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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 1931

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

Published
1932
Pages
131
Tables
97

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97 tables in this report

  • Page 8
    The permanent open spaces are as follows:—
    Situation.Size.Maintained by.
  • Page 11
    The following table illustrates the steady fall that has taken place: BIRTHS.
    No.Deptford.England and Wales.County of London.
    Crude rate per 1,000 population.Crude rate per 1,000 population.Crude rate per 1,000 population
  • Page 12
    Births Notified in the Borough during Year 1931.
    Ward.Births notified.AliveDeadBy whom notified
    ParentDoctorMidwifeOther person
    TotalMaleFemale
  • Page 13
    Seasonal Mortality.
    Quarter ended.No.1930 Rate per 1,000 of population.No.1931 Rate per 1,000 of population.
  • Page 13
    The trend of the death-rate in recent years is shown by the following table:—
    Year.DeptfordEngland & Wales. London.
    No.Rate per 1,000 of the population.
  • Page 14
    Deaths—Sex and Ward Distribution.
    Ward.Males.FemalesChildren under 1 year.Total deaths.
  • Page 14
    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), 1931.Average No. for 10 years 1915-24.Average 1925-192919301931Increase or decrease over 1930
  • Page 15
    The following Table expresses as percentages of the total mortality the incidence in the various age groups:—
    Average 1915-1924Average 1925-192919301931
  • Page 15
    The infantile mortality rate for 1931 was 53 per 1,000 births and the following Table gives the death-rates for England and Wales, London and Deptford for previous years:—
    YearDeptfordEngland & WalesLondon
    No.Death-rate per1,000 BirthsDeath-rate per 1,000 BirthsDeath-rate per 1,000 Births
  • Page 16
    Infantile Mortality, 1931. 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 17
    M ortality (S tated as P ercentages) in A ge-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 17
    Mortality (Stated as Percentages) from Certain Defined Causes.
    Causes.Under Four Weeks.Nine to Twelve Months.
    Avg. 1915-24Avg. 1925-2919301931Avg. 1915-24Avg. 1925-2919301931
  • Page 18
    During the year there were received the bodies of 340 persons who had been residents of the following districts:—
  • Page 18
    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.Infec-tious.
  • Page 19
    The causes of death were as follows:
  • Page 25
    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 27
    clinics and treatment centres.
  • Page 30
    Although figures cannot always be indicative of the actual work carried out, the following comparative information will, doubtless, be of interest:—
    192919301931
  • Page 32
    Summary of Sanitary Work carried out during the year 1931.
    Number of District.
    1234567TotalsComparative figures for 1930.
  • Page 33
    Summary of Sanitary Work— continued.
    Number of District.Comparative figures for 1930.
    1234567Totals
  • Page 33
    Reference to Districts.
    District No.Wards (approximate)Inspector.
  • Page 34
    House-to-House Inspections. 2,539 house-to-house inspections were made, exclusive of 345 special inspections made in connection with housing investigation in St. Paul's and Vale Wards. These inspections were carried out in the following streets:—
  • Page 35
    Legal Proceedings. The following is a full list of legal proceedings instituted during the year under report, with the exception of those dealing with Food and Food premises, particulars of which will be found in a later section of this Report—
    DateNature of Offence.FineCostsRemarks.
  • Page 36
    Legal Proceedings — continued.
    Date.Nature of Offence.Fine.Costs.Remarks.
  • Page 41
    Inspections.
    Premises.Number of
    Inspections.Written Notices.Occupiers prosecuted.
  • Page 41
    The types of premises inspected were as follows:—
    Type.Factories, Number.Workshops, Number.Workplaces, Number.
  • Page 42
    DEFECTS FOUND.
    PARTICULARSNumber of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 48
    The following is a tabular statement of the visits made by Mr. Yates, Food Inspector:—
    No. of Visits.
  • Page 50
    Bacteriological Examination of Milk. Eleven samples of Graded Milk were examined bacteriologically with the following results:—
    Designation.Total Count in 1 cc.Coliform Bacillus.
  • Page 52
    The year 1931, again saw an increase in the quantity of foodstuffs imported at the Wharf, and the following is a summary of the work done:—
    Description.Weight.Examination.Remarks.
  • Page 53
    The following is a statement of such surrenders:—
  • Page 53
    Legal Proceedings. (Other than those in respect of adulteration, particulars of which will be found in a succeeding Table).
    DateOffence.Fine.Costs.Remarks.
    £s.d.£s.d.
  • Page 54
    The following is a statement of the sampling done and results obtained in 1931:—
    Total.Number Adulterated.Percentage of samples adulterated.
  • Page 54
    The adulteration in respect of samples submitted for analysis daring the previous six years is as follows:—
    Year.Number of Samples taken.Percentage Adulterated.
  • Page 55
    Food and Drugs (Adulteration) Act, 1928.
    Articles.Number Genuine.N umber Adulterated.Total.Percentage of Adulteration.
  • Page 56
    Samples Taken— continued.
    Articles.Number Genuine.Number Adulterated.TotalPercentage of Adulteration.
  • Page 57
    Action Taken in regard to Formal Samples Purchased during the year 1931.
    Simple No.Article.Particulars of Adulteration or Infringement,Fine.Costs.Remarks.
  • Page 57
    Action Taken in regard to Informal Samples.
    ArticleParticulars of AdulterationRemarks
  • Page 60
    PREVALENCE OF AND CONTROL OVER INFECTIOUS AND OTHER DISEASES. Notifiable Infectious Disease. The following Tables present a Summary of the cases notified, analysed according to age and ward distribution and seasonal incidence:—
    Notifiable DiseaseAt all AgesTotal Cases Notified.At Ages-YearsTotalCases Removed to HospitalTotal DeathsDeaths at Ages—Years
    Under 11 to 55 to 1515 to 255 to 4545 to 6565 and upUnder 11 to 55 to 1515 to 2525 to 4545 to 6566 and up
  • Page 61
    SEASONAL INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES.
    Disease.1st quarter2nd quarter3rd quarter4th quarterTotal for year
  • Page 61
    Scarlet Fever.
    YearNo. of CasesAttack Rate per 1,000 populationNo. of DeathsCase Mortality per cent.
  • Page 62
    WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1930.
    Notifiable DiseaseTotal Cases in BoroughTotal Cases Notified in each Ward
    Debtford ParkEvelynSt. Paul'sValeCliftonCanterburyHatchamPepysSt. Catherine'sSt. Peter'sSt. John'sTown Hall
  • Page 63
    Diphtheria.
    YearNo. of CasesAttack Rate per 1,000 populationNo. of DeathsCase Mortality per cent.
  • Page 63
    Schick testing and inoculation began in March, 1927. The figures for successive years are as follows:-
    Year.Positive.Number of Negative.Schick Tests. Unknown Result.Total.Fully Inoculated.Partly Inoculated.No. of Inoculations given.
  • Page 63
    Number of Schick Re-tests.
    Positive.Negative.Unknown Result.Total.
  • Page 65
    Chicken-pox. Since made compulsorily notifiable, the number of notifications have been as follows:—
  • Page 66
    Return made on or before the 9th of February, 1932, by Mr. E. S. Elliott , Vaccination Officer respecting the vaccination of children whose births were registered from 1st January to 31st December, 1930, inclusive:—
    Registration Sub-Districts comprised in the vaccination Officer's District.No. of Births from stJan. to 31st Dec., 1930.Number of these Births duly entered by 31st Jan., 1932.No. of Births which on 31st Jan. 1932 remained unentered in the Vaccination Register on account of—No. of these births remaining on 1st Jan., 1932 not accounted for.Total No. of Certificates of successful Primary Vaccination at all ages received during Calendar Year 1931.No. of Declarations of Conscientious Objections actually received by Vaccination Officer during the Calendar Year 1931.
    Successfully Vaccinated.Insusceptible of Vaccination.Had Smallpox.Certificates of Conscientious Objection received.Dead. Unvaccinated.Postponement by Medical Certificate.Removal to Districts, V.O. of which apprised.Removal to places unknown and cases not found.
  • Page 67
    During the decennium 1915-1924, the yearly notifications averaged three cases. The figures since then are as follows:—
    1925192619271928192919301931
  • Page 67
    The average number of notifications received between 1915-1924 was two. The corresponding figures since 1924 are as follows:—
    1925192619271928192919301931
  • Page 67
    The subsequent figures were:—
    1925192619271928192919301931
  • Page 67
    Pneumonia. Both Acute Primary and Influenzal Pneumonia are notifiable, and a statement of the notifications received and deaths recorded are as follows:—
    No. of cases Notified.No. of deaths (all forms of Pneumonia.)Death rate per 1,000 population.
  • Page 68
    Since the 1st January, 1928, Malaria, induced therapeuti cally, is notifiable if liable to recur.
    Average 1920-1924Average 1925-192919301931
  • Page 68
    Dysentery. The figures are as follows:—
    Average 1920-1924 (total)Average 1925-192919301931
  • Page 68
    Infantile Diarrhœa. Since 1920, this has been notifiable in the case of children under two years of age, and the following are particulars of notifications received and deaths:—
    Average 1920-1924Average 1925-2919301931
  • Page 68
    Puerperal Fever. The following is a tabular statement of the notifications and deaths in recent years.
    Year.Cases.Deaths.Death-rate per 1,000 births.
  • Page 69
    The notifications received have been as follows:-
    192619271928192919301931
  • Page 69
    The following is a statement of notifications received:—
    1926 (part)19271928192919301931
  • Page 69
    The following is a statement of the results of treatment in respect of the cases notified in 1931:
    NotifiedTreatedVision unimpairedVision impairedTotal blindnessSince died from other Causes
    At homeIn hospital
  • Page 70
    Influenza. The following indicates the mortality directly attributed to Influenza since 1920:—
    No. of Deaths.Percentage of total Deaths.Death rate per 1,000 population.
  • Page 70
    The following is a statement of the mortality during recent years.
    No. of Deaths.Percentage of total Deaths.Death-rate per 1,000 population.
  • Page 71
    Whooping-Cough. Amongst infectious diseases, Whooping-cough is accountable for the greatest number of deaths in very young children. The fatality in past years is as follows:—
    No. of Deaths.Percentage of total Deaths.Death-rate per 1,000 population.
  • Page 71
    Laboratory Work at Seamen's Hospital, Greenwich, 1931.
    Material.Number Positive.Number Negative.Total.
  • Page 72
    Disinfection. The following is a summary of the work carried out. Full details are shown in tabular form in the Appendix (Tables II and III).
  • Page 73
    III. OTHER DISEASES. Cancer. The incidence of Cancer is so intimately bound up with the sex and age distribution of the population that only a very general inference can be drawn from the following figures:—
    YearNo. of Deaths.Percentage of total Dea ths.Rate per 1,000 population.
  • Page 74
    Deaths from Cancer by Sex and Age.
    YearSexUnder 25 years25 to 45 years45 to 65 years65 to 75 years75 years and upwardsTotals
  • Page 76
    The following is a tabular statement of the cases coming to our knowledge by notification and otherwise:-
    Year.PulmonaryTotal per 1.000 of population.Non-Pulmonary.
    M.F.M.F.Total per 1.000 of population
  • Page 76
    The Death-rate in recent years is as follows:-
    Year.England and Wales. per 1,000 population.Deptford. per 1,000 population.
    PulmonaryNon-pulmonary.PulmonaryNon-pulmonary.
  • Page 77
    Public Health (Tuberculosis) Regulations, 1912. Summary of Notifications during the period from the 28th December, 1930, to 2nd January, 1932.
    0-]1-55-1010-1515-20'20-2525-3535-4545-5555-6565 and upTotal Primary NotificationsTotal Notifications on Form A.
  • Page 78
    SUPPLEMENTAL RETURN. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health, otherwise than by formal notification.
    Age periods0 to l1 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upTotal Cases
  • Page 78
    The source or sources from which information as to the above-mentioned cases was obtained is stated below:—
    Source of Information.No. of Cases.
    Pulmonary.Non-Pulmonary.
  • Page 79
    Supplemental Return— continued. Notification Register.
    PulmonaryNon-pulmonaryTotal Cases
    MalesFemalesTotalMalesFemalesTotal
  • Page 81
    Home accommodation of 179 Cases notified in 1931 (omitting" hospital and lodging-house cases).
    CASES and Number in Family.Non-Pulmonary Tuberculosis.Pulmonary Tuberculosis.
    Rooms.Cases with T.B. in Sputum. Rooms.Cases in which T.B. not present or not known to be present. Rooms.
  • Page 82
    Particulars of New Cases and of Deaths during the Year 1931.
    Age Periods.New Cases.*Deaths.
    PulmonaryNon-PulmonaryPulmonaryNon-Pulmonary
    MFMFMFMF
  • Page 83
    With the addition of transfers from other areas and new notifications the Register stands at the end of 1931 as follows:—
    MALESFEMALES
    Under15Over 15Under 15Over 15Total
  • Page 83
    Analysis of contacts of 188 cases primarily notified during the year (including cases notified after death but excluding cases in which the diagnosis was not confirmed):—
    Deptford Park, Evelyn, Vale and St. Paul's Wards.Remainder of Borough.
  • Page 84
    Report of Tuberculosis Officer—continued.
    Deptford Park, Evelyn, Vale and St. Paul's Wards.Remainder of Borough.
    Adults.Children.Adults.Children.
  • Page 87
    Memo 37 t. Table I. TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Year 1931.
    Diagnosis.Pulmonary.Non-Pulmonary.Total
    AdultsChildren.Adults.Children.Adults.Children.Grand Total
    M.f.M.f.M.F.M.F.M.F.M.F.
  • Page 89
    The income and expenditure in connection with the supply of dentures were as follows:—
    £s.d.
  • Page -
    Supplementary Annual Return showing in summary form (a) the condition at the end of 1931 of all patients remaining on the Dispensary Register ; and (b) the reasons for the removal of all cases written off the Register. The Table is arranged according to the years in which the Patients were first entered on the Dispensary Register as definite cases of pulmonary tuberculosis, and their classifi- cation at that time.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1926192619271928192919301931
    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. plusClass T.B. minusClass T.b. plusClass 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)Group 1Group 2Group 3Total (Class T.B. plus)Group 1GroupGroup 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)
  • Page -
    Report of Tuberculosis Officer—continued. (b) NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1931 of all patients remaining on the Dispensary Register; and ( b ) the reasons for the removal of all cases written off the Register.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1926192619271928192919301931
    Bones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and Joints.AbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other OrgansPeripheral GlandsTotal.
  • Page 99
    Summary of Visits paid by Health Visitors, 1931.
    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 100
    Analysis of Visits paid by Health Visitors, 1931.
    Visits.Re-visits.Total.
  • Page 100
    Attendances of Health Visitors at Clinics.
    Health Visitor.Infant Welfare.Ante-Natal.Light.Schick.Dental.Total.
  • Page 101
    (For details, see Appendix, Table IV.)
    Clinic.No. of times open.New CasesAttendances.Consultations with Doctor
    Under 1 year.Ages 1-5 years.Total New CasesTotal Old CasesTotal New and Old CasesUnder 1 year1—5 years
  • Page 102
    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 atlendances made.
  • Page 104
    The following is a statement of the year's work:—
    MonthPatients on Register at commencement of each month.New Patients admittedPatients ReadmittedPatients DischargedPatients on Register at the end of monthAttendance each month
  • Page 105
    Classification of Patients during Year.
    Admissions.Re-admissions
  • Page 112
    Causes of Death at Different Periods of Life in the Metropolitan Borough of Deptford, 1931.
    CAUSES OF DEATH.Sex.All Ages0—1—2—5—15 —25—35—45—55—65—75-
  • Page 113
    Table 1— continued.
    CAUSES OF DEATH.Sex.All Ages.0—l—2—5—15—25-35 —45—55—65—75-
  • Page 114
    Table II. SHOWING NUMBER OF PREMISES VISITED AND ARTICLES COLLECTED FOR DISINFECTION OR DESTROYED AT OWNERS' REQUEST.
    1931Premises VisitedBedsPillowsBolstersMattressesSheetsBlanketsOdd ArticlesTotalBooksArticles Destroyed (Owners' Request)Cleansing Station
    Infectious DiseasesRequestsBedding onlyD.B.C. LibraryPrivateTotalBedsPillowsBolstersMattressesSheetsBlanketsOdd ArticlesTotalWearing ApparelTowelsBlanketsTotal
  • Page 115
    Table III. SHOWING NUMBER OF ROOMS DISINFECTED.
    1931Scarlet FeverDiphtheriaPulmonary TuberculosisSmall-PoxCancerScabiesChicken PoxMeaslesErysipelasPuerperal FeverCerebro-Spinal MeningitisFormalin SprayFumigated
    InfectiousRequestsTotal RoomsVerminous
    PremisesRooms
    R'ms.R'ms
  • Page 116
    GOSTERWOOD STREET CLINIC.
    1931No. 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 116
    NAPIER STREET CLINIC.
    1931.No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old CasesConsultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5
  • Page 117
    GOLDSMITHS' COLLEGE CLINIC.
    1931No. 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 117
    PRINCESS LOUISE INSTITUTE, HALES STREET AND CHURCH STREET CLINICS
    1931.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,-5.
  • Page 118
    BESSON STREET CLINIC.
    1931.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 119
    ST. GEORGE'S HALL, SHARDELOES ROAD.
    1931.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