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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 1932
[Report of the Medical Officer of Health for Deptford, Metropolitan Borough of]
- Published
- 1933
- Pages
- 125
- Tables
- 91
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Page 8
The permanent open spaces are as follows:—
Situation. Size. Mainta ined by. -
Page 8
Statistics.
-
Page 11
The following table illustrates the steady fall that has taken place :
No. BIRTHS. County of London. Crude rate per 1,000 population Deptford. Crude rate per 1,000 population. England and Wales. Crude rate per 1,000 population. -
Page 11
Still-Births. 48 still-births were registered during the year as follows:—
Legitimate Illegitimate Total -
Page 12
The figures relative to illegitimacy for previous years areas follows:
Av. for 10 yrs. 1915.1924.' Av. for 5 yrs. 1925.1929 1930 1931 1932 -
Page 12
Births Notified in the Borough during Year 1932.
Ward. Births notified. Alive Dead Bv whom notified Total Male Female Parent Doctor Midwife Other person -
Page 13
Seasonal Mortality.
Quarter ended. No. 1931 No. 1932 Rate per 1,000 of population. Rate per 1,000 of population. -
Page 13
The trend of the death-rate in recent years is shown by the following table:—
Year. Deptforc No. 3. England & Wales. London. Rate per 1,000 of the population. -
Page 14
Deaths—Sex and Ward Distribution.
Ward. Males. Females Children under 1 year. Total deaths. -
Page 14
Causes of Death. 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), 1932. Average No. for 10 years 1915-24. Average 1925-1929 1930 1931 1932 Increase or decrease over 1931 -
Page 15
The following Table expresses as percentages of the total mortality the incidence in the various age groups:—
Average 1915.1924 Average 1925.1929 1930 1931 1932 -
Page 15
The infantile mortality rate for 1932 was 65 per 1,000 births and the following Table gives the death-rates for England and Wales, London and Deptford for previous years:—
Year Deptford No. Death-rate per 1.000 Births England & Wales Death-rate per 1,000 Births London Death-rate per 1,000 Births -
Page 16
Infantile Mortality, 1932. 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 12 months Total Deaths under 1 year. -
Page 17
Mortality (Stated as Percentages) in Age-groups.
Year. Under 1 week 1-2 weeks 2-3 weeks 3-4 weeks Total under 4 weeks 4 weeks to 3 mths. 3-6 mths. 6-9 mths. 9-12 mths. -
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. I nfec-tious. -
Page 23
The following is a summary of the cases visited on behalf of the Borough Council by members of the District Nursing Associations:—
Condition. Children under 5 years Others Total cases nursed Cases Visits Cases Visits -
Page 28
maintained. This curtailment incidentally shows .itself in the fewer number of notices served and improvements effected.
1929 1930 1931 1932 -
Page 29
Summary of Sanitary Work carried out during the year 1932.
Number of District. Comparative figures for 1931. 1 2 3 4 5 6 7 Totals -
Page 30
Summary of Sanitary Work—continued.
Numbsr of District. Comparative figures for 1930. 1 2 3 4 5 6 7 Totals -
Page 30
Reference to Districts.
District No. Inspector. Wards (approximate) -
Page 31
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:—
Date Nature of Offence. Fine Costs Remarks. 1932 Non-compliance with statutory notice served in respect of— £ s. d. £ s. d. -
Page 35
In conformity with Section 132, the following is an epitomised statement of the administration of these Acts:—
Premises. Inspections. Number of Inspections. Written Notices. Occupiers prosecuted. -
Page 35
The types of premises inspected were as follows:—
Type. Factories, Number. Workshops Number. Workplaces, Number. -
Page 36
DEFECTS FOUND.
PARTICULARS, Number of Defects. Number of Prosecutions. Found. Remedied. Referred to H.M. Inspector. -
Page 46
Bacteriological Examination of Milk. Fourteen samples of Graded Milk were examined bacteriologically with the following results:—
Designation. Total Count in 1 cc. Coliform Bacillus. -
Page 48
During the year 1932, large quantities of foodstuffs were imported at the Wharf, and the following is a summary of the work done:—
Description. Weight. Examination. Remarks. -
Page 49
The following is an analysis of the notifi according to the causal agent:— cations received, grouped
Food. No. of cases. -
Page 50
The following is a statement of the sampling done and results obtained in 1932:—
Total. Number Adulterated. Percentage of samples adulterated. -
Page 50
The adulteration in respect of samples submitted for analysis during the previous six years is as follows:—
Year. Number of Samples taken. Percentage Adulterated. -
Page 51
F ood and D rugs (A dulteration ) A ct , 1928.
Articles. Number Genuine. Number Adulterated. Total. Percentage of Adulteration. -
Page 52
Samples Taken— continued.
Articles. Number Genuine. Number Adulterated. Total Percentage of Adulteration. -
Page 53
A ction T aken in regard to F ormal S amples P urchased during the Y ear 1932.
Sample No. Article. Particulars of Adulteration or Infringement. Fine. Costs. Remarks. -
Page 53
A ction T aken in regard to I nformal S amples.
Sample No Article Particulars of Adulteration or Infringement. Action taken. -
Page 56
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 Disease At all Ages INCIDENCE AND MORTALITY BY AGE GROUPS. Total Cases Notified. At Ages—Years TotalCases Removed to Hospital Total Deaths Deaths at Ages—Years Under 1 1 to 5 5 to 15 15 to 25 5 to 45 45 to 65 65 and up Under 1 1 to 5 5 to 15 15 to 25 25 to 45 45 to 65 65 and up -
Page 57
SEASONAL INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES.
Disease. 1st quarter 2nd quarter 3rd quarter 4 th quarter Total for year -
Page 57
Scarlet Fever*.
Year No. of Cases Attack Rate per 1,000 population No. of Deaths Case Mortality per cent. -
Page 58
WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE \EAR 1932.
Notifiable Disease Total Cases in Borough Total Cases Notified in each Ward Deptford Park Evelyn St. Paul's Vale Clifton Canterbury Hatcham Pepys St. Catherine's St. Peter's St. John's Town Hall -
Page 59
Diphtheria.
Year No. of Cases Attack Rate per 1,000 population No. of Deaths Case Mortality per cent. -
Page 59
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 59
Number of Schick Re-tests.
Positive. Negative. Unknown Result. Total. -
Page 61
Return made on or before the 9th of February, 1933, by Mr. E. S. Ei.liott , Vaccination Officer, respecting the vaccination of children whose births were registered from 1st January to 31st December, 1931, inclusive :—
Registration Sub-Districts comprised in the vaccination Officer's District. No. of Births from 1st Jan. to 31st Dec., 1931. Number of these Births duly entered by 31st Jan., 1933. No, of Births which on 31st Jan.. 1933 remained unentered in the Vaccination Register on account of— No. of these births remaining on 1st Jan., 1933 not accounted for. Total No. of Certificates of successful Primary Vaccination at all ages received during Calendar Year 1932. No. of Declarations of Conscientious Objections actually received by Vaccination Officer during the Calendar Year 1932. 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 62
During the decennium 1915-1924, the yearly notifications averaged three cases. The figures since then are as follows:—
1925 1926 1927 1928 1929 1930 1931 1932 -
Page 62
The average number of notifications received between 1915-1924 was two. The corresponding figures since 1924 are as follows:—
1925 1926 1927 1928 1929 1930 1931 1932 -
Page 62
During the five years terminating 1924 (in which year the incidence reached its peak) the average annual number of cases notified was three. The subsequent figures were:—
1925 1926 1927 1928 1929 1930 1931 1932 -
Page 62
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 63
Since the 1st January, 1928, Malaria, induced therapeutically, is notifiable if liable to recur.
Average 1920-1924 Average 1925-1929 1930 1931 1932 -
Page 63
The figures are as follows:—
Average 1920-1924 (total) Average 1925-1929 1930 1931 1932 -
Page 63
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 1920-1924 Average 1925-29 1930 1931 1932 -
Page 63
The following is a tabular statement of the notifications and deaths in recent years.
Year. Cases. Deaths. Death-rate per 1,000 births. -
Page 64
The following is a statement of notifications received:—
1926 (part) 1927 1928 1929 1930 1931 1932 -
Page 64
The following is a statement of the results of treatment in respect of the cases notified in 1932:—
Notified Treated At home In hospital Vision unimpaired Vision impaired Total blindness Since died from other Causes -
Page 65
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 65
That Measles is a most important cause of death is often overlooked. 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 66
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 66
Laboratory Work at Seamen's Hospital, Greenwich, 1932.
Material. Number Positive. Number Negative. Total. -
Page 67
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 68
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 :—
Year No. of Deaths. Percentage of total Deaths. Rate per 1,000 population. -
Page 69
Deaths from Cancer by Sex and Age.
Average, Year Sex Under 25 years 25 to 45 years 45 to 65 years 65 to 75 years 75 years and upwards Totals -
Page 72
knowledge by notification and otherwise:—
Year. Pulmonary. Non-Pulmonary. M. F. Total per 1,000 of population. M. F. Total per 1.000 of population -
Page 72
The Death-rate in recent years is as follows:—
Year. England and Wales. per 1,000 population. Deptford. per 1,000 population. Pulmonary* Non-pulmonary. Pulmonary* Non-pulmonary. -
Page 73
Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications during the period from the 3rd January, 1932, to 31st December, 1932.
Notifications on Form A. Age Periods. Total Notifications on Form A. 0-1 1-5 5-10 10-15 15-20 20-25 25-35 35-45 45-55 55-65 65 and up Total Primary Notifications -
Page 74
New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health, otherwise than by formal notification.
Age periods 0 to 1 1 to 5 5 to 10 10 to 15 15 to 20 20 to 25 25 to 35 35 to 45 45 to 55 55 to 65 65 and up Total Cases -
Page 74
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 75
Supplemental Return— continued. Notification Register.
Pulmonary Non-pulmonary Total Cases Males Females Total Males Females Total -
Page 77
Home accommodation of 207 Cases notified in 1932 (hospital and lodging-house cases omitted).
-
Page 78
Report of Tuberculosis Officer— continued . The number of deaths for the year is 105 as compared with 114 for 1931.
1931 1932 -
Page 78
Particulars of New Cases and of Deaths during the Year 1932.
Age Periods. New Cases.* Deaths. Pulmonary Non-Pulmonary Pulmonary Non-Pulmonary m f m f m f m f -
Page 79
Report of Tuberculosis Officer—continued. The notifications of non-Pulmonary Tuberculosis were as follows:—
-
Page 79
With the addition of transfers from other areas and new notifications the Register stands at the end of 1932 as follows:—
MALES FEMALES Under15 Over 15 Under 15 Over 15 Total -
Page 80
Analysis of contacts of 217 of the cases primarily notified during the year (including cases notified after death but excluding cases in which the diagnosis was not confirmed):—
Deptford Park, Eyelyn, Vale and St. Paul's Wards. Remainder of Borough. Total T.B. Positive T.B. Negative Non-Pul-monary Total T.B. Positive T.B. Negative Non-Pulmonary -
Page 83
Memo 37/t. Table I. TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Year 1932.
Diagnosis. Pulmonary. Non-Pulmonary. Total. Grand Total Adults. Children. Adults. Children. Adults. Children. M. F. M. F. M. F. M. F. M. F. M. F. -
Page 85
The income and expenditure in connection with the supply of dentures were as follows:—
£ s. d. -
Page -
Report of Tuberculosis Officer—continued. TUBERCULOSIS SCHEME. (a) PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1932 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 1926 1926 1927 1928 1929 1930 1931 1932 Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T B. minus Class T.B. plus Class T.B. minus. Class T.B. plus. Class T,B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. plus Class t.b. minus Class t.B. plus Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B plus) Group 1 Group 2 Group 3 Total »Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group Group 3 Total (Class T.B. plus) Class T.B. min Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 8 Total (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 1932 of all patients remaining on the Dispensary Register ; and (&) 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 1926 1926 1927 1928 1929 1930 1931 1932 Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs 1 Peripheral Glands Total Bones and Joints. Abdominal Other Organs Periphereal Glands Total Bones and Joints Abdominal Other Organ Peripheral Glands Total Bones and Joints. Abdominal. Other Organs. Peripheral Glands. Total. Bones and Joints. A bdominal. Other Organs Peripheral Glands Total. Bones and Joints Abdominal Other Organs Peripheral Glands Total -
Page 95
Summary of Visits paid by Health Visitors, 1932.
Wards (approximate) Deptford Park and hvelyn (part) St. Paul's and Evelyn (part) Vale and Clifton Canterbury and Hatcham Pepys and St. Catherine's St. Peter's St. John's and Town H Total. -
Page 96
Analysis of Visits paid by Health Visitors, 1932.
Visits. Re-visits. Total. -
Page 96
Attendances of Health Visitors at Clinics.
Health Visitor. Infant Welfare. AnteNatal. Light. Schick. Dental. Total. -
Page 97
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 Attendances Under 1 year. Ages 1-5 years. Total New Cases Total Old Cases Total New and Old Cases Under 1 year 1—5 years Consultations with Doctor -
Page 98
The work of the Ante-natal Clinic daring 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 100
The following is a statement of the year's work:—
Month Patients on Register at commencement of each month. New Patients admitted Patients Readmitted Patients Discharged Patients on Register at the end of month Attendance each month -
Page 100
Classification of Patients during Year.
Admissions. Re-admissions -
Page 108
Table 1. Causes of Death at Different Periods of Life in the Metropolitan Borough of Deptford, 1932.
CAUSES OF DEATH. Sex. All Ages 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75 -
Page 109
Table 1— continued.
CAUSES OF DEATH. Sex. All Ages. 0— 1 — 2— 5- 15- 25- 35— 45— 55— 65— 75— -
Page 110
Table II. SHOWING NUMBER OF PREMISES VISITED AND ARTICLES COLLECTED FOR DISINFECTION OR DESTROYED AT OWNERS' REQUEST.
1932 Premises Vistited Beds Pillows Bolsters Mattresses Sheets Blankets Odd Articles Total Books At tides Destroyed (Owners' Request) Cleansing Station Verminous Persons 1 nfectious Disc- Requests Bedding only D.BC. Library Private Total Beds Pillows Bolsters Mattresses Sheets Blankets Odd Articles Total Wearing Apparel Towels Blankets Total Baths Wearing Apparel Stoved -
Page 111
Table III. SHOWING NUMBER OF ROOMS DISINFECTED.
1932 Scarlet Fever Diphtheria Pulmonary Tuberculosis Small-Pox Measles Scabies Cancer Chicken Pox Pneumonia Erysipelas Puerperal Fever Typhoid Fever Cerebro-Spinal Meningitis Formalin Spray Fumigated Infectious Requests Total Rooms Verminous Premises Rooms R'ms. R'ms -
Page 112
GOSTERWOOD STREET CLINIC.
1932 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 112
NAPIER STREET CLINIC.
1932 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 113
GOLDSMITHS' COLLEGE CLINIC.
1932 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 114
BESSON STREET CLINIC.
1932. 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 115
ST. GEORGE'S HALL, SHARDELOES ROAD.
1932. No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consul tations with Doctor. Breast Fed. Mixed. Hand. Ages 1—5 -
Page 116
CHURCH STREET CLINIC.
1932 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