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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

Fulham 1937

[Report of the Medical Officer of Health for Fulham]

Published
1938
Pages
122
Tables
84

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84 tables in this report

  • Page 13
    EXTRACTS FROM VITAL STATISTICS FOR THE YEAR
    LIVE BIRTHS:-Total.Males.Females.
  • Page 14
    SOCIAL CONDITIONS UNEMPLOYMENT.
    October, 1937.January, 1938.
  • Page 16
    DEATHS OF FULHAM RESIDENTS OUTSIDE THE BOROUGH The deaths of Fulham residents outside the borough numbered 519, and occurred in the following places:—
  • Page 16
    SEASONAL MORTALITY The number of deaths in each of the four quarters of the year was as follows :—
    19371936
  • Page 16
    CAUSES OF DEATH These are classified in Table 6, pages 23 and 24. The following table shows the number of deaths from the six commonest causes:—
    Disease.No. of Persons.Males.Females.Percentage of total deaths.Death Rate per 1,000 inhabitants.
  • Page 17
    INFANTILE MORTALITY RATE IN FULHAM SINCE 1891.
    Average for 5 years.Actual rate for the last 10 years.
  • Page 18
    TABLE 1
    Wards.Births.Birth Rates.Infantile Deaths.Infantile Mortality Rates.General Death Rates.
    1937193619371936193719361937193619371936
  • Page 18
    The following is a list of the maternal deaths, together with the causes:-
    Occupation.Age.Date and place of Death.Cause of Death.
  • Page 19
    TABLE 2.-MATERNAL MORTALITY.
    Year.Total Births (including Stillbirths).Maternal Deaths.Rate (per 1,000 Births).
  • Page 20
    TABLE 3.—VITAL STATISTICS OF THE BOROUGH HI RING 1937 AND TEN PRECEDING YEARS
    Year.Population Estimated to Middle of each Year.Births.Total Deaths Registered in the Borough.Transferable Deaths.Nett Deaths Belonging to the Borough.Nett Deaths under one Year.Nett Deaths under Five Years.Zymotic Death Rate (Influenza included).
    Occurring in the Borough.Nett.Of Non Residents registered in the BoroughOf Residents not registered in the BoroughAt all Ages.Under 1 Year of Age.
    Number.Rate.Number.Rate.Number.Rate per 1,000 Nett Births.Percentage of Total Nett Deaths.
    123456789101112131415
  • Page 22
    TABLE 4. STATISTICS 1901-1937.
    Year.Population.Structurally separate Dwellings (Census).Number of Private Families (Census).Average size of Family (Census).Birth Rate.Death Rate.Infant Mortality Rate.Pulmonary Tuberculosis Rate.
  • Page 23 24
    TABLE 5.—VITAL STATISTICS OF LONDON BOROUGHS, 1937.
    Borough.Estimated Resident Population (mid-1937)Live Births Rate per 1,000 Population.Death Rate per 1,000 Population.Infantile Mortality Rate per 1,000 Live Births.
    Crude.Adjusted.
  • Page -
    TABLE 5.—VITAL STATISTICS OF LONDON BOROUGHS, 1937.
    Borough.Estimated Resident Population (mid-1937)Live Births Rate per 1,000 Population.Death Rate per 1,000 Population.Infantile Mortality Rate per 1,000 Live Births.
    Crude.Adjusted.
  • Page 25 26
    TABLE 6. CAUSES OF AND AGES AT DEATH DURING THE YEAR 1937.
    Nett deaths at the subjoined ages of "Residents," whether occurring within or without the District.Total Deaths, Whether of "Residents" or "Nonresidents" Institutions in the Destrict.Nett deaths at all ages of " Residents " in the Wards of the Borough, wherever occurring
    Causes of Death.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 35 years.35 and under 45 years.45 and under 55 yean.55and under 65 years.65 and under 75 years.75 years and upwards.Baron's Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
    12345678910111213141516171819202122
  • Page 27
    TABLE 7. INFANT MORTALITY DURING YEAR 1937.
    Nett. Deaths from staled causes at various ages under One Year of Age.Nell Deaths under One Year in Wards.
    Causes of Death.Under 1 Week.1—2 Week.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.8 Months and under 9 Months.9 Months and under 12 Months.Total Deaths under One year.Baron's Court Ward.Lillie Ward.WallhamWard.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
  • Page 31
    SPECIMENS EXAMINED
    SpecimensAt Council's LaboratoryBy Clinical Research AssociationTotal examined
  • Page 32
    TABLE 8 HOME NURSING BY THE FULHAM NURSING ASSOCIATION ON BEHALF OF THE FULHAM BOROUGH COUNCIL, 1937
    IllnessJanuary to MarchApril to JuneJuly to SeptemberOctober to DecemberTotals.
    CasesVisitsCasesVisitsCasesVisitsCasesVisitsCasesVisits
  • Page 33
    The following is the list of clinics in the borough; all except the Massage Clinic are provided by the Borough Council. There are, in addition, school treatment centres controlled by Voluntary Committees at Bagley's Lane and Bishop Creighton House, Lillie Road.
    Clinic.Address.Hours.
  • Page 34
    CLINIC AND TREATMENT CENTRES— continued.
  • Page 35
    SINGLE LECTURES.
    Date.Place.Speaker.Film.Attendance.
  • Page 36
    COURSE OF LECTURES.
    Date.Place.Speaker.Film.Attendance.
  • Page 36
    The attendances between the opening at the end of November and the end of the year were as follows:—
    First attendances.Re-attendances.Total.
  • Page 42
    The following table shows the attendances at the Infant Clinics during the year 1937:
    Clinic.Number of Clinics held.First attendances of Babies.Total Attendances.
    Age in years0—11—50—11—5
  • Page 43
    The following is a record of the work done at the ante-natal clinics during the year:—
    Clinic.Number of Sessions.Number of Patients.Number of Attendances.
    New.Total.
  • Page 49
    TABLE 9
    DWELLING HOUSES
  • Page 50
    Continued from previous page...
    OTHER INSPECTIONS
  • Page 50
    SUMMARY
    Cause of Inspection.First inspections.Re-inspections.Total inspections.
  • Page 51
    REPAIRS EFFECTED The following works were carried out and repairs effected as a result of the action of the sanitary inspectors:— TABLE 10
  • Page 52
    Continued from previous page...
  • Page 53
    TABLE 11 LEGAL PROCEEDINGS Proceedings were instituted in the following cases during the year:—
    Address.Offence.Result.
  • Page 55
    During 1937, six samples of rag flock were taken with the following results:—
    Sample No.Parts of Chlorine per 100,000 of flock.
  • Page 56
    The report are given below, compared with those for similar taken in 1936,before the reconstruction.
    1937.1936.
    Morning.Evening.Morning.Evening.
    Parts per 100,000.Parts per 100,000.
  • Page 57
    PUBLIC CONVENIENCES The following tables show the existing accommodation in Public Conveniences in the Borough. Under the control of the Public Health Department.
    Convenience.Date erected.Men.Women.
    Total W.C.s.Free W.C.s.Urinal Stalls.Wash Basins.Total W.C.s.Free W.C.s.Wash Basins.
  • Page 57
    Under the control of the Borough Surveyor's Department.
    Convenience.Date erected.Men.Women.
    Total W.C.s.Free W.C.s.Urinal Stalls.Wash Basins.Total W.C.s.Free W.C.s.Wash Basins.
  • Page 60
    INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES TABLE 12
    Premises.Number of
    Inspections.Written Notices.Occupiers Prosecuted.
    (1)(2)(3)(4)
  • Page 60
    DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES TABLE 13
    Particulars.Number of defects.Number of offences in respect of which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 61
    The following table gives the number of Outworkers' premises in the Borough, the nature of the work carried on and the classification of the Outworkers' premises into factories, workshops and workplaces:—
    Nature of work.Nature of Premises.Total.
    Factories.Workshops.Workplaces.
  • Page 61
    OUTWORK IN UNWHOLESOME PREMISES
    Nature of work.Instances.Notices served.Prosecutions.
  • Page 61
    TOTAL INSPECTIONS
    Male Inspectors.Woman Inspector.Total.
  • Page -
    TABLE 14 EXISTING COMMITMENTS AND EXISTING REPLACEMENT ACCOMMODATION
    For Demolition:-Flats Required.
  • Page -
    TABLE 14 EXISTING COMMITMENTS AND EXISTING REPLACEMENT ACCOMMODATION
    For Demolition:—Flats Required.
  • Page 67
    INSPECTION OF DWELLING-HOUSES A detailed analysis of all the inspections carried out during 1937 is given on pages 47-48. The following table gives the housing statistics in the form required by the Minister of Health. TABLE 15
  • Page 68
    4. Housing Act, 1935.—Overcrowding:—
  • Page 68
    TABLE 16
  • Page 70
    TABLE 17
    Estate.Accommodated on recommendation by the Fulham Borough Council.Accommodated on applying direct to the London County Council.Total Fulham families accommodated.
  • Page 71
    TABLE 18
    Fulham Borough.Fulham Court.Lewis Trust, S.W.6.Lewis Trust, W.14.Peabody Buildings.
  • Page 73
    TABLE 19
    Sample No.Result of Analysis.Action taken.Result.
  • Page 73
    TABLE 20 SAMPLES OF MILK ADULTERATED
    Year.1928192919301931193219331934193519361937
  • Page 74
    TABLE 21
    Institution.No. of samples taken.
  • Page 74
    TABLE 22
    Month.No. of Samples.Fat.Solids not Fat.Remarks.
    %%
  • Page 76
    TABLE 23
    Grade.Methylene blue and Coliform Tests.Count only.Count and Coliform Test.Count, Coliform and Phosphatase Tests.Count and Phosphatase Test.Complete Examination.Total.
  • Page 77
    The following results were obtained:—
    Laboratory.Bacteria per Millilitre.Legal maximum.
    Unopened ½ pint.One-third of ½ pint.
  • Page 77
    All the milk supplied to the London County Council hospitals, etc., in the Borough must have been Pasteurised in accordance with the requirements of the Milk (Special Designations) Order, 1936, and comply with the bacteriological standard laid down by that Order. During 1937, seventy-one samples were taken for bacteriological examination as under:—
    Institution, etc.Number of samples taken.
  • Page 78
    TABLE 24 SAMPLES OF ALL FOOD (INCLUDING MILK) REPORTED AS ADULTERATED ON CHEMICAL ANALYSIS
    Year.1928.1929.1930.1931.1932.1933.1934.1935.1936.1937.
  • Page 79
    DETAILS OF ACTION TAKEN IN CONNECTION WITH SAMPLES (EXCLUDING MILK) REPORTED TO BE ADULTERATED OR NOT IN ACCORDANCE WITH PRESCRIBED STANDARDS
    Sample No.Article.Result of Analysis.Action taken.
  • Page 85 87
    TABLE 26—SAMPLES ANALYSED, 1937.
    Article.Number of Samples.Total Samples Analysed.Total Samples Adulterated.Percentage of Adulteration.
    Taken Formally.Adulterated.Taken Informally.Adulterated.
  • Page 88
    TABLE 27 TABLE SHOWING THE AGE AND WARD DISTRIBUTION OF THE CASES OF INFECTIOUS DISEASES NOTIFIED DURING 1937
    Notifiable Diseases.Number of cases notified.Total cases notified in each Ward of BoroughTotal cases removed to Hospital.Deaths.D.N.C.
    At all Ages.At Ages—Years.Baron's CourtLillieWalhamMargravineMunsterHurlinghamSands EndTown
    0—11—22—33—44—55—1010—1515—2020—3535—4545—6565 and upwards
  • Page 89
    TABLE 27 TABLE SHOWING THE AGF AND WARD DISTRIBUTION OF FHF ( ASFS OF INFECTIOUS DISEASES NOTIFIED DURING 1937
    Notifiable Diseases.At all Ages.Numbrr of cases NotifideWard of BoroughTotal cases removed to Hospital.Deaths.D.N.C.
    At Ages—Years.Baron's CourtLillieWalhamMargravineMunsterHurlinghamSands EndTown
    0—11—22—33—44-55—1010—1515—2020—3535—4545—6565 and upwards
  • Page 90
    TABLE 28. NUMBER OF CASES OF INFECTIOUS DISEASE NOTIFIED FROM 1900.1937 INCLUSIVE
    19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937
  • Page 90
    TABLE 29. NUMBER OF DEATHS FROM THE SEVEN PRINCIPAL ZYMOTIC DISEASES DURING 1900.1937 INCLUSIVE
    19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937
  • Page 92
    MONTHLY DISTRIBUTION OF INFECTIOUS DISEASE, 1937
    Notifiable Disease.Jan.Feb.Mar.AprilMayJuneJulyAug.Sept.Oct.Nov.Dec.Total
  • Page 94
    TABLE 31 SUMMARY OF TREATMENTS
    Age Groups in Years.Primary Schick.Inoculations A.P.T.Inoculations T. A.F.Posterior Schick.Transferred to other areas.Discontinued treatment.
    PositiveNegativeNot read1st2nd3rd4th1st2nd3rdPositiveNegative
  • Page 97
    The 241 deaths classified as Cancer occurred as follows:— TABLE 32
    Organ Affected.Total.Males.Females.
  • Page 97
    The ages at death of persons dying from Cancer were TABLE 33
    Age Periods.Total.Males.Females.
  • Page 98
    The yearly death-rates from Cancer since 1920 have been as follows :—
  • Page 98
    The details of these removals and additions are as follows:—
    Pulmonary:Non-Pulmonary:TOTALS.
    Males.Females.Males.Females.
  • Page 100
    TABLE 34 DISPENSARY STATISTICS, 1913—1937
    Year.New Patients.Attendances at Dispensary.Doctors' Home Visits.Nurses' Home Visits.
    Suffering from Pulmonary Tuberculosis.Suffering from other forms of Tuberculosis.Doubtful Cases.Non-Tuberculous Cases.Insured.Uninsured.
  • Page 101
    TABLE 35 PRIMARY NOTIFICATIONS AND DEATHS, 1913-37
    Year.Notifications.Deaths.Death-Rate.
    Pulmonary.Other forms of Tuberculosis.Pulmonary.Other forms of Tuberculosis.Pulmonary.Other forms of Tuberculosis.
  • Page 102
    TABLE 36.—PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930 Summary of notifications during the period from 1st January, 1937 to 31st December, 1937.
    Age Periods.Formal Notifications.
    Number of Primary Notifications of new cases of Tuberculosis.Total Notifications.
    0—1.1—5.5—10.10—15.15—20.20—25.25—35.35—45.45—55.55—65.65 & upwards.Total (all ages).
  • Page 103
    TABLE 37 New Cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the period, otherwise than by formal notification.
    Age Periods.0-11-55-1010-1515-2020-2525-3535-4545-5555-6565 upwards.Total Cases.
  • Page 105
    MANTOUX, 1937
  • Page 107
    The following daily time-table is carried out:—
  • Page 109
    TABLE 38 164 Patients were sent away to residential institutions on the recommendation of the Dispensary Medical Officers. (a) 118 by the London County Council Public Health Department:—
    42 to Sanatoria.3 to Colonies.8 to Convalescent Homes.65 to Hospitals.
  • Page 110
    TABLE 39 Showing sources of New Cases
  • Page 110
    TABLE 40
    New Cases.Pulmonary Tuberculosis.Other Forms.Suspects.Non-Tubercular.Percentage Tubercular.
  • Page 110
    TABLE 41 Sex and Age of the New Patients for 1937
    Under 5 years.5 to 10 years.10 to 15 years.15 to 25 years.25 to 35 years.35 to 45 years.45 years and over.All ages.
  • Page 111
    TABLE 42 Diagnosis at various Age Periods. New Patients.
  • Page 111
    TABLE 43 Of 161 of the 170 tuberculous patients found in 1937:-
  • Page 111
    TABLE 44 Housing A ccommodation
  • Page 112
    TABLE 45 Sleeping Accommodation of 164 Tuberculous Patients The patient slept:—
  • Page 112
    TABLE 46 Occupations of 83 Men (New Cases) in 1937
  • Page 113
    The figures show that 55 per cent. of the infants born in 1936 had been successfully vaccinated by the end of January, 1938. Figures for recent years (in percentages) are as follows:—
  • Page 113
    DISINFECTION The following rooms were disinfected and cleansed after Infectious Diseases, etc.:— TABLE 47
  • Page -
    The following articles were disinfected at the Council's Disinfecting Station:— TABLE 48
    Articles.From Private Houses.From Institutions.Total.