[Report of the Medical Officer of Health for Fulham]

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TABLE I.—Vital Statistics of Whole District during 1920 and previous Years.

year.	Population Estimated to Middle of each Year.	Births.			Total Deaths Registered in the District.		Transferable Deaths,†		Nett Deaths belonging to the District.
		Uncorrected Number.	Nett.						Nett Deaths belonging to the District.
			Nett.						Under 1 Year of Age.		At all Ages.
			Number.	Rate.	Number. *	Rate.	of Non- of Resi-Residents dents not registered registered in the in the District District.		Number. *	Rate per 1,000 Nett Births.	Number. *	Rate.
1	2	3	4	5	6	7	8	9	10	11	12	13

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TABLE II. Causes of, and Ages at Death during Year 1920.

Causes or Death.	All ages.	Under 1 year.	1 and under 2 years.	2 and under 5 year,.	5 and under 15	15 and under 25 years.	25 and under 45 years	15 and under 65 years.	65 and upwards.	Total Deaths Residents or "Non-Residhnts" in Institutions District (6).	Barou&Couct-Ward	Lillie Ward.	Walbaro Ward.		Munstcr Ward.	Hurlingham Ward.	Sauds End Ward.	Town Ward.
1.	2.	3.	4.	5.	6.	7.	8.	9.	10.	11	12	¹³	14	15	16	17	18	19

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TABLE III. Death-rates in Wards of Borough.

Ward.	Death-rate, 1920.	Mean Death-rate, 1915-19.	Ward.	Death-rate, 1920.	Mean Death- rate, 1915-19.

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TABLE VI. Infant Mortality during the year 1920.

Nell Deaths Jrom slated causes at various ages under One Year of Age.												Nell Deaths under One Year 0] Residents in the Wards oj the Borough, whether occurring in or beyond the Wards.
CAUSE OF DEATH.		Under 1 Week.	1—2 Weeks.	2—3 Weeks.	3-4Weeks.	Total under 4 Weeks.	4Weeks and under 3Month	3 Months and under 6 Months.	6 Months and under 9 Months.	9 Months and under 12 Months.	Total Deaths under One Year.	Barons Court Ward.	LUlie Ward.	Walham Ward.	Margravine Ward.	Margiavine Word	Hurlingham Ward.	Sands End Ward.	Town Ward.

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TABLE IV. Infant Mortality in Fulham. Deaths of Infants under one year of age per 1,000 births

	Fulham.	London

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TABLE V. Infantile Death-rates in Wards of Borough.

Ward.	Deaths under one year per 1,000 Births.	Ward.	Deaths under one year per 1,000 Births.

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TABLE VII. Death-rates of Infants under One Year of Age from certain groups of Diseases.

Diseases.	Deaths per 1000 Births.
Diseases.	1920.	Average of 5 years 1915-19.

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The scale of income that is now in force under which grants are made is as under :—

No. in Family.	Nett Weekly Family Income after Payment of Rent.
No. in Family.	Free.			Half-price.
	£	s.	d.	£	s.	d.

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TABLE VIII. Cases of Infectious Diseases notified durtng the Year 1920.

Notifiable Disease.	Number of Cases Notified.								Total Cases Notified in each Ward of the Borough.								Total cases removed to Hospital.
	At Ages—Years.								Barons Court Ward.	Lillie Ward.	Walham Ward.	Margravine Ward.	Munster Ward.	Hurlingham Ward.	Sands End Ward.	Town Ward.
	At all Ages.	Under 1.	1 to 5.	5 to 15.	15 to 25.	25 to 45.	45 to 65.	65 and upwards.	Barons Court Ward.	Lillie Ward.	Walham Ward.	Margravine Ward.	Munster Ward.	Hurlingham Ward.	Sands End Ward.	Town Ward.

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TABLE IX. Vaccination Return.

Year.	Births.	Successfully vaccinated.	Insus. of Vaccination.	Had Smallpox.	Declarations of Conscien tious Objections.	Dead (un- vac- cina- ted.)	Postponed by Medical Certificate.	Removal to District & Vaccination Officer notified.	Removal to Places unknown	No. of Births not accounted for in other columns.

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The figures for the four qnarters were:—

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The returns for the four quarters were:—

	Cases Notified.	Deaths.

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TABLE IX. PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary oj notifications during the 52 weeks ended January 1st, 1921.

Age Periods.	Number of Notifications on Form A.													Number of Notifications on Form B. (by School Medical Officers)					Number of Notifications on Form C. of admission to
	Primary Notifications.												Total Notifications on Form A.	Primary Notifiations.				Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.
	0 to 1.	1 to 5.	5 to 10.	10 to 15.	15 to 20.	20 to 25.	25 to 35.	35 to 45.	45 to 55.	55 to 65.	65 and upwards	Total.	Total Notifications on Form A.	Under 5.	5 to 10.	10 to 15.	Total.	Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.

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Tuberculosis. —The notifications received during the year numbered:—

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TABLE X. Period between date of Primary Notification and Death.

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TABLE XI . Diagnosis at various Age Periods.

Age.	Pulmonary Tuberculosis.	Other Forms.	Suspects.	Non-Tubercular.	Percentage Tuberculous.

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Institutional Treatment. —The following patients were sent to Institutions:—

	Adults.		Children under 16.
	Male.	Female.	Children under 16.

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During the nine years the Dispensary has been open the total amount expended by the Committee on equipment and maintenance has been approximately £19,000, which has been contributed in the following proportions:—

	£

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TABLE XIII. DISPENSARY STATISTICS. 1913-20.

Year	New Patients				Attendances at Dispensary		Doctors' Home Visits	Nurses' Home Visits
Year	Suffering from Pulmonary Tuberculosis	Suffering from other forms of Tuberculosis	Doubtful Cases	Non-Tuberculous Cases	Insured	Uninsured

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Bacteriological Work.—The following bacteriological examinations were made either by Dr. Burnet or at the laboratorv of the Tuberculosis Dispensary:—

	Number of Specimens.

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The following articles were disinfected at the Council's Disinfecting Station:

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1. Milk and Cream not sold as Preserved Cream.

Articles.	(a) Number of samples examined for the presence of a preservative.	(b) Number in which a preservative was found to be present.

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2. Cream sold as Preserved Cream.

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Unsound Food.—The following articles, examined at the request of the owners, were condemned and destroyed:—

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Action under the Sale of Food and Drugs Acts. The undermentioned samples w r ere purchased for analysis in 1920:—

Articles.	No. of Samples taken Officially.	No. Adulterated.	No. of Samples taken Unofficially.	No. Adulterated.	Total Samples.	Total Adulterated.	Per cent. of Adulteration.

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Prosecutions in respect of adulterated samples were instituted in the following cases:—

Defendant.	Offence.	Result.	Penalty.			Costs.
Defendant.	Offence.	Result.	£	s.	d.	£	s.	d.

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SANITARY CIRCUMSTANCES OF THE DISTRICT. Sanitary Inspection of District.—The following inspections of dwelling-houses were made during the year by the Sanitary Inspectors:—

	Premises inspected.

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The following notices requiring the abatement of nuisances found were served:—

Intimation Notices.		Statutory Notices.
Number served.	Number complied with on Dec. 31st, 1920	Number served.	Number complied with on Dec. 31st, 1920

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The following is a summary of the work carried out in compliance with the notices served:—

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Drainage of Buildings.—4 he following drainage plans were submitted to and approved by the Public Health Committee

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Inspections.

Premises.	Number of
	Inspections.	Written Notices.	Prosecutions.

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Defects Found.

Particulars.	Number of Defects.			Number of Prosecutions.
	Found.	Remedied.	Referred to H.M. Inspector.

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Outworkers' Premises. The number of addresses of Outworkers received from other districts, was 293.

No. of Inspections.	Notices Served.

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Fulham 1920

34 tables in this report

TABLE I.—Vital Statistics of Whole District during 1920 and previous Years.

TABLE II. Causes of, and Ages at Death during Year 1920.

TABLE III. Death-rates in Wards of Borough.

TABLE VI. Infant Mortality during the year 1920.

TABLE IV. Infant Mortality in Fulham. Deaths of Infants under one year of age per 1,000 births

TABLE V. Infantile Death-rates in Wards of Borough.

TABLE VII. Death-rates of Infants under One Year of Age from certain groups of Diseases.

The scale of income that is now in force under which grants are made is as under :—

TABLE VIII. Cases of Infectious Diseases notified durtng the Year 1920.

TABLE IX. Vaccination Return.

The figures for the four qnarters were:—

The returns for the four quarters were:—

TABLE IX. PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary oj notifications during the 52 weeks ended January 1st, 1921.

Tuberculosis. —The notifications received during the year numbered:—

TABLE X. Period between date of Primary Notification and Death.

TABLE XI . Diagnosis at various Age Periods.

Institutional Treatment. —The following patients were sent to Institutions:—

During the nine years the Dispensary has been open the total amount expended by the Committee on equipment and maintenance has been approximately £19,000, which has been contributed in the following proportions:—

TABLE XIII. DISPENSARY STATISTICS. 1913-20.

Bacteriological Work.—The following bacteriological examinations were made either by Dr. Burnet or at the laboratorv of the Tuberculosis Dispensary:—

The following articles were disinfected at the Council's Disinfecting Station:

1. Milk and Cream not sold as Preserved Cream.

2. Cream sold as Preserved Cream.

Unsound Food.—The following articles, examined at the request of the owners, were condemned and destroyed:—

Action under the Sale of Food and Drugs Acts. The undermentioned samples w r ere purchased for analysis in 1920:—

Prosecutions in respect of adulterated samples were instituted in the following cases:—

SANITARY CIRCUMSTANCES OF THE DISTRICT. Sanitary Inspection of District.—The following inspections of dwelling-houses were made during the year by the Sanitary Inspectors:—

The following notices requiring the abatement of nuisances found were served:—

The following is a summary of the work carried out in compliance with the notices served:—

Drainage of Buildings.—4 he following drainage plans were submitted to and approved by the Public Health Committee

Inspections.

Defects Found.

Outworkers' Premises. The number of addresses of Outworkers received from other districts, was 293.

Public Mortuary. 119 bodies were removed to the Mortuary during the year and were admitted as follows:—