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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
Heston and Isleworth 1946
[Report of the Medical Officer of Health for Heston and Isleworth]
- Published
- 1947
- Pages
- 44
- Tables
- 81
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Page 6
GENERAL STATISTICS
1946. 1945. -
Page 6
POPULATION.—The population of the Borough at the 1931 census was 75,460, and the Registrar-General's mid-year estimates for 1939-46 are shown below:—
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Page 6
RATEABLE VALUE.—The rateable value (a) and the sum represented by a penny rate (b) are shown below:—
a b a b -
Page 6
INHABITED HOUSES.—The table below shows the number of inhabited houses according to the rate books:—
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Page 7
LIVE BIRTHS.—The number of live births and the birth rates per 1,000 population of the Borough and England and Wales for 1939-46 are shown in the following table:—
Year Legitimate Illegitimate Total Births Birth Rate M F Total M F Total H. and I. E.andW. -
Page 7
STILLBIRTHS.—The number of stillbirths and the proportion per 1,000 total (live and still) births are shown below:—
No. Rate per 1,000 total births. No. Rate per 1,000 total births. -
Page 7
DEATHS.—The deaths of residents of the Borough shown in the following table refer only to civilians:—
Year Heston and Isleworth Death Rate England and Wales No. of deaths Rate per 1,000 population M F Total -
Page 7
Some indication of the change taking place in the percentage age distribution of deaths is shown below:—
1910-14 1940-44 1945 1946 -
Page 8
INFANTILE MORTALITY.—The position in regard to deaths of children under the age of one year is shown below:—
Year Heston and Isleworth England and Wales Rate per 1,000 live births No. of deaths Rate per 1,000 live births -
Page 8
The following table shows the trend of the change in the age distribution of infant deaths:—
Age at death % of total infant deaths Rate per 1,000 live births 1911-15 1940-44 1945 1946 1911-15 1940-44 1945 1946 -
Page 8
An unusual feature of the infant deaths in 1946 is the high proportion of deaths of boys (45 male, 8 female).
Cause of death. Rate per 1,000 live births. 1911-15 1940-44 1945 1946 -
Page 8
MATERNAL MORTALITY.—The number of deaths due to causes associated with pregnancy and childbirth and the maternal mortality rates per 1,000 total (live and still) births for the Borough and England and Wales are shown in the following table:—
Year No. of deaths Maternal Mortality Rate H. & I. H. & I. E. & W. -
Page 9
The numbers of specimens examined were as follows:—
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Page 9
. The number of journeys made by this service is shown below:—
Accident Other Accident Other -
Page 9
The Council contributes to the funds of the Association. Visits were paid by the nurses as follows:—
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Page 9
The attendances at these centres are shown below:—
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Page 9
The attendances at these clinics are shown below:—
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Page 9
ARTIFICIAL SUNLIGHT TREATMENT.—This treatment is provided during the winter months at Hounslow and Isleworth Health Centres. The following numbers of children under school age have been treated:—
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Page 10
The following numbers of children under school age were sent for treatment:—
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Page 10
The following numbers of children have been examined and spectacles prescribed where necessary:—
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Page 10
The following numbers of children have been treated:—
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Page 10
I he following table, showing the proportions of births at home, in West Middlesex Hospital, in Nursing Homes and outside the Borough, indicates that municipal midwives attended 41.2 per cent. of the births in 1938 and 46.3 per cent. in 1940 as compared with 25.9 per cent. in 1946.
Year Total Live Births Domiciliary confinements in Borough Nursing home and, hospital confinements in Borough Confinements outside Borough No. % W.M.H. N.H. Total % No. % -
Page 10
The percentage of cases attended by midwives in which the midwife sought medical aid is shown below:—
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Page 11
The cost was borne by the Council and where circumstances warranted it a charge was made.
Mothers Children Mothers Children -
Page 11
According to the circumstances of the household a charge is made for the services of a home help and the number of families assisted is shown below:—
Maternity Other Maternity Other -
Page 11
Some indication of the results of this effort on behalf of illegitimate children is shown in the following report of final arrangements where contact has been maintained:—
1944 1945 1946 -
Page 11
The numbers of foster children on the register at the end of the year and the number of visits of inspection paid during the year are shown below:—
No. of children No. of visits No. of children No. of visits -
Page 12
The average attendance of children throughout the years is shown below:—
Accommodation Attendance -
Page 12
A summary of the work done is given below:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 12
The following table indicates the extent to which milk, etc., has been supplied free or at a reduced price:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 13
SUPPLY OF MINISTRY OF FOOD VITAMIN SUPPLEMENTS.—The ante-natal and infant welfare centres are distribution centres for the issue of Ministry of F"ood vitamin supplements. There are other distributing centres in the Borough and the total amounts issued are shown below:—
1941 1942 1943 1944 1945 1946 -
Page 13
The extent to which mothers in the Borough have taken advantage of these vitamin supplements for themselves and their children has been disappointing. The actual take-up in 1946 expressed as a percentage of the potential take-up calculated from the numbers of expectant and nursing mothers and young children is shown below (figures supplied by the Ministry of Food) :—
Orange juice Cod liver oil A & D Tablets -
Page 13
The nursing home accommodation in the Borough is shown below:—
Medical and Surgical Beds Maternity Beds Medical and Surgical Beds Maternity Beds -
Page 13
MEDICAL EXAMINATION OF STAFF.—-For superannuation and other purposes members of the Council's staff are referred to the Health Department for examination. The numbers of such medical examinations are shown below:—
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Page 14
A summary of their work is given below:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 14
INFECTIOUS DISEASES INCIDENCE OF NOTIFIABLE DISEASE.—The numbers of cases notified during the last eight years are shown below:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 15
The following table shows that the restriction of admission to hospital has not resulted in a greater spread of the disease:—
1936-39 1940-43 -
Page 15
The scheme for free immunisation against diphtheria has continued in operation. The extent of the work done and the proportions of the child population rendered immune are shown below:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 16
TUBERCULOSIS.—Deaths from tuberculosis reached a peak in 1941, but the following table shows that the downward trend has been resumed as far as respiratory tuberculosis is concerned:—
Tuberculosis death rate per 100,000 population. Pulmonary N on-pulmonary Total -
Page 18
The following work in connection with water supplies has been carried out:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 18
The following work has been carried out:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 18
The following works have been carried out:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 19
The following details of the salvage of waste materials have been provided by the Borough Engineer:—
1940 1941 1942 1943 1944 1945 1946 -
Page 19
Some particulars of the work done are given below—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 19
The following smoke observations have been made:—
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Page 20
difficulty has arisen by the trespass of caravans on unfenced land. The inspections made during 1939-46 were as follows:—
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Page 20
SHOPS AND OFFICES.—Visits of inspection to shops and offices with special reference to sanitary accommodation and washing facilities were made as under:—
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Page 20
CANAL BOATS.—The Sanitary Inspectors continue their duties as canal boat inspectors and have carried out the following inspections—
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Page 20
FACTORIES, WORKPLACES, ETC.—The duties placed upon the Council in respect of factories, workplaces, etc., by the Public Health and Factories Acts are carried out by the Sanitary Inspectors. A summary of the work done is given below:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 20
The following work has been carried out:—
Disinfested Disinfested Houses Rooms Houses Rooms -
Page 21
RATS AND MICE DESTRUCTION.— Up to February, 1944, when the powers and duties under the Rats and Mice (Destruction) Act, 1919, were transferred to the Borough Council, Middlesex County Council was the responsible Authority. To deal with this work a Rodent Officer and two operatives were appointed, and a summary of the work is given below:—
1944 1945 1946 -
Page 21
During the war years action in regard to houses incapable of being rendered in all respects fit for human habitation at a reasonable cost was largely suspended except for keeping them wind and weatherproof and to-day the shortage of houses is such that houses suitable for demolition have to be retained. The housing shortage is causing physical, mental and moral strain and until this can be relieved by the provision of new houses action in regard to slum clearance must be postponed. Attention is being given to making good the deterioration in houses arising from the restrictions and difficulties of maintenance during the war years, but progress is slow because labour and materials are still scarce. A summary of the work done in connection with housing is given below:—
New houses erected— 1939 1940 194l 1942 1943 1944 1945 1946 -
Page 22
MILK.—The following inspections have been made of cowsheds, dairies and retail purveyors' premises:—
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Page 22
Under the Milk (Special Designations) Orders, licences were issued as follows:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 22
ICE CREAM.—A register is kept of all premises used for the manufacture or sale of ice cream and the following inspections of premises, vehicles, barrows, etc., have been carried out:—
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Page 22
BAKEHOUSES.—Regular inspections of bakehouses have been made as under:—
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Page 22
INSPECTION OF MEAT AND OTHER FOODS.—Premises where food is prepared or sold are submitted to frequent inspection in regard to the premises and the food. The numbers of such inspections are shown below:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 22
The following quantities of unsound food were seized by or surrendered to the Sanitary Inspectors who arranged for the food to be destroyed or used for animal feeding. Close contact was maintained with the Salvage Officers of the Ministry of Food on this matter:—
1939 1940 1941 1942 1943 1944 1945 1946 -
Page 23
AMBULANCE SERVICE.—'The original allocation for the Borough was 48 ambulances and 32 cars for sitting cases. Ambulance stations were sited as follows:—
Ambulances Cars -
Page 23
S TRETCHER PARTIES.—A stretcher party consisted of 5 men, one of whom was the driver of the car which conveyed the party and its equipment to incidents. All were trained in first aid. The number of parties allocated to the Borough was 32 and stretcher party depots were established as under:—
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Page 24
BILLETING AND RE-HOUSING.—This work was undertaken by the Sanitary Inspectors and to 31st December, 1945, the following work had been carried out:—
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Page 24
FOOD DAMAGED BY ENEMY ACTION—When food premises were damaged by high explosive or incendiary bombs the Sanitary Inspectors undertook the examination of the food stocks. As far as possible food was saved for processing or feeding animals rather than being destroyed. Some indication of the amount of work involved in this inspection can be deduced from the following summary of food destroyed by reasons of gross contamination by dirt or glass
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Page 25
BOROUGH BOMBING RECORD
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Page 26
SUMMARY OF VITAL STATISTICS, 1895-1946
Estimated population (mid-year) Birth Rate per 1,000 population. Death Rate per 1,000 population. Infant Mortality Rate. Deaths under 1 yr. per 1,000 live births. Neo-natal Mortality Rate. Deaths under 1 mth. per 1,000 live births. Maternal Mortality Rate per 1,000 live and stillbirths. Stillbirth Rate per 1,000 live and stillbirths. Tuberculosis Death Rate per 1,000 population. -
Page 27
INFANT DEATHS ACCORDING TO AGE AND CAUSE
Cause of death. Under 1 wk. 1-2 wks. 2-3 wks. 3-4 wks. Total under 4 wks. 1-3 mths. 3-6 mths. 6-9 mths. 9-12 mths. Total -
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Infant Deaths according to Age and Cause—continued
Cause of death. Under 1 wk. 1-2 wks. 2-3 wks. 3-4 wks. Total under 4 wks. 1-3 mths. 3-6 mths. 6-9 mths. 9-12 mths. Total -
Page 29
TABLE OF CAUSES OF DEATH, 1939-46 (Supplied by Registrar-General).
1939 Causes of death. 1940-46 Causes of death. Male Female 1940 1941 1942 1943 1944 1945 1946 M F M F M F M F M F M F M F -
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AGE AND SEX DISTRIBUTION OF DEATHS, 1940.
A bridged List No. Causes of deaths. AGE IN YEARS. All ages 0 - 1 1 - 2 2-5 5-15 15 - 25 25 - 35 35-45 45-55 55 - 65 65 - 75 75 and over M F M F M F M F M F M F M F M F M F M F M F M F -
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Continued from previous page...
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AGE AND SEX DISTRIBUTION OF DEATHS, 1941.
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AGE AND SEX DISTRIBUTION OF DEATHS, 1941—continued.
A bridged List No. Causes of deaths. AGE 1 IN YEARS. All ages 0- 1 1 - 2 2-5 5-15 15 - 25 25 - 35 35 - 45 45 - 55 55-65 65 - 75 '75 and over M F M F M F M F M F M F M F M F M F M F M F M F -
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AGE AND SEX DISTRIBUTION OF DEATHS, 1942.
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AGE AND SEX DISTRIBUTION OF DEATHS, 1942—continued.
A bridged List No. Causes of deaths. AGE IN YEARS. All ages 0 - 1 1 - 2 2-5 5-15 15 - 25 25 - 35 35 - 45 45 - 55 55 - 65 65 - 75 75 and over M F M F M F M F M F M F M F M F M F M F M F M F -
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AGE AND SEX DISTRIBUTION OF DEATHS, 1943.
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Continued from previous page...
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AGE AND SEX DISTRIBUTION OF DEATHS, 1944.
A bridged List No. Causes of deaths. AGE IN YEARS. All ages 0 - 1 1 - 2 2-5 5-15 15 - 25 25 - 35 35-45 45 - 55 55-65 65-75 75 and over M F M F M F M F M F M F M F M F M F M F M F M F -
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Continued from previous page...
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age and sex distribution of deaths, 1945.
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AGE AND SEX DISTRIBUTION OF DEATHS, 1945—continued.
Abridged-List No. Causes of deaths. AGE IN YEARS. All ages 0 - 1 1 - 2 2-5 5-15 15 - 25 25 - 35 35 - 45 45 - 55 55 - 65 65 - 75 75 and over M F M F M F M F M F M F M F M F M F M F M F M F -
Page 39
AGE AND SEX DISTRIBUTION OF DEATHS, 1946.
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Page 40
AGE AND SEX DISTRIBUTION OF DEATHS, 1946—continued.
A bridged List No. Causes of deaths. AGE IN YEARS. All ages 0 - 1 1 - 2 2-5 5-15 15-25 25 - 35 35 - 45 45 - 55 55-65 65 - 75 75 and over M F M F M F M F M F M F M F M F M F M F M F M F