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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 1934

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

Published
1935
Pages
129
Tables
84

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84 tables in this report

  • Page 8
    The permanent open spaces are as follows:—
    Situation.Size.Maintained by.
  • Page 10
    Figures dealing with the number of births and deaths and the mortality from certain specified diseases serve as a rough index of the health of a community, and the following extracts from the vital statistics are of interest in this connection:
    Male.Female.Total.Grand Total.Birth-rate.
  • Page 10
    Number of women dying in, or in consequence of, childbirth:
    Rate per 1,000 (live and still) births.
  • Page 11
    The following table illustrates the steady fall that has taken place:
    No.BIRTHS.
    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 12
    The figures relative to illegitimacy for previous years areas follows:
    Av. for 10 yrs 1915-1924Av. for 5 yrs. 1925-192919301931193219331934
  • Page 12
    Births Notified in the Borough during Year 1934.
    Ward.Births notified.AliveDeadBy whom notified
    TotalMaleFemaleParentDoctorMidwife
  • Page 13
    Seasonal Mortality.
    Quarter ended.19331934
    No.Rate per 1,000 of population.No.Rate per 1,000 of population.
  • Page 13
    The trend of the death-rate in recent years is shown by the following table:—
    Year.Deptford.England & Wales.London.
    No.Rate per 1,000 of the population.
  • Page 14
    Deaths—Sex and Ward Distribution.
    Ward.Males.FemalesChildren under 1 yearTotal deaths
  • Page 14
    Causes of Death. An analysis of the causes of death will be found in Table 1 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), 1934.Average No. for 10 years 1915-24.Average 1925-192919301931193219331934Increase or decrease over 1933
  • Page 15
    The following Table expresses as percentages of the total mortality the incidence in the various age groups:—
    Average 1915-24Average 1925-2919301931193219331934
  • Page 15
    The infantile mortality rate for 1934 was 68 per 1,000 births and the following Table gives the death-rates for England and Wales, London and Deptford for previous years:—
    DeptfordEngland & WalesLondon
    YearNo.Death-rate per 1,000 BirthsDeath-rate per 1,000 BirthsDeath-rate per 1,000 Births
  • Page 16
    Infantile Mortality, 1934. 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 monthsTotal Deaths under 1 year.
  • Page 17
    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 17
    Public Mortuary. During the year there were received the bodies of 218 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.Unknown.Deposited to await burial only.Infectious.
  • 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 yearsOthersTotal cases nursed
    CasesVisitsCasesVisits
  • Page 28
    In accordance with my usual practice, I submit herewith the general statement as to the past year's work, together with comparative figures for previous years:—
    192919301931193219331934
  • Page 29
    Summary of Sanitary Work carried out during the year 1934 .
    Number of district.Compara- tive figures for 1933.
    1234567Totals
  • Page 30
    Summary of Sanitary Work — continued.
    Number of District.Comparative figures for 1933.
    1234567Totals
  • Page 31
    The following is a full list of legal proceedings instituted daring 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.
    1934£s.d.£s.d.
  • Page 35
    Inspections.
    Premises.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 38
    Clearance Areas.
    AreaNo. of housesNo. of persons
  • Page 45
    Bacteriological Examination of Milk. Thirty-one samples of Milk were examined bacteriologically with the following results:—
    Designation.Total Count in 1 cc.Designation.Total Count in 1 cc.
  • Page 48
    During the year 1934, large quantities of foodstuffs were imported at the Wharf, and the following is a summary of the work done:—
    Description.Weight.ExaminationRemarks.
  • Page 49
    Continued from previous page...
    Description.Weight.Examination.Remarks.
  • Page 50
    The following is an analysis of the notifications received, grouped according to the causal agent:—
    Food.No. of cases.
  • Page 51
    The following is a statement of the sampling done and results obtained in 1934:—
    Total.Number Adulterated.Percentage of samples adulterated.
  • Page 51
    The adulteration in respect of samples submitted for analysis during the previous seven years is as follows:—
    Year.Number of Samples taken.Percentage Adulterated.
  • Page 52
    Food and Drugs (Adulteration) Act, 1928.
    Articles.Number Genuine.Number Adulterated.Total.Percentage of Adulteration.
  • Page 53
    Samples Taken— continued.
    Articles.Number Genuine.Number Adulterated.TotalPercentage of Adulteration.
  • Page 54
    Action Taken in regard to Formal Samples Purchased during the year 1934.
    Simple No.Article.Particulars of Adulteration or Infringement.Fine.Costs.Remarks.
    £s.d.£s.d.
  • Page 58
    CASES OF INFECTIOUS DISEASE, EXCLUDING TUBERCULOSIS, NOTIFIED DURING THE YEAR 1934. 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 255 to 4545 to 6565 and upUnder 11 to 55 to 1515 to 2525 to 4545 to 6565 and up
  • Page 59
    SEASONAL INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES.
    Disease.1st quarter2nd quarter3rd quarter4th quarterTotal for year
  • Page 59
    Scarlet Fever.
    YearNo. of CasesAttack Rate per 1,000 populationNo. of DeathsCase Mortality per cent.
  • Page 60
    WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1934.
    Notifiable DiseaseTotal Cases in BoroughTotal Cases Notified in each Ward
    Deptford ParkEvelynSt. Paul'sValeCliftonCanterburyHatchamPepysSt. Catherine'sSt. Peter'sSt. John'sTown Hall
  • Page 61
    The number of deaths, which in recent years had fallen, reverted to the average for the years 1915-1924.
    YearNo. of CasesAttack Rate per 1,000 populationNo. of DeathsCase Mortality per cent.
  • Page 61
    Schick testing and inoculation began in March, 1927. The figures for successive years are as follows:—
    Year.Positive.Number of Schick Tests.Total.Fully Inoculated.Partly Inoculated.No. of Inoculations given.
    Negative.Unknown Result.
  • Page 63
    Return made on or before the 9th of February, 1935, by Mr. E. S. Elliott , Vaccination Officer, respecting the vaccination of children whose births were registered from 1st January to 31st December, 1933, inclusive:—
    Registration Sub-Districts comprised in the vaccination Officer's District.No. of Births from 1st Jan. to 31st Dec., 1933.Number of these Births duly entered by 31st Jan., 1935.No. of Births which on 31st Jan.. 1935 remained unentered in the Vaccination Register on account of—No. of these births remaining on 31st Jan., 1935 not accounted for.Total No. of Certificates of successful Primary Vaccination at all ages received during Calendar Year 1934.No. of Declarations of Conscientious Objections actually received by Vaccination Officer during the Calendar Year 1934.
    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 64
    Both Acute Primary and Influenzal Pneumonia are notifiable, and a statement of the notifications received and deaths recorded are as follows:—
    No. of cases Noti fied.No. of deaths (all forms of Pneumonia.)Death rate per 1,000 population.
  • Page 65
    The following is a tabular statement of the notifications and deaths in recent vears.
    Year.Cases.Deaths.Death-rate per 1,000 births.
  • Page 67
    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 67
    Measles. 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 68
    The fatality in past years is as follows:—
    No. of Deaths.Percentage of total Deaths.Death-rate per 1,000 population
  • Page 68
    Laboratory Work at Seamen's Hospital, Greenwich, 1934.
    Material.Number Positive.Number Negative.Total.
  • Page 70
    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 Deaths.Rate per 1,000 population.
  • Page 71
    Deaths from Cancer by Sex and Age.
    Average, YearSexUnder 25 years25 to 45 years45 to 65 years65 to 75 years75 years and upwardsTotals
  • Page 74
    TUBERCULOSIS. The following is a tabular statement of the cases coming to our 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 74
    The Death-rate in recent years is as follows:—
    England and Wales, per 1,000 population.Deptford. per 1.000 population.
    Year.Pulmonary*Non-pulmonary.Pulmonary*Non-pulmonary.
  • Page 75
    Summary of Notifications during the period from the 1st January, 1934 to the 31st December, 1934.
    Notifications on Form A.
    Age Periods.Total Notifications on Form A.
    0-]1-55-1010-1515-2020-2525-3535-4545-5555-6565 and upTotal Primary Notifications.
  • Page 77
    Supplemental Return— continued. Notification Register.
    PulmonaryNon-pulmonaryTotal Cases
    MalesFemalesTotalMalesFemalesTotal
  • Page 79
    Home accommodation of 146 of the Cases notified in 1934 (hospital, lodging-house and "diagnosis not confirmed" cases omitted).
  • Page 80
    Particulars of New Cases and of Deaths during the Year 1934.
    Age Periods.New Cases.*Deaths.
    PulmonaryNon-PulmonaryPulmonaryNon-Pulmonary
    mfmfmfmf
  • Page 81
    Report of Tuberculosis Officer—continued. The notifications of non-Pulmonary Tuberculosis were as follows:—
  • Page 81
    With the addition of transfers from other areas and new notifications the Register stands at the end of 1934 as follows:—
    MALESFEMALESTotal
    Under 15Over 15Under 15Over 15
  • Page 82
    Memo 37/T. Table I. TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Year 1934.
    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
    Report of Tuberculosis Officer—continued. Examination and Supervision of Contacts. Analysis of contacts of 166 of the cases primarily notified daring the year (including cases notified after death but excluding lodging-house cases and cases in which the diagnosis was not confirmed) :—
    Deptford Park, Evelyn, Vale and St. Paul's Wards.
    TotalT.B. PositiveT.B. NegativeNon-Pul- monary
  • Page 87
    Result of Tuberculin Skin Tests of 108 Children.
    Age 1-2 Group (12)Age 2—5 Group (19)Age 5—12 Group (58)Age 12—15 Group (19)
    Not known to be contactsContacts of T.B. — casesContacts of T.B. + casesNot known to be contactsContacts of T.B. — casesContacts of T.B. + casesNot known to be contactsContacts of T.B. - casesContacts of T.B. + casesNot known to be contactsContacts of T.B. - casesContacts of T.B. + cases
  • Page 88
    The income and expenditure in connection with the supply of dentures to 12 patients were as follows:—
    £s.d.
  • Page 88
    The Dental Surgeon, Mr. J. Eric Magraw, reports the following as a summary of the year's work:—
    Fillings.
  • Page -
    To face page 92 Report of Tuberculosis Officer—continued. TUBERCULOSIS SCHEME. (a) PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 19S4 of all paiients remaining on the Dispensary Register; and (6) 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 classification at that time.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1926192619271928192919301931113219331934
    Class T.B. minusClass T.B. plusClas-. T.B. minusClass T.B. pluss Class T B. minuClass 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. plusClass T.B. minusClass T.B. pit'sClass 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 1Group1 Group 3Total (Class T.B. plus)Group 1| Group 2Group 3Total (Class T.B. plus)Gro^P IGroup 2Group 3Total (Class T.B. plus)Group 1Group 2Group 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 1934 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 1926192619271928192919301931193219331934
    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.Bones and JointsAbdominalOther Org.«nsPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotal
  • Page 99
    Summary of Visits paid by Health Visitors, 1934.
    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 HallTotal.
  • Page 100
    Analysis of Visits paid by Health Visitors, 1934. To infants under 5 years
    Enquiries reVisits.Re-visits.Total.
  • Page 101
    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 CasesAttendancesConsultations 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 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 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 monthTotal Attendances
  • Page 104
    C lassification of P atients during Y ear.
    Admissions.Re-admissions.
  • Page 105
    The Dental Surgeon, Mr. J. Eric Magraw, has furnished me with the following details of the work in 1934:—
    Cases.Extractions.Fillings.Scalings, Silver Nitrate etc.Gas Cases.Dentures
    Supplied.Repair'd
  • Page 109
    The following table shows the numbers on the Register during the year under report:—
    No. at end of 1933.Added.Removed.No. at end of year 1934.
  • Page 112
    Table 1. Causes of Death at Different Periods of Life in the Metropolitan Borough of Deptford, 1934.
    CAUSES OF DEATH.Sex.All Ages0—l—2—5—15—25—35—45—55—65—75-
  • Page 113
    Table 1— continued.
    CAUSES OF DEATH.Sex.All Ages.0—1 —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.
    1934Premises VisitedArticles for DisinfectionArticles Destroyed (Owners' Request)BooksCleansing Station. TowelsLodging Houses
    Infectious DiseasesRequestsBedding onlyRemovals PrivateRemovals L.C.C.VerminousTotalBedsPillowsBolstersMattressesSheetsBlanketsOdd ArticlesTotalBedsPillowsBolstersMattressesSheetsBlanketsOdd ArticlesTotalD .B.C. Library.Private :TotalPersons CleansedArticles Stoved
  • Page 115
    Table III. SHOWING NUMBER OF ROOMS DISINFECTED.
    1934Scarlet FeverDiphtheriaPulmonary TuberculosisScabiesMeaslesCancerPuerperal FeverSmall PoxCerebro-Spinal MeningitisChicken FoxEncephalitis LethargicaImpetigoInfantile ParalysisTyphoid FeverFormalin SpraySulphur Fumigated VerminousTotal Rooms
    InfectiousRequests
  • Page 116
    GOSTERWOOD STREET CLINIC.
    1934No. 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
    GOLDSMITHS' COLLEGE CLINIC.
    1934No. 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 117
    PRINCESS LOUISE INSTITUTE, HALES STREET CLINIC.
    1934No. 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 118
    Besson street clinic.
    1934No. 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 118
    ILDERTON ROAD CLINIC.
    1934No. 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 119
    ST. GEORGE'S HALL, SHARDELOES ROAD.
    1934No. 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 119
    ST. JOHN'S CLINIC.
    1934No. 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