October.November.December.Totals.
  • Page 67
    In addition to these there were 181 articles destroyed on request from the owners. These are set out in the following table:—
  • Page 67
    Books Disinfected.
    Month.Number.
  • Page 68
    The following are the Schools from which children were sen to the Cleansing Station, with the number of baths given
    Schools.Number Hot Baths.Cleansed. Sulphur Baths,
  • Page 69
    Continued from previous page...
    Hot Baths.Sulphur Baths.
  • Page 70
    The following table gives particulars of the number, etc., of persons who were bathed and cleansed for parasitic disease at the Disinfecting Station during the year.
    January.February.March.April.May.June.July.August.September.October.November.December.Totals
  • Page 73
    Clinics and Treatment Centres.— (a) Infant Welfare Centres.
    Name and Situation.Nature of AccommodationBy whom provided.
  • Page 74
    Hospitals provided or subsidised by the Local Authority or by the London County Council.—
    Name and Situation. |By whom provided.
  • Page 75
    the Salvation Army Mothers' Hospital, Clapton, and afford, in most instances, accommodation for both married and unmarried mothers.
    Name and Situation.Nature of Accommodation.By whom provided.
  • Page 76
    Ministry of Health is of interest, although as Items Nos. 4, 7, 9 . and 11, are either not provided by this Borough, or very slightly, strict comparison is not possible.
    -Ministry of Health, 1922-1928.Hackney, Year ended March, 1923.
    £Percentage of Total Expenditure.£Percentage of Total Expenditure.
  • Page 78
    The mortality for this period measured by the number of deaths under one year of age per thousand births, called the infantile mortality rate, during the years 1900—1923 has been as follows:—
    Year.Year.Year.
  • Page 81
    Measles and Whooping Cough.
    1922.1923.
  • Page 91
    Summary of Additional Expenditure.
  • Page 93
    1 .—HEALTH VISITING. The following table gives details of the visits made by the Health Visitors during the year:—
    Miss M. ChitsonMrs. A. RhodesMiss D. F. VidalMrs. L. E. BartholomewMiss S. LoveMiss A. RocheMiss E.D. Mann.Mrs. L. HarrisonMiss M. CockleMiss K. Teebay (temporary)Miss E. Whelan (temporary)Eton Mission (voluntary)Hackney Grove (voluntary)Totals.
  • Page 94
    Conditions Found by the Visitors.
    No. of Infants visited.Method of Feeding.Separate cot provided for Infant.Use of Comforter.Home conditions.Satisfactory visits
    Breast.Artificial.Mixed.yes.no.yes.no.SatisfactoryUnsatisfactory
  • Page 95
    SUMMARY OF CENTER WORK Infant Consultation Centers.
    Centre.No. of times Centre openNo. of primary cases brought to Centre.Repeated visits to Centre.Total attendances.Total attendances of Infants under 1 year.Total attendances of children over 1 year.
  • Page 95
    Ante-Natal Welfare Centres.
    Centre.No. of times Centre openedNo. of expectant mothers attendingNo. of repeated attendences at CentreTotal attendances
  • Page 97
    4.-NURSING ASSISTANT As already stated, only a fraction of the cases have been dealt with.
    No. of cases nursedNo. of visit paid.
  • Page 100
    VII.—SANITARY ADMINISTRA TION. HOUSINC AND WORK OF SANITARY INSPECTION.
    Year.Public Health (London) Act, 1891.
    Intimation NoticesStatutory Notices.Legal Proceedings.
  • Page 101
    under the above Act. These homes were inspected, with the following results.:—
    No. of Homes Inspected.No. of Homes where Rooms alone were found Verminous.No. of Homes where Bedding or Clothes and Rooms were found Verminous.No. of Homes not Verminous.
  • Page 104
    Prosecutions under the Public Health (London) Act, 1891, during the year 1923.
    Address.Complaint.Magistrate's Decision.Fine.Costs.
    £s.d.£s.d.
  • Page 105
    Continued from previous page...
    Address.Complaint.Magistrate's Decision.Fine.Costs.
    £s.d.£s. d.
  • Page 106
    Continued from previous page...
    Address.Complaint.Magistrate's Decision.Fine.Costs.
    £s.d.,f.s.d.
  • Page 106
    Factory and Workshop Act, 1901. Factories.—During the year, 181 inspections were made of factories and 2,469 of workshops by the officers of the Public Health Department. In 138 of these premises the sanitary accommodation was defective, unsuitable or insufficient, or not separate for the sexes.
    Nuisance.Found.Abated by Workshop Inspector.Abated by District Inspector.Outstanding.
  • Page 108
    (a) Wearing Apparel.
    No. ofNo. of
    Occupations. WorkWorksshops.Occupations.Workshop
  • Page 108
    (b) Other Occupations.
  • Page 109
    I.—INSPECTION. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
    Premises.Inspections.Number of Written Notices.Prosecutions.
  • Page 110
    2.—DEFECTS FOUND.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector
  • Page 111
    3.—REGISTERED WORKSHOPS.
    Workshops on the Register (S. 131) at the end of the year.Number.
  • Page 111
    4.—OTHER MATTERS.
    Class.Number.
  • Page 112
    5.—HOME WORK.
    Nature of Work.Outworkers' Lists, Section 107.Outwork in Unwholesome Premises, Section 108Outwork in Infected Premises, Ssctions 109, 110.
    Lists received from Employers.Notices served on Occupiers as to keeping or sending Lists.Prosecutions.| Instances.| Notices served.Prosecutions.Instances.Orders Made (Section 110).Prosecutions (Sections 109, 110).
    Twice in the year.Once in the year.
    Failing to keep or permit inspection of Lists.Falling to send Lists.
    Lists.Outworkers.Lists.Outworkers.
    Con* tractorsWork-men.Con. IraciorsWork -men.
  • Page 113
    The following analysis shows the trades followed by these outworkers:—
    Trade. of Outworkers.Trade.No. of Outworkers.
  • Page 119
    As there is no registration except of milk dealers, and as regards those occupations mentioned in the following table as being regulated by bye-laws, a great deal of food must be prepared under filthy conditions even as regards general sanitation, but in addition adulteration and the disguising of deterioration has become a highly scientific proceeding, and as regards adulteration, the absence of standards on which proceedings can be successfully taken very materially limits the process of sampling.
    District Numbers.
    1234567891011121314Totals.
  • Page 121
    Sale of Food and Drugs Acts, 1875-1907. Samples purchased during 1923.
    Articles Purchased.Number purchasedNumber AdulteratedNumber where Proceedings taken
  • Page 122
    Prosecutions under the Sale of Food and Drugs Acts during the year 1923.
    No. of SampleArticleAdulteration or OffenceResult of Legal ProceedingsFineCosts
    £s.d.£s.d.
  • Page 126 127
    INSPECTIONS BY SANITARY INSPECTORS, 1923.
    Mr. Ellis, No. 1 District.Mr. Bew. No. 2 District.Mr. Vobe, No. 3 District.Mr. Sadler, No. 4 District.Mr. Body, No. 5 District.Mr. High, No. 6 District. Mr. Sheppard, No. 7 District.Mr. .Long, No. 8 District.Mr. Goldsworthy No. 9 District.Mr. Peverett, 1 No. 10 District|Mr. Hillier. I No. 11 DistrictMr. Crook, No. 12 District.Mr. Truslove No. 13 District.Mr. Hall, No. 14 District.Mr. Fowler, Special.Mr. Nighy, Special.Mr. Galvin, Special. Mr. Bobbitt, Special.Miss Teebay, Special.Miss Portlock, Special.TOTAL.
  • Page 128 129
    INSPECTIONS BY SANITARY INSPECTORS, 1923.
    Mr. Ellis, No. 1 District.Mr. Bew. No. 2 District.Mr. Vobe, No. 8 District.Mr. Sadler, No. 4 District.Mr. Body, No. 5 District.Mr. High, No. 6 District.Mr. Sheppard, No. 7 District.Mr. .Long, No. 8 District.Mr. Goldsworthy No. 9 District.Mr. Peverett, No. 10 District.Mr. Hillier, No. 11 District.Mr. Crook, No. 12 District.Mr. Truslove No. 18 District.Mr. Hall, No. 14 District.Mr. Fowler, Special.Mr. Nighy, Special.Mr. Galvin, Special.Mr. Bobbitt, Special.Miss Teebay, Special.Miss Portlock, Special.TOTAL
  • Page 130 131
    INSPECTIONS BY SANITARY INSPECTORS, 1923.
    Mr. Ellis, No. 1 District.Mr. Bew. No. 2 District.Mr. Vobe, No. 3 District.Mr. SaJler, No. 4 District.Mr. Body, No. 5 District.Mr. High, No. 6 District.Mr. Sheppard, No. 7 District.Mr. .Long, No. 8 District.Mr. Goldsworthy No. 9 District.Mr. Peverett, 1 No. 10 District.Mr. Hillier, No. 11 District.Mr. Crook, No. 12 District.Mr. Truslove No. 13 District.Mr. Hall, So. 14 District.Mr. Fowler, Special.Mr. Nighy, Special.Mr. Galvin, Special.Mr. Bobbitt, Special.Miss Teebay, Special.Miss Portlock, Special.TOTAL
  • Page 132 133
    INSPECTIONS BY SANITARY INSPECTORS, 1923.
    Mr. Ellis, No. 1 District.Mr. Bew. No. 2 District.Mr. Vobe, No. 3 District.Mr. Sadler, No. 4 District.Mr. Body, No. 5 District.Mr. High, No. 6 District.Mr. Sheppard, No. 7 District.Mr. .Long, No. 8 District.Mr. Golds worthy No. 9 District.Mr. Peverett, 1 No. 10 District.Mr. Hillier, No. 11 District.Mr. Crook, No. 12 District.Mr. Truslove No. 13 District.Mr. Hall, No. 14 District.Mr. Fowler, Special.Mr. Nighy, Special.Mr. Galvin, Special.Mr. Bobbitt, Special.Miss Teebay, Special.Miss Portlock, Special.TOTAL.
  • Page 134 135
    INSPECTIONS BY SANITARY INSPECTORS, 1923.
    Mr. Ellis, No. 1 District.Mr. Bew. No. 2 District.Mr. Vobe, No. 3 District.Mr. SaJler, No. 4 District.Mr. Body, No. 5 District.Mr. High, No. 6 District.Mr. Sheppard, No. 7 District.Mr. .Long, No. 8 District.Mr. Golds worthy No. 9 District.Mr. Peverett, No. 10 District.|Mr. Hillier, No. 11 District.'Mr. Crook, No. 12 District.Mr. Truslove No. 13 District.Mr. Hall, No. 14 District.Mr. Fowler, Special.Mr. Nighy, Special.Mr. Galvin, Special.Mr. Bobbitt, Special.Miss Teebay, Special.Miss Portlock, SpeciaLTOTAL
  • Page 136 137
    INSPECTIONS BY SANITARY INSPECTORS, 1923.
    Mr. Ellis, No. 1 District.Mr. Bew. No. 2 District.Mr. Vobe, No. 3 District.Mr. Sadler, No. 4 District.Mr. Body, No. 5 District.Mr. High, No. 6 District.Mr. Sheppard, No. 7 District.Mr. .Long, No. 8 District.Mr. Golds worthy No. 9 District.Mr. Peverett, J No. 10 District.Mr. Hillier, No. 11 District.Mr. Crook, No. 12 District.Mr. Truslove No. 13 District.Mr. Hall, No. 14 District.Mr. Fowler, Special.Mr. Nighy, Special.Mr. Galvin, Special.Mr. Bobbitt, Special.Miss Teebay, Special.Miss Portlock, Special.TOTAL.
  • Page 138
    TABLE OF DEATHS. Of Inhabitants of the Borough of Hackney during the year 1923.
    AGESUnder 1 year.1 to 2.2 to 5.5 to 15.15 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and upwards.All ages.
  • Page 139
    TABLE OF DEATHS— continued.
    AGESUnder 1 year.1 to 2.2 to 5.5 to 15.15 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and upwards.A11 ages,
  • Page 140
    TABLE OF DEATHS— continued.
    AGESUnder 1 year.1 to 2.2 to 5.5 to 15.15 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and upwards.All ages.
  • Page 141
    TABLE OF DEATHS— continued.
    AGESUnder 1 year.1 to 2.2 to 5.5 to 15.15 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and upwards.All ages.
  • Page 142
    TABLE OF DEATHS— continued.
    AGESUnder 1 year.1 to 2.2 to 5.5 to 15.15 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and upwards.All ages.
  • Page 143
    TABLE OF DEATHS— continued.
    AGESUnder 1 year.1 to 2.2 to5.5 to 15.15 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and upwards.All ages.
  • Page 144
    TABLE OF DEATHS— continued.
    AGESUnder 1 year.I to 2.2 to 5.5 to 15.15 to 25.25 to 85.35 to 45.45 to 55.55 to 65.65 to 75.75 to 85.85 and upwards.All ages.
  • Page 145
    TABLE III. Causes of, and Ages at, Death during the year 1823 .
    Causes ok Death.Deaths in whole Districts at Subjoined Ages.Deaths in Public Institutions.
    All Ages.Under 1.1 and under 2.2 and under 5.5 and under 15.15 and under 25.25 and under 45.45 and under 65.65 and upwards.