[Report of the Medical Officer of Health for Tottenham District]

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Return of Houses, Population, etc., at November, 1919, as supplied to us by the Treasurer's Department.

Ward	Acreage	Total No. of Houses and Tenements	Houses		Tenements		Other Buildings and Assessments	Estimated population	Rateable Value
Ward	Acreage	Total No. of Houses and Tenements	Inhabited	Empty	Inhabited	Empty	Other Buildings and Assessments	Estimated population	Rateable Value
									£

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DISTRIBUTION IN WARDS.

Ward	Births	Percentage to Population

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These deaths are distributed according to age and sex as follows:—

	Males.	Females.

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Table showing number of Deaths in 1919 and Death Rates— in Wards.

Ward	No. of Deaths	Total Population	General Death Rate	Infant Mortality per 1000 of Population	Infant Mortality per 1000 Births

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Table showing Percentage of Removals of Cases of Scarlet Fever, Diphtheria, and Enteric Fever.

Ward	Cases	Removals	Percentage

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INFECTIOUS DISEASES.

Diseases.	Cases notified.	Deaths.	Death Rate.

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The notifications and mortality according to age and sex distribution were:—

	Notifications.		Mortality.
	Males.	Females.	Males	Females.

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AMBULANCE SERVICE, 1919.

Months	No. of Cases	Mileage.		Receipts.
Months	No. of Cases	No.l Ambulance	No.2 Arrjbulance	Receipts.

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M. of H. Table I. Table showing the Population, Birth Rate, and Death Rate from all causes, in Tottenham during the last six years.

Year	Population estimated to Middle of each Year	Births			Total Deaths Registered in the District		Deaths of Nonresidents registered in the District	Deaths of Residents not registered in the District.	Nett Deaths belonging to the District
		Uncorrected Number	Nett						Nett Deaths belonging to the District
									Under 1 Year of Age		At all Ages
					Number	Rate			Under 1 Year of Age		At all Ages
			Number	Rate	Number	Rate			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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M. of H. Table II.— Table of cases of Infectious Disease coming to the knowledge of the Medical Officer of Health during the year 1919, in the Tottenham Urban District, classified according to diseases, ages, and localities.

Notifiable Disease	Number of Cases Notified.								Total Cases Notified in Each Locality.						Total Cases Removed to Hospital
	At all Ages	At Ages—Years.							I Harrin- gay	2 West Green	3 St. Ann's	4 High Cross	5 Middle	6 Lower
	At all Ages	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and upwards	I Harrin- gay	2 West Green	3 St. Ann's	4 High Cross	5 Middle	6 Lower

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M. of H. Table III. TAM.F OF DEATHS durintr the Year 1919 in the Tottenham Urban Sanitary District, classified according to Diseases, Ages, and Localities.

Causes of Death	Deaths at the subjoined ages of " Residents" whether occurring in or beyond the District (a)													Deaths at all ages of "Residents" belonging to Localities, whether occurring in or beyond the District						Total Deaths, whether of "Residents" or "non-Residents" in Institutions in the District (b)
Causes of Death	All Ages	under 1 year	1 and under 2	2 and under 5	5 and under 15	15 and under 25	25 and under 35	35 and under 45	45 and under 55	55 and under 65	65 and under 75	75 and under 85	85 and upwards	Harringay	West Green	St. Ann's	High Cross	Middle	Lower
1	2	3	4	5	6	7	8		9		10			11	12	13	14	15	16

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M. of H. Table IV. Table of Infant Mortality during the year 1919.

CAUSE OF DEATH	Under 1 week	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 Deaths under 1 year

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Mortuary Table for the Year 1919.

Bodies Admitted.				No. of Post Mortems			Number of Inquests	Deaths from Violence	Deaths from Drowning
Month	Males	Females	Total	Males	Females	Total	Number of Inquests	Deaths from Violence	Deaths from Drowning

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Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

Premises	Number of
Premises	Inspections	Written Notices	Prosecutions

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2.— Defects Found.

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

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3.— Home Work.

OUTWORKERS' LISTS, SECTION 107						OUTWORK IN UNWHOLESOME PREMISES, SECTION 108			OUTWORK IN INFECTED PREMISES, SECTIONS 109, 110
Lists received from Employers
Twice in the year			Once in the year
Lists	Outworkers		Lists	Outworkers		Instances	Notices served	Prosecutions	Instances	Orders made (S. 110)	Prose-cntions (Sections 109,110)
Lists	Contractors	Workmen	Lists	Contractors	Workmen	Instances	Notices served	Prosecutions	Instances	Orders made (S. 110)	Prose-cntions (Sections 109,110)

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4.—Registered Workshops.

Workshops on the Register (s. 131) at the end of the year	Number

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5.—Other Matters.

Class		Number

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The work of the male Sanitary Inspectors and the work of the two female Sanitary Inspectors so far as it relates to general sanitary matters is epitomised and subjoined.

	Harringay Ward (Mr, Redston)	West Green Ward (Mr. West)	St. Ann's Ward (Mr. Smith)	High Cross Ward (Mr.Portman)	Middle Ward (Mr. Miller)	Lower Ward (Mr. Shillito)

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TOTTENHAM URBAN DISTRICT. COUNTY OF MIDDLESEX—SANITARY WORK, 1919.

Inspections					Notices				Dwelling Houses and Action under H., T.P. &c., Act, 1909										H., T.P., &c. Act, 1919			Common Lodging Houses		Movable Dwellings, Caravans, Tents, etc.			Bakehouses		Slaughter houses
Number of Premises Inspected on Complaint	Number of Premises Inspected in connection with Infectious Diseases	Number of Premises under periodical Inspection	Honses Inspected from House-to-Honse	Total Number of Inspections and Re-inspections	Cautionary Notices Given	Statutory Orders Issued	Summonses Served	Convictions Obtained	Number of Houses dealt with under Sect. 15	Number of Houses found to be in a state Dangerous or Injurious to Health (Sect. 17)	Number of Representations made by M.O.H. (Sect. 17)	Number of Houses made Habitable without Closing Orders	Number of Closing Orders made by L.A. (Sec. 17)	Number of Houses closed Voluntarily	Number of Closing Orders determined after Repairs (Sect. 17)	Number of Houses Demolished— (a) by order of L.A. (Sect. 17), (b) Voluntarily		Illegal Underground Rooms Vacated	Number of Houses dealt with under Sec. 28	Repaired by Local Authority	Closed Voluntarily	Number Registered under Bye-Laws	Number of Inspections made	Number Observed during the Year	Number of Nuisances therefrom abated	Number Removed from District	Number in District ,	Contraventions of Factory Acts	Number 011 Register	Number of Inspections	Contraventions of Bye-Laws
Number of Premises Inspected on Complaint		Number of Premises under periodical Inspection	Honses Inspected from House-to-Honse	Total Number of Inspections and Re-inspections	Cautionary Notices Given	Statutory Orders Issued	Summonses Served	Convictions Obtained	Number of Houses dealt with under Sect. 15		Number of Representations made by M.O.H. (Sect. 17)	Number of Houses made Habitable without Closing Orders	Number of Closing Orders made by L.A. (Sec. 17)	Number of Houses closed Voluntarily		a.	b.	Illegal Underground Rooms Vacated	Number of Houses dealt with under Sec. 28	Repaired by Local Authority	Closed Voluntarily	Number Registered under Bye-Laws	Number of Inspections made	Number Observed during the Year	Number of Nuisances therefrom abated	Number Removed from District	Number in District ,	Contraventions of Factory Acts	Number 011 Register	Number of Inspections	Contraventions of Bye-Laws

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SANITARY WORK, 1919— contd.

Cowsheds			Dairies and Milkshops			Unsound Food			Adulterated Food		Water Supply and Water Service						Water Closets			Drainage and Sewerage
Number on Register	Number of Inspections	Contraventions of Regulations	Number on Register	Number of Inspections	Contraventions of Regulations	Animals seized	Articles or Parcels seized	Articles or Parcels surrendered	Samples taken	Found Adulterated	Percentage of Houses Supplied from Public Water Service	Cisterns			Draw Taps removed from Cisterns to Mains	Percentage of Houses supplied on Constant System	New, Constructed	Repaired, supplied with Water, or otherwise Improved	Percentage of Houses provided with Water Closets	Drains
Number on Register	Number of Inspections	Contraventions of Regulations	Number on Register	Number of Inspections	Contraventions of Regulations	Animals seized	Articles or Parcels seized	Articles or Parcels surrendered	Samples taken	Found Adulterated	Percentage of Houses Supplied from Public Water Service	New, Provided	Cleansed, Repaired, Covered, etc.	Overflow Pipes Disconnected from Drains	Draw Taps removed from Cisterns to Mains	Percentage of Houses supplied on Constant System	New, Constructed	Repaired, supplied with Water, or otherwise Improved	Percentage of Houses provided with Water Closets	Examined, Tested, Exposed, etc.	Unstopped, Repaired, Trapped, etc.	Waste Pipes, Rain Water Pipes Disconnected, Repaired, etc.	Soil Pipes and Drains Ventilated	Disconnecting Traps or Chambers Inserted	Reconstructed

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SANITARY WORK, 1919—contd.

Drainage and Sewerage	Disinfection							Dust			Sundry Nuisances Abated
Percentage of Houses Draining into Sewers	Rooms Disinfected—	(a) Ordinary Infectious Disease.	(b) Phthisis	(c) Schools, &c.	Rooms Stripped and Cleansed	Articles disinfected or destroyed		New Bins Provided or Repaired	Periodical Frequency of Dust Removal	Number of Complaints of Non-removal of Dust	Overcrowding	Smoke Observations	Accumulations of Refuse	Foul Ditches, Ponds, etc., and Stagnant Water	Foul Pigs and other Animals	Dampness	Yards Re-paved or Repaired	Other Nuisances
Percentage of Houses Draining into Sewers	Rooms Disinfected—	(a) Ordinary Infectious Disease.	(b) Phthisis	(c) Schools, &c.	Rooms Stripped and Cleansed	Ordinary Infectious Disease	Phthisis	New Bins Provided or Repaired	Periodical Frequency of Dust Removal	Number of Complaints of Non-removal of Dust	Overcrowding	Smoke Observations	Accumulations of Refuse	Foul Ditches, Ponds, etc., and Stagnant Water	Foul Pigs and other Animals	Dampness	Yards Re-paved or Repaired	Other Nuisances

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MILK ORDERED UNDER THE MILK (MOTHER AND CHILDREN) ORDER, 1918 , from Jan. 1st, to Dec. 31st, 1919.

Month.	Quantity.	Price.
		£	s.	d.

Page -

Number of days on which the Creche was opened—231.

Quarter.	Attendances under 3 years of age.	Attendances over 3 years of age.	Total

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The following table shows the chief reasons for exclusion:—

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Provision of Surgical Instruments:—56 Children, suffering from the following ailments, have been supplied with surgical boots or other appliances. They have all been enabled to return to school.

	Cases.		Cases.

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Table I. Number of Children Inspected during 1919. A. "Code " Groups.

Age		Entrants
Age		3	4		5		6		Other Ages	Total.

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Table II. Return of Defects found in the Course of Medical Inspection.

Defect or Disease.		Code	Groups.	Specials
Defect or Disease.		Number referred for treatment	Number requiring to be kept under observation	Number referred for treatment	Number requiring to be kept under observation

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Table III. Numerical Return of all Exceptional Children in the Area in 1919.

			Boys	Girls	Total

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This Table relates to all Children inspected by the School Medical Staff. Table IV. TREATMENT OF DEFECTS OF CHILDREN DURING 1919.

Condition.	No. of defects for which treatment was considered necessary			No. of defects for which no report is available	No. of defects treated	Results of Treatment.			No. of defects not treated	Percentage of defects treated
Condition.	From Previous Year	New	Total	No. of defects for which no report is available	No. of defects treated	Remedied	Improved	Unchanged	No. of defects not treated	Percentage of defects treated

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Tottenham 1919

34 tables in this report

Return of Houses, Population, etc., at November, 1919, as supplied to us by the Treasurer's Department.

DISTRIBUTION IN WARDS.

These deaths are distributed according to age and sex as follows:—

Table showing number of Deaths in 1919 and Death Rates— in Wards.

Table showing Percentage of Removals of Cases of Scarlet Fever, Diphtheria, and Enteric Fever.

INFECTIOUS DISEASES.

The notifications and mortality according to age and sex distribution were:—

AMBULANCE SERVICE, 1919.

M. of H. Table I. Table showing the Population, Birth Rate, and Death Rate from all causes, in Tottenham during the last six years.

M. of H. Table II.— Table of cases of Infectious Disease coming to the knowledge of the Medical Officer of Health during the year 1919, in the Tottenham Urban District, classified according to diseases, ages, and localities.

M. of H. Table III. TAM.F OF DEATHS durintr the Year 1919 in the Tottenham Urban Sanitary District, classified according to Diseases, Ages, and Localities.

M. of H. Table IV. Table of Infant Mortality during the year 1919.

Mortuary Table for the Year 1919.

Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

2.— Defects Found.

3.— Home Work.

4.—Registered Workshops.

5.—Other Matters.

The work of the male Sanitary Inspectors and the work of the two female Sanitary Inspectors so far as it relates to general sanitary matters is epitomised and subjoined.

TOTTENHAM URBAN DISTRICT. COUNTY OF MIDDLESEX—SANITARY WORK, 1919.

SANITARY WORK, 1919— contd.

SANITARY WORK, 1919—contd.

MILK ORDERED UNDER THE MILK (MOTHER AND CHILDREN) ORDER, 1918 , from Jan. 1st, to Dec. 31st, 1919.

Number of days on which the Creche was opened—231.

The following table shows the chief reasons for exclusion:—

Provision of Surgical Instruments:—56 Children, suffering from the following ailments, have been supplied with surgical boots or other appliances. They have all been enabled to return to school.

Table I. Number of Children Inspected during 1919. A. "Code " Groups.

Table II. Return of Defects found in the Course of Medical Inspection.

Table III. Numerical Return of all Exceptional Children in the Area in 1919.

This Table relates to all Children inspected by the School Medical Staff. Table IV. TREATMENT OF DEFECTS OF CHILDREN DURING 1919.

Table V. INSPECTION, TREATMENT, &amp;c., OF CHILDREN DURING 1919.

SUMMARY OF REPORT.

INDEX.

PART II.—continued.

Table V. INSPECTION, TREATMENT, &c., OF CHILDREN DURING 1919.