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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

Deptford 1929

[Report of the Medical Officer of Health for Deptford, Metropolitan Borough of]

Published
1930
Pages
134
Tables
86

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86 tables in this report

  • Page 10
    The permanent open spaces are as follows:—
    Situation.Size.Maintained by.
  • Page 11
    The last census returns showed that the chief occupations pursued by the population, stated by sex, were in descending order as follows:—
    Males.Females.
  • Page 13
    health of a community, and the following extracts from the vital statistics is of interest in this connection :
    Male.FemaleTotal.Birth-rate.
  • Page 14
    The following table illustrates the steady fall that has taken place
    BIRTHS.
    No.Deptford. Crude rate per 1,000 population.England and Wales. Crude rate per 1,000 population.County of London. Crude rate per 1,000 population
  • Page 14
    Distribution of Births registered by sex, Legitamacy and Wards.
    Ward.Males.Females.Legitimate.IllegitimateTotal.
  • Page 15
    The number of illegitimate births was equivalent to 3-0 per cent, of the total births. These were allocated to the several wards as follows:
  • Page 15
    The figures relative to illegitimacy for previous years areas follows:
    Av. for 10 yrs. 1915-1924.19251926192719281929
  • Page 16
    Births Notified in the Borough during Year 1929.
    Ward.Births notified.By whom notified
    TotalMaleFemalieAliveDeadParentDoc tor- MidwifeOther person
  • Page 17
    Seasonal Mortality.
    Quarter ended.No.1928 Rate per 1,000 of population.No.1929 Rate per 1,000 of population.
  • Page 17
    The trend of the death-rate in recent years is shown by the following table:—
    Deptford.England & Wales. London.
    Year.No.Rate per 1,000 of the population.
  • Page 17
    Deaths—Sex and Ward Distribution.
    Ward.Males.FemalesChildren under 1 year.Total deaths
  • Page 18
    An analysis of the causes of death will be found in Table I of the Appendix. The following is a comparative statement of the chief causes of mortality in recent years :
    Cause of Death.Rate per 1.000 deaths 'all causes), 1929.Average No. for 10 years 1915-24.19251926192719281929Increase or decrease over average for 1925-1928
  • Page 18
    The following Table expresses as percentages of the total mortality the incidence in the various age groups:—
    Average 1915-192419251926192719281929
  • Page 19
    improvement on those for the previous year. This set-back appears general throughout the country, and the following Table gives the death-rates (calculated per 1,000 births) for England and Wales, London and Deptford for previous years:—
    YearDeptfordEngland & Wales London
    No.Death-rate per 1.000 BirthsDeath-rate per 1,000 BirthsDeath-rate per 1,000 Births
  • Page 20
    Infantile Mortality, 1929. Nett Deaths from stated causes at various Ages under 1 year of Age.
    CAUSE OF DEATH.Under 1 week.1 to 2 weeks.2 to 3 weeks.3 to 4 weeks.Total under 4 weeks.4 weeks and under 3 months.3 months and under 6 months.6 months and under 9 months.9 months and under 1-monthsTotal Deaths under 1 year.
  • Page 21
    Mortality (Stated as Percentages) in Age-groups.
    Year.Under 1 week1-2 weeks2-3 weeks3-4 weeksTotal under 4 weeks4 weeks to 3 mths.3-6 mths.6-9 mths.9-12 mths.
  • Page 21
    Mortality (Stated as Percentages) from Certain Defined Causes.
    Causes.Under Four Weeks.Nine to Twelve Months.
    Avg. 1915-2419251926192719281929Avg 1915-419251926192719281925
  • Page 24
    Particulars of the bodies received were as follows:
    Total.Male.Female.Inquests.Postmortems.Under 1 year of age.Un-known.Deposited to await burial only.Infectious.
  • Page 31
    The following is a summary of the cases visited on behalf of the Borough Council by members of the District Nursing Associations:—
    Condition.Under Maternity and Child Welfare Scheme.Under Public Health Act.Total cases nursed
    Children under 5 years.MothersChildren under 5 yearsOthers
    CasesVisits.CasesVisitsCasesVisitsCasesVisits
  • Page 35
    The following is a summary of the inspections carried out by the Sanitary Inspectors together with a statement of the improvements effected during the year:—
    Number of District.
    1234567Totals
  • Page 36
    Continued from previous page...
    Table—continued..Number of District.
    1234567Totals
  • Page 37
    Continued from previous page...
    Table—continued.Number of District.
    1234567Totals.
  • Page 39
    Legal Proceedings. The following is a full list of legal proceedings instituted during the year under report, with the exception of those instituted under the Food and Drugs (Adulteration) Act, 1928, and in connection with Food Premises, which will be found in a later section of this Report.
    DateNature of Offence.FineCostsRemarks.
  • Page 43
    Inspections.
    Premises.Inspections.Number of Written Notices.Occupiers prosecuted.
  • Page 43
    The types of premises inspected were as follows
    Type.Factories, Number.Workshops, Number.Workplaces, Number.
  • Page 44
    DEFECTS FOUND.
    PARTICULARS.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 46
    Certain accommodation has been already provided by the Borough Council, as follows:— Housing, Assisted Scheme.
    No. of Dwellings.
  • Page 53
    place in the foodstuffs imported at the Wharf, and the following is a summary of the work done:—
    Date.Description.Weight.Examination.Remarks.
  • Page 54
    Continued from previous page...
    Date.Description.Weight.Examination.Remarks.
  • Page 55
    The following is a statement of such surrenders:—
  • Page 55
    the total. The adulteration in respect of samples submitted for analysis during the past five years is as follows:—
    Year.Number of Samples taken.Percentage Adulterated.
  • Page 56
    Food and Drugs Adulteration Act, 1928. Samples purchased during 1929.
    Articles.Number Genuine.Number Adulterated.Total.Percentage of Adulteration.
  • Page 57
    Samples taken during 1929— continued.
    Articles.Number Genuine.Number Adulterated.TotalPercentage of Adulteration.
  • Page 58
    P roceedings T aken in regard to S amples P urchased during the year 1929.
    Simple No.Article.Particulars of Adulteration or Infringement.Fine.Costs.Remarks.
    £S.d.£s.d.
  • Page 60
    CASES OF INFECTIOUS DISEASE, EXCLUDING TUBERCULOSIS, NOTIFIED DURING THE YEAR 1929. INCIDENCE AND MORTALITY BY AGE GROUPS.
    Notifiable DiseaseAt all AgesTotal Cases Notified. At Ages—YearsTotal Cases Removed to HospitalTotal DeathsDeaths at Ages—Years
    Under 11 to 55 to 1515 to 2525 to 4545 to 6565 and upUnder 11 to 55 to 1515 to 2525 to 4545 to 6565 and up
  • Page 61
    WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1929.
    Notifiable DiseaseTotal Cases in BoroughTotal Cases Notified in each Ward
    Deptford ParkEvelynSt. Paul'sValeCliftonCanterburyHatchamPepysSt. Catherine'sSt. Peter'sSt. John'sTown Hall
  • Page 62
    SEASONAL INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES.
    Disease.1st quarter2nd quarter3rd quarter4 th quarterTotal for year
  • Page 62
    Scarlet Fever.
    YearNo. of CasesAttack Rate per 1,000 populationNo. of DeathsCase Mortality per cent.
  • Page 63
    Diphtheria.
    YearNo. of CasesAttack Rate per 1,000 populationNo. of DeathsCase Mortality per cent.
  • Page 65
    Schick testing and inoculation began in March, 1927. The figures for successive years are as follows :—
    Year.Positive.Nunibet of ! Negative.Schick Tests. Unknown Result.Total.Fully Inoculated.Partly Inocu-ialed.No. of Inoculations given.
  • Page 65
    Continued from previous page...
    Positive.Number of Sckick Re-tests.Total.
    Negative.Unknown Result.
  • Page 67
    Return made on or before the 9th of February, 1930, by M r. E. S. E lliott , Vaccination Officer of the several Districts of the Greenwich Union, respecting the vaccination of children whose births were registered in his District from 1st January to 31st December, 1928, inclusive :—
    Registration SubDistricts comprised in t he Vaccination Officer's District.No. of Births from 1st Jan. to 31st Dec., 1928.Number of these Births duly entered by 31st Jan., 1930.No. of Births which on 31st Jan. 1930 remained unentered in the Vaccination Register on account of—No. of these births remaining on 1st Jan., 1930 not accounted for.Total No. of Certificates of successful Primary Vaccination at all ages received during Calendar Year 1929.No. of Declarations of Conscientious Objections actually received by Vaccination Officer during the Calendar Year 1929.
    Successfully Vaccinated.Insusceptible of Vaccination.Had Smallpox.Certificates of Conscientious Objection received.Dead, Unvaccin-ated.Postponement by Medical Certificate.Removal to Districts, V.O. of which apprised.Removal to places unknown and cases not found.
  • Page 68
    Pneumonia.
    No. of cases.No. of deaths (all forms of Pneumonia.)Death rate per 1,000 population.
  • Page 69
    Infantile Diarrhœa.
    Average 1920-192419251926192719281929
  • Page 69
    Puerperal Fever.
    Year.Cases.Deaths.Death-rate per 1,000 births.
  • Page 71
    Influenza.
    No. of Deaths.Percentage of total Deaths.Death rate per 1,000 population.
  • Page 72
    That Measles is a most important cause of death is overlooked, and the following statement of the mortality during recent years illustrates the point.
    No. of Deaths.Percentage of total Deaths.Death-rate per 1,000 population.
  • Page 73
    Whoopi rig.Cough .
    No. of Deaths.Percentage of total Deaths.Death.rate per 1,000 population.
  • Page 73
    The following is a summary of the work done:—
    Material.Total Specimens examined.Number PositiveNumber Negative
  • Page 75
    III. OTHER DISEASES. Cancer.
  • Page 76
    Deaths from Cancer by Sex and Age.
    YearSexUnder 25 years25 to 45 years'45 to 65 years65 to 75 years75 years and upwardsTotal
  • Page 80
    TUBERCULOSIS.
    Year.M.PulmonaryTotal per 1.000 of Population.Non.Pulmcmary. Total per 1,000 of population
    F.M.F.
  • Page 80
    The figures for the years 1923 onwards, are not strictly comparable with those of previous years as they include cases, although not formally notified, which have come to the knowledge of the Medical Officer of Health.
    Year.England and Wales, per 1,000 population.Deptford. per 1,000 population.
    Pulmonary.*Non.pulmonarv.Pulmonary*Non.pulmonary.
  • Page 81
    Summary of Notifications during the period from the 30th December, 1928, to 28th December, 1929.
    Notifications on Form ANotifications on Form B.Number of Notifications on Form C
    Age Periods.Total Notifications on Form A.Number of Primary Notifications.Total Notifications on Form B.Cases admitted to
    0.11-55-1010-1515-2020-2525-3535-4545-5555-6565 and upTotal Primary NotificationsPoor Law Institutions.Sanatoria.
    Under 55-1010-15Total Primary Notifications
  • Page 82
    New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health, otherwise than by formal notification.
    Age periods0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upTotal Cases
  • Page 82
    The source or sources from which information as to the above-mentioned cases was obtained is stated below:—
    Source of Information.PulmonaryNo. of Cases. Non-Pulmonary.
  • Page 83
    Particulars of New Cases and of Deaths during the Year 1929.
    Age Periods.New Cases.*Deaths.
    PulmonaryNon-PulmonaryPulmonaryNon-Pulmonary
    MFMFMFMF
  • Page 84
    The notifications of non-Pulmonary Tuberculosis were as follows:—
  • Page 84
    With the addition of transfers from other areas and new notifications the Register stands at the end of 1929 as follows:—
    malesfemales
    Under 15Over 15Under 15Over 15Total
  • Page 85
    Analysis of Contacts of Cases Notified during the Year.
    Vale and St. Paul's Wards.Remainder of Borough.
  • Page 86
    Memo 37/t. Table I. TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Year 1929.
    Diagnosis.Pulmonary.Non-Polmonary.Total.
    Adults.Children.Adults.Children.Adults.Children
    M.F.MF.M.F.M.F.M.F.M.F.
  • Page 92 93
    Report of Tuberculosis Officer—continued. TUBERCULOSIS SCHEME.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 19261926192719281929
    Class T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T B. minusClass T.B. plusClass T.B. minus.Class T.B. plus.Class T,B. minusClass t.b. plus
    Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B plus)Group 1Group 2Group 3Total'Class T.B. plus)(iroup 1Group 2Group 3Total (Class T.B. plus)
  • Page 94 95
    Report of Tuberculosis Officer—continued. (b) NON-PULMONARY Annual Return showing in summary form the condition of all Patients whose according to the years in which the Patients first came under Public Medical TUBERCULOSIS. case records are in the possession of the Dispensary at the end of 1929, arranged Treatment, and their classification as shown on Form A.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 19261926192719281929
    Bones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgangPeripheral GlandsTotal| Bones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and Joints.AbdominalOther OrgansPeriphereal GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotal
  • Page 98
    The income and expenditure in connection with the supply of dentures were as follows:—
    £s.d.
  • Page 98
    1 he Dental Surgeon, Mr. J. Eric Magraw, reports the following as a summary of the year's work:—
    Fillings.
    Cases.Extractions.Amalgam.Plastic.Scalings.Dentures.
  • Page 104
    Tuberculosis Handicraft Class. Receipts and Payments for two years from May, 1928 to April, 1930.
    Receipts.Payments.
    £s.d.£s.d.
  • Page 109
    Summary of Visits paid by Health Visitors, 1929.
    Wards (approximate)Deptford Park and Evelyn (part)St. Paul's and Evelyn (part)Vale and CliftonCanterbury and HatchamPepys and St. Catherine'sSt. Peter's St. John's, and Town Hall.Total.
  • Page 110
    Analysis of Visits paid by Health Visitors, 1929.
    Visits.Re-visits.Total.
  • Page 111
    The following is a summary of the work done at the various Infant Welfare Clinics during the year:— ( For details, see Appendix, Table IV. )
    Clinic.No. of times open.New Cases.Total New CasesTotal Old CasesTotal New and Old CasesConsultations with Doctor
    Breast FedMixedHandAges 1-15 years
  • Page 112
    The growth in the work of the Ante-natal Clinic during recent years is illustrated by the following figures:—
    Year.No. of individual women attending.Average number of attendances per week.Total number of attendances made.
  • Page 112
    Ante-Natal Clinic Statistics, 1929. Attendances during the year:—
  • Page 113
    Ante-Natal Clinic Statistics, 1929—continued.
  • Page 114
    The following is a statement of the year's work:—
    MonthNew PatientsPatients ReadmittedPatients DischargedTotal on RegisterAttendance
  • Page 114
    Classification of Patients during Year.
    Admissions.Re-admissions.Total.
  • Page 115
    The Dental Surgeon, Mr. J. Eric Magraw, has furnished me with the following details of the work in 1929:—
    Cases.Extractions.FillingsSilver Nitrate . Scalings, etc.Gas Cases.
  • Page 122
    Table 1. Causes of Death at Different Periods of Life in the Metropolitan Borough of Deptford , 1929.
    CAUSES OF DEATH.Sex.All Ages0—1—2—5—15—25—45—65—75—
  • Page 123
    Table 1 — continued.
    CAUSES OF DEATH.Sex.All Ages.0—1—2—5—15—25-45-65—75—
  • Page 124
    Table II. SHOWING NUMBER OF PREMISES VISITED AND ARTICLES COLLECTED FOR DISINFECTION OR DESTROYED AT OWNERS' REQUEST.
    1929Premises VisitedBedsPillowsBolstersMattressesSheetsBlanketsOdd ArticlesTotalBooksArticles Destroyed (Owners' Request)Cleansing Station
    Infectious DiseasesRequestsD.B.C. LibraryPrivateBedsPillowsBolstersMattressesSheetsBlanketsOdd ArticlesTotalWearing ApparelTowelsBlanketsTotal
  • Page 125
    Table III. SHOWING NUMBER OF ROOMS DISINFECTED.
    1929Scarlet FeverDiphtheriaPulmonary TuberculosisCancerMeaslesSmall-PoxScabiesWhooping CoughErysipelasPneumoniaChicken PoxTyphoid FeverCerebro-Spinal MeningitisPuerperal FeverEncephalitis LethargicaGangreneMumpsEnteric Fever .Formalin SprayFumigated
    InfectiousRequestsTotal RoomsVerminous
    PremisesRooms
    R'ms.R'ms
  • Page 126
    Attendances at Clinics and Treatment Centres. GOSTERWOOD STREET CLINIC.
    1929No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5.
  • Page 126
    NAPIER STREET CLINIC.
    1929.No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1-5
  • Page 127
    BESSON STREET CLINIC.
    1929.No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast FedMixed.Hand.Ages 1-5.
  • Page 127
    ERLAM ROAD CLINIC.
    1929.No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5.
  • Page 128
    GOLDSMITHS' COLLEGE CLINIC.
    1929.No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5.
  • Page 128
    PRINCESS LOUISE INSTITUTE CLINIC, HALES STREET.
    1929.No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5.
  • Page 129
    ST. GEORGE'S HALL CLINIC.
    1929.No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5