[Report of the Medical Officer of Health for Hackney]

Page 11

EXTRACTS FROM VITAL STATISTICS OF THE YEAR

Live Births:—	Total.	M.	F.

Page 11

Deaths from diseases and accidents of pregnancy and childbirth:—

	Deaths	Kate per 1,000 Total Births

Page 11

Death-rate of Infants under one year of age per 1,000 live births:—

Page 11

Births to Hackney mothers corrected by inward and outward transfers: —

	Live Births.			Still-births.
	Male.	Female.	Total.	Male.	Female.	Total.

Page 12

The birth-rates in England and Wales, London and Hackney in the past five years are shown below:—

District.	Birthrate, 1947.	Birth-rates in previous years.
District.	Birthrate, 1947.	1946.	1945.	1944.	1943.

Page 12

The following table shows the sources from which the notifications of birth (corrected and uncorrected) were received:—

	Medical Practitioners.				Midwives.				Parents and others.				Totals.
	Live Births.		Still Births.		Live Births.		Still Births.		Live Births.		Still Births.		Live Births.		Still Births.
	M.	F.	M .	F.	M.	F.	M .	F.	M .	F.	M .	F.	M .	F.	M .	F

Page 13

Short List of Causes of Death at Different Periods of Life of Residents of Hackney during 1947.

Causes of Death.	Sex.	All Ages.	0—	1—	5—	15—	45—	65—

Page 14

Causes of Death—continued.

Causes of Death.	Sex.	All Ages.	0—	1—	5—	15—	45—	05—

Page 15

The death-rates in England and Wales, London and Hackney in the past five years were:—

District.	Death-rate, 1947	Death-rates in previous years.
District.	Death-rate, 1947	1946	1945	1944	1943

Page 15

The infant mortality-rates in England and Wales, London and Hackney in the past five years were:—

District.	Infant mortality rate, 1947	Infant mortality-rates in previous years.
District.	Infant mortality rate, 1947	1946	1945	1944	1943

Page 15

The causes of the 112 infant deaths in 1947 are set out in the following table:—

Cause of Death.	Under 24 hrs.	1 day to 1 week.	1 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

Page 16

The maternal mortality-rates in England and Wales and in Hackney in the past five years were:—

District.	Maternal mortality rate, 1947.	Maternal mortality-rates in previous years.
District.	Maternal mortality rate, 1947.	1946	1945	1944	1943

Page 16

Ante-Natal and Post-Natal Clinics. —Particulars of attendances :—

Centre.	No. of sessions held.	No. of Mothers attending (first visits).		No. of repeated attendances at Centre.		Total attendances.		No. of examina tions by Doctor.
		Antenatal.	Postnatal.	Antenatal.	Postnatal.	Antenatal.	Postnatal.

Page 17

The Medical Superintendent of Hackney Hospital and the Secretary Superintendent of the Salvation Army Mothers' Hospital have kindly supplied the following figures regarding the work of the ante-natal clinics held at those hospitals:—

	Hackney Hospital.	Salvation Army Mothers' Hospital.

Page 17

The proportion of Hackney mothers who attended the Antenatal Clinics at these Hospitals can be judged from the following figures:—

	Hackney Hospital.	Salvation Army Mothers' Hospital.

Page 17

No. of infants born at home:—

	Hackney Hospital.	Salvation Army Mothers' Hospital.

Page 18

Infant Welfare Clinics. — Particulars of attendances:—

Centre.	No. of sessions held.	No. of children brought to the Centre for the first time.		No. of children who attended at the Centre during the year and who. at the end of the year, were:—		Total No. of attendances.		Total No of attend ances of infants and children before Doctor.
		Under 1 year.	Over 1 year.	Under 1 year.	Over 1 year.	Under 1 year.	Over 1 year.

Page 18

The following statement shows the improved attendances in the last three years —

Attendances.	1945.	1946.	1947.

Page 18

Comparison of first attendances with number of births registered

Page 19

Dental Clinic. — Particulars of attendances

Centre.	Sessions held	New Cases.		Repeated Attendances.		Total Attendances.
Centre.	Sessions held	Children	Mothers	Children	Mothers	Total Attendances.

Page 19

The work done at the dental clinic during the period under review was as follows:—

Page 19

The cost of this scheme to the Council during the year was :—

				£	s.	d.

Page 20

The number of patients assisted under this scheme, together with the cost to the Council during the year is shown below :—

	Cases.	Cost.
	Cases.	£	s.	d.

Page 21

Continued from previous page...

Cost to be borne by Applicant.	Number in family.
Cost to be borne by Applicant.	1		2		3		4		5		6		7		8

Page 21

Actinotherajpy Clinics. Particulars of attendances :

Centre.	Sessions held.	New Gases.			Repeated Attendances.			Total
Centre.	Sessions held.	Infants	Children	Mothers	Infants	Children	Mothers	Total
Elsdale Street	169	38	160	22	503	3352	433	4508
Richmond Road	95	14	85	1	155	2065	1	2321
Totals	264	52	245	23	658	5417	434	6829

Page 22 23

1. Primary Visits. 2. Total Visits. Visi Health Visitors, 1947.

	Miss M. H. Bevis. (Child Protection Visitor.)		Miss D. Boyce-Jones.		Miss W. Cleverley.		Miss A. Edwards.		Miss D. M. Francis.		Miss G. J. Franklin.		_ Miss D. I. Gentry.		_ Miss M. N. Hilton.		???	???	Miss M. L. Howman.		Miss M. _ Jones. (Child Protection Visitor)		_ Miss J. D. Kimpsford.		Miss S. E. Love.		_ Miss W. C. Peverett.		Miss R. C. M. Prior.		Miss A. Thomas.		Miss E. Thurgood.		Miss E. E. \| Williamson.		Temporary Visitor.		Totals.

Page 24

The following tables show the quantities of foods and vitamin products supplied from the Centres during the year:— (a) " National" dried milk and vitamin products made available under the Ministry of Food's arrangements-.—

Vitamin "A" and "D" tablets.*	Concentrated orange juice.		Cod liver oil.*	' 'National'' dried milk.

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(b) Dried Milk and vitamin products made available under the Council's arrangements:—

Description of Article.	Value of goods supplied at cost price.			Value of goods supplied free of charge.

Page 28

Statement of cases seen at Gynaecological Clinic.

Condition.	Under treatment at beginning of 1947.	No. of Cases.	Origin.				Disposal.
Condition.	Under treatment at beginning of 1947.	No. of Cases.	Doctor.	M. & C. W.	Own accord	Hospital.	Doctor.	Antenatal Clinic	Advised and Discharged.	Treated at Clinic.

Page 29

The following table shows the results obtained in the treatment of the 105 patients at the Clinic:—

Condition.	Result of Treatment.
Condition.	Cured	Improved.	No change.	Failed to re-attend.	Sent to Hospital.	Still under treatment.

Page 30

The following is a statement of the specimens submitted to the Laboratories for examination during the year:—

Disease suspected.	Result of Examination.
Disease suspected.	Positive.	Negative.

Page 31

PROFESSIONAL NURSING IN THE HOME. The following table shows the number of cases attended and the visits paid by the nurses of the Hackney District Nursing Association on the Council's behalf during the year.

	No. of Cases Nursed.	No. of Visits Paid.

Page 32

The recruitment and employment of Home Helps during the year was as follows:—

	Employed Weekly.		Hours Assistance. provided weekly (approx.)
	Full-time.	Part-time.	Hours Assistance. provided weekly (approx.)

Page 32

The cases dealt with during the year are shown below, together with the comparable figures for the two previous years, from which the rate of growth of this service will be seen:-

	Maternity and Child Welfare Cases.			Other Cases.
	1945.	1946.	1947.	1945.	1946.	1947.

Page 33

The following table sets out particulars of attendances during 1947:—

New Attendances.	Re-attendances.	Total.

Page 33

Details are given in the following table of the patients treated during 1947 at the British Red Cross Society's Clinic at No. 92, Ualston Lane:—

	Totals.	Hackney Residents.
		Children		Adults.
		0-4 years.	5-13 years.	Adults.

Page 34

PUBLIC MORTUARY. Details of the bodies deposited in the Public Mortuary during the year are given in the following table:—

		Persons dying in Hackney.	Persons dying elsewhere.	Total.

Page 35

The following is a summary of the principal forms of inspection and of the action taken by the Sanitary Inspectors during the year:—

Page 37

The following is a summary of the information secured from the employers' lists during the year:—

	Residing in the Borough.	Residing outside the Borough.	Total.

Page 37

The following analysis shows the trades in which the outworkers resident in the Borough are engaged:—

Trade.	No. of Outworkers.	Trade.	No. of Outworkers.

Page 43

The total weights of food condemned or surrendered during the year were:—

Commodity.	Weight.
Commodity.	Tons.	Cwts.	Qtrs.	Lbs.

Page 45

There was no reduction in the number of samples taken for analysis, which included

(a) Formal Samples:—	Genuine.	Adulterated.	Total.

Page 46

The following table shows the incidence of the various diseases:—

Disease.	1943	1944	1945	1946	1947

Page 46

The attack rates for the principal infectious diseases in England and Wales, London and Hackney were as follows:—

Disease.	England and Wales.	London.	Hackney.

Page 47

Table showing Notifications of Infectious Disease received in 1947, in Age Groups, Admissions to Hospitals and Deaths

Disease.	Cases Notified.													No. of cases admitted to Hospitals	No. of Deaths
	At all Ages.	At Ages—Years.
	At all Ages.	Under 1.	1 to 2.	2 to 3.	3 to 4.	4 to 5.	6 to 10.	10 to 15.	15 to 20.	20 to 35.	35 to 45.	45 to 65.	65 and upwards.

Page 48

Table showing Notifications of Infectious Disease received in 1947 in Electoral Wards.

Disease	Electoral Wards.
Disease	Ridley	Downs	Town Hall	Graham	Dalston	Culford	Stamford	Springfield	Maury	South wold	Leaside	Marsh	Wick	Chatham	Park	Tudor	Totals

Page 50

The following table gives particulars of the work carried out under the scheme since 1928:—

Year,	No. of New Cases.	Schick Tested.			Commenced treatment without Schick Test.	Naturally Immune.	Immunised.			Discontinued treatment and struck off Register.	[No. under treatment at end of year.
Year,	No. of New Cases.	Pre-School Age.	School Age.	Adults.	Commenced treatment without Schick Test.	Naturally Immune.	Pre-School Age.	School Age.	Adults	Discontinued treatment and struck off Register.	[No. under treatment at end of year.

Page 51

When war-time circumstances commenced to affect the Borough's tuberculosis case rate:-

Year.	Pulmonary.	Non-Pulmonary	Total.

Page 52

The following is a summary of the age and sex distribution of the cases notified and the deaths from this disease during the year:—

Age Periods.	New Cases.				Deaths.
	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	M.	F.	M.	F.	M.	F.	M.	F.

Page 52

The following table shows the age and sex distribution of 90 cases of tuberculosis which came to notice during the year otherwise than by notification under the Regulations:-

Age Period.	Pulmonary.		Non-Pulmonary.
Age Period.	M.	F.	M.	F.

Page 53

The sources from which information of these cases was obtained were as follows:—

Source of Information.	No. of Cases.
	Pulmonary.	Non-Pulmonary.

Page 53

The number of deaths from tuberculosis and the death-rate in each of the past five years are given below:—

Year.	Pulmonary.	Non-Pulmonary.	Total.	Death-rate.

Page 53

In the following table the deaths from tuberculous disease in the Borough since 1916 are shown grouped in periods of three years:—

Three-Year Periods.	Annual average number of deaths from Tuberculous Disease.	Percentage decrease on the period 1916-1918.

Page 54

The following is a summary of the quarterly returns under the Regulations during the year:—

	Pulmonary.		Non-Pulmonary.
	Male.	Female.	Male.	Female.

Page 55

New Cases.—The number of new cases seen at the Dispensaries during the year, including contacts of notified cases, was as follows:—

Dispensary.	Males.	Females.	Totals.

Page 55

The sources through which these cases were sent to Dispensaries were:—

Souroo.	Dispensary at
	Metropolitan Hospital.		London Chest Hospital
	Total No.	No. found to be tuberoulous.	Total No.	No. found to be tuberoulous.

Page 55

The diagnoses made in regard to the new cases examined at the Dispensaries during the year, excluding contacts, were as follows:—

Diagnosis.	Dispensary at		Totals.
Diagnosis.	Metropolitan Hospital.	London Chest Hospital	Totals.

Page 56

Examination of Home Contacts.—The diagnoses made as regards the 305 contacts examined at the Tuberculosis Dispensaries during the year were:—

Diagnosis.	Dispensary at
Diagnosis.	Metropolitan Hospital.	London Chest Hospital.	Totals.

Page 56

Bacteriological Examinations.-One thousand one hundred and ninety-four specimens of sputum were examined at the Tuberculosis Dispensaries during the year with the following results :—

Result of Examination	Dispensary at		Total.
Result of Examination	Metropolitan Hospital.	London Chest Hospital.	Total.

Page 56

In addition, 59 examinations of specimens of sputum were carried out by the Council's Bacteriologists during the year, with the following results:—

Page 57

The following are additional details relating to the work of the Tuberculosis Dispensaries during the year:—

	Dispensary at		Totals.
	Metropolitan. Hospital.	London Chest Hospital.	Totals.

Page 58

The number of patients who have received residential treatment under the Act in each year since 1926 is as follows-

Year.			No. of Patients.	No. of Contacts.

Page 59

The cases of scabies notified during 1947 and the number requiring treatment at the Cleansing Station both show a continued decline as compared with recent years:—

Page 59

The work done at the Council's Cleansing Station in 1947 is summarised in the following statement:—

	Scabies.		Head or body lice.		Impetigo	Hot baths.
	Cases.	Treatments	Cases.	Treatments	Impetigo	Hot baths.

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

View report tables

Hackney 1947

66 tables in this report

EXTRACTS FROM VITAL STATISTICS OF THE YEAR

Deaths from diseases and accidents of pregnancy and childbirth:—

Death-rate of Infants under one year of age per 1,000 live births:—

Births to Hackney mothers corrected by inward and outward transfers: —

The birth-rates in England and Wales, London and Hackney in the past five years are shown below:—

The following table shows the sources from which the notifications of birth (corrected and uncorrected) were received:—

Short List of Causes of Death at Different Periods of Life of Residents of Hackney during 1947.

Causes of Death—continued.

The death-rates in England and Wales, London and Hackney in the past five years were:—

The infant mortality-rates in England and Wales, London and Hackney in the past five years were:—

The causes of the 112 infant deaths in 1947 are set out in the following table:—

The maternal mortality-rates in England and Wales and in Hackney in the past five years were:—

Ante-Natal and Post-Natal Clinics. —Particulars of attendances :—

The Medical Superintendent of Hackney Hospital and the Secretary Superintendent of the Salvation Army Mothers' Hospital have kindly supplied the following figures regarding the work of the ante-natal clinics held at those hospitals:—

The proportion of Hackney mothers who attended the Antenatal Clinics at these Hospitals can be judged from the following figures:—

No. of infants born at home:—

Infant Welfare Clinics. — Particulars of attendances:—

The following statement shows the improved attendances in the last three years —

Comparison of first attendances with number of births registered

Dental Clinic. — Particulars of attendances

The work done at the dental clinic during the period under review was as follows:—

The cost of this scheme to the Council during the year was :—

The number of patients assisted under this scheme, together with the cost to the Council during the year is shown below :—

Continued from previous page...

Actinotherajpy Clinics. Particulars of attendances :

1. Primary Visits. 2. Total Visits. Visi Health Visitors, 1947.

The following tables show the quantities of foods and vitamin products supplied from the Centres during the year:— (a) " National" dried milk and vitamin products made available under the Ministry of Food's arrangements-.—

(b) Dried Milk and vitamin products made available under the Council's arrangements:—

Statement of cases seen at Gynaecological Clinic.

The following table shows the results obtained in the treatment of the 105 patients at the Clinic:—

The following is a statement of the specimens submitted to the Laboratories for examination during the year:—

PROFESSIONAL NURSING IN THE HOME. The following table shows the number of cases attended and the visits paid by the nurses of the Hackney District Nursing Association on the Council's behalf during the year.

The recruitment and employment of Home Helps during the year was as follows:—

The cases dealt with during the year are shown below, together with the comparable figures for the two previous years, from which the rate of growth of this service will be seen:-

The following table sets out particulars of attendances during 1947:—

Details are given in the following table of the patients treated during 1947 at the British Red Cross Society's Clinic at No. 92, Ualston Lane:—

PUBLIC MORTUARY. Details of the bodies deposited in the Public Mortuary during the year are given in the following table:—

The following is a summary of the principal forms of inspection and of the action taken by the Sanitary Inspectors during the year:—

The following is a summary of the information secured from the employers' lists during the year:—

The following analysis shows the trades in which the outworkers resident in the Borough are engaged:—

The total weights of food condemned or surrendered during the year were:—

There was no reduction in the number of samples taken for analysis, which included

The following table shows the incidence of the various diseases:—

The attack rates for the principal infectious diseases in England and Wales, London and Hackney were as follows:—

Table showing Notifications of Infectious Disease received in 1947, in Age Groups, Admissions to Hospitals and Deaths

Table showing Notifications of Infectious Disease received in 1947 in Electoral Wards.

The following table gives particulars of the work carried out under the scheme since 1928:—

When war-time circumstances commenced to affect the Borough's tuberculosis case rate:-

The following is a summary of the age and sex distribution of the cases notified and the deaths from this disease during the year:—

The following table shows the age and sex distribution of 90 cases of tuberculosis which came to notice during the year otherwise than by notification under the Regulations:-

The sources from which information of these cases was obtained were as follows:—

The number of deaths from tuberculosis and the death-rate in each of the past five years are given below:—

In the following table the deaths from tuberculous disease in the Borough since 1916 are shown grouped in periods of three years:—

The following is a summary of the quarterly returns under the Regulations during the year:—

New Cases.—The number of new cases seen at the Dispensaries during the year, including contacts of notified cases, was as follows:—

The sources through which these cases were sent to Dispensaries were:—

The diagnoses made in regard to the new cases examined at the Dispensaries during the year, excluding contacts, were as follows:—

Examination of Home Contacts.—The diagnoses made as regards the 305 contacts examined at the Tuberculosis Dispensaries during the year were:—

Bacteriological Examinations.-One thousand one hundred and ninety-four specimens of sputum were examined at the Tuberculosis Dispensaries during the year with the following results :—

In addition, 59 examinations of specimens of sputum were carried out by the Council's Bacteriologists during the year, with the following results:—

The following are additional details relating to the work of the Tuberculosis Dispensaries during the year:—

The number of patients who have received residential treatment under the Act in each year since 1926 is as follows-

The cases of scabies notified during 1947 and the number requiring treatment at the Cleansing Station both show a continued decline as compared with recent years:—

The work done at the Council's Cleansing Station in 1947 is summarised in the following statement:—

The following is a summary of the work carried out by the disinfection staff during the year: —

(6) for the destruction of vermin: