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

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

Still-births, 43. Rate per 1,000 total births, 29.2.

	Death-rate.

Page 10

Number of women dying in, or in consequence of, childbirth:

		Rate per 1,000 (live and still) births.

Page 10

Death-rate or infants under one year of age, per 1,000 births

Page 11

By courtesy of the Superintendent Registrar the following gives details as to the places in which these marriages were conducted:

Page 11

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 11

43 still-births were registered during the year as follows:—

Page 12

The figures relative to illegitimacy for previous years areas follows:

	Av. for 10 vrs. 1915-24.	Av. for 5 yrs. 1925-29	1930	1931	1932	1933	1934	1935

Page 12

Births Notified in the Borough during Year 1935.

Ward.	Births notified.			Alive	Dead	By whom notified
Ward.	Total	Male	Female	Alive	Dead	Parent	Doctor	Midwife

Page 13

Seasonal Mortality.

Quarter ended.	1934		1935
Quarter ended.	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.		Ergland & Wales. London.
Year.	No.	Rate per 1,000 of the population.

Page 14

D eaths— S ex and W ard D istribution.

Ward.	Males.	Females	Children 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), 1935.	Average No. for 10 years 1915-24.	Average 1925-1929	1930	1931	1932	1933	1934	1935	Increase or decrease over 1934

Page 15

The following Table expresses as percentages of the total mortality the incidence in the various acre groups:—

	Average 1915.24	Average 1925.25	1930	1931	1932	1933	1934	1935

Page 15

The infantile mortality rate for 1935 was 52 per 1,000 births and the following Table gives the death-rates for England and Wales, London and Deptford for previous years:—

Year	Deptford		England & Wales	London
Year	No.	Death-rate per 1.000 Births	Death-rate per 1,000 Births	Death-rate per 1,000 Births

Page 16

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 17

Particulars of the bodies received were as follows :

Total.	Male.	Female.	Inquests.	Postmortems.	Under 1 year of age.	Deposited to await burial only.	Infectious.

Page 17

The causes of death were as follows:—

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 29

Summary of Sanitary Work carried out during the year 1935.

	Number of District.										Compara tive figures for 1934.
	1	2	3	4	5	6	7	8	9	Totals	Compara tive figures for 1934.

Page 30

Summary of Sanitary Work— continued.

	Number of District.										Comparative figures for 1934.
	1	2	3	4	5	6	7	8	9	Totals	Comparative figures for 1934.

Page 30

R eference to D istricts.

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.
1935		£	s.	d.	£	s.	d.

Page 36

inspections.

Premises.	Number of
Premises.	Inspections.	Written Notices.	Occupiers prosecuted.

Page 36

The types of premises inspected were as follows:—

Type.	Factories, N umber.	Workshops, Number.	Workplaces, Number.

Page 37

DEFECTS FOUND.

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

Page 39

(ii) possibly overcrowded or (iii) satisfactory. The following scale, as laid down by Statute was used in this connection:—

Number of rooms in each letting	Permitted number
Number of rooms in each letting	Actual	Reduced

Page 41

For the purpose of record and as a matter of interest generally a Table is appended, giving information as to the position in the Borough as a whole

Size of family (in equivalent number of persons)	Totals of Families			Size of family in equivalent number of persons)		Totals of Families
Size of family (in equivalent number of persons)	Overcrowded	Not Overcrowded	Total	Size of family in equivalent number of persons)		Overcrowded	Not Overcrowded	Total

Page 42

The final analysis of these tables can be summarised in the following statement:—

Additional dwellings required on the standard of Table I in the First Schedule to the 1935 Act (Table F)		Additional dwellings required on the standard of 1½ persons a room (using the percentages in Table G)
Size	Number	3 rooms	4 rooms	5 rooms	6 rooms	7 rooms	8 rooms	9 rooms	10 rooms	Total

Page 49

Bacteriological Examination of Milk. Forty samples of Milk were examined bacteriologically with the following results:—

Designation.	Total Count in 1 cc.	Designation.	Total Count in 1 cc.

Page 56

The following is a statement of the sampling done and results obtained in 1935:—

	Total.	Number Adulterated.	Percentage of samples adulterated.

Page 56

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 57

Food and Drugs—Samples Taken.

Articles.	Number Genuine.	Number Adulterated.	Total.	Percentage of Adulteration.

Page 58

Samples Taken— continued.

Articles.	Number Genuine.	Number Adulterated.	Total	Percentage of Adulteration.

Page 59

Action Taken in regard to Formal Samples Purchased Food and Drugs (Adulteration) Act during the Year 1935.

Sample No.	Article.	Particulars of Adulteration or Infringement,	Fine.			Costs.			Remarks.
			£	s.	d.	£	s.	d.

Page 60

Action Taken in regard to Informal Samples.

Sample No	Article	Particulars of Adulteration or Infringement	Action taken.

Page 64

CASES OF INFECTIOUS DISEASE, EXCLUDING TUBERCULOSIS, NOTIFIED DURING THE YEAR 1935. INCIDENCE AND MORTALITY BY AGE GROUPS.

Notifiable Disease	At all Ages	Total Cases Notified. At Ages—Years							TotalCases Removed to Hospital	Total Deaths	Deaths at Ages—Years
Notifiable Disease	At all Ages	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and up	TotalCases Removed to Hospital	Total Deaths	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and up

Page 65

SEASONAL INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES.

Disease.	1st quarter	2nd quarter	3rd quarter	4th quarter	Total for year

Page 65

Scarlet Fever.

Year	No. of Cases	Attack Rate per 1,000 population	No. of Deaths	Case Mortality per cent.

Page 66

WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1935.

Notifiable Disease	Total Cases in Borough	Total Cases Notified in each Ward											Town Hall
Notifiable Disease	Total Cases in Borough	Deptford Park	Evelyn	St. Paul's	Vale	Clifton	Canterbury	Hatcham	Pepys	St. Catherine's	St. Peter's	St. John's	Town Hall

Page 67

Diphtheria. The following table shows the incidence and mortality from Diphtheria in 1935 as compared with previous years:—

Year	No. of Cases	Attack Rate per 1,000 population	No. of Deaths	Case Mortality per cent.

Page 67

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 68

Since made compulsorily notifiable, the number of notifications have been as follows:—

Year.	Year.

Page 69

Return made on or before the 10th of February, 1936, by Mr. E. S. Elliott , Vaccination Officer, respecting the vaccination of children whose births were registered from 1st January to 31st December, 1934, inclusive:—

Registration Sub-Districts comprised in the vaccination Officer's District.	No. of Births from 1st Jan. to 31st Dec., 1934.	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 children under 14 received during Calendar Year 1936.	No. c f Declarations of Conscientious Objections actually-received by Vaccination Officer during the Calendar Year 1935.
	No. of Births from 1st Jan. to 31st Dec., 1934.	Successfully Vaccinated.	Insusceptible of Vaccination.	Had Smallpox.	Certificates of Conscientious Objection received.	Dead. Un vaccinated.	Postponement by Medical Certificate.	Removal to Districts, V.O. of which apprised.	Removal to places unknown and cases not found.

Page 70

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	1933	1934	1935

Page 70

Acute Poliomyelitis. The average number of notifications received between 1915-1924 was two. The figures since 1924 are as follows:-

	1925	1926	1927	1928	1929	1930	1931	1932	1933	1934	1935

Page 70

The subsequent figures were:—

	1925	1926	1927	1928	1929	1930	1931	1932	1933	1934	1935

Page 70

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 71

Since the 1st January, 1928, Malaria, induced therapeutically, is notifiable if liable to recur.

	Average 1920-1924	Average 1925-1923	1930	1931	1932	1933	1934	1935

Page 71

Dysentery. The figures are as follows:—

	Average 1920-1924 (total)	Average 1925-1929	1930	1931	1932	1933	1934	1935

Page 71

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 1920-1924	Average 1925-29	1930	1931	1932	1933	1934	1935

Page 71

The following is a tabular statement of the notifications and deaths in recent years.

Year.	Cases.	Deaths.	Death-rate per 1,000 births.

Page 72

The notifications received have been as follows:—

	1926 (part)	1927	1928	1929	1930	1931	1932	1933	1934	1935

Page 72

The following is a statement of notifications received:—

	1926 (part)	1927	1928	1929	1930	1931	1932	1933	1934	1935

Page 72

The following is a statement of the results of treatment in respect of the cases notified in 1935:—

Notified	Treated		Vision unimpaired	Vision impaired	Total blindness	Since died from other Causes
Notified	At home	In hospital	Vision unimpaired	Vision impaired	Total blindness	Since died from other Causes

Page 73

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 73

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 74

The fatality in past years is as follows:—

	No. of Deaths.	Percentage of total Deaths.	Death-rate per 1,000 population

Page 74

Laboratory Work at Seamen's Hospital, Greenwich, 1935.

Material.	Number Positive.	Number Negative.	Total.

Page 75

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 76

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 77

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 80

TUBERCULOSIS. The following is a tabular statement of the cases coming to our knowledge by notification and otherwise:—

Year.	Pulmonary.			Non-Pulmonary.
Year.	M.	F.	Total per 1.000 of pop illation.	M.	F.	Total per 1.000 of population

Page 80

The Death-rate in recent years is as follows:—

Year.	England and Wales, per 1,000 population.		Deptford. per 1,000 population.
Year.	Pulmonary*	Non-pulmonary.	Pulmonary*	Non-pulmonary.

Page 81

Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications during the period from the 1st January, 1935 to the 31st December, 1935.

	Notifications on Form A.
	Age Periods.												Total Notifications on Form A.
	0-]	1-5	5-10	10-15	15-20	20-25	25-35	35-45	45-55	55-65	65 and up	Total Primary Notifica-tioi s.	Total Notifications on Form A.

Page 82

SUPPLEMENTAL RETURN. 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	G5 and up	Total Cases

Page 82

The source or sources from which information as to the above-mentioned cases was obtained is stated below:—

Source of Information.		No. of Cases.
Source of Information.		Pulmonary.	Non-Pulmonary.

Page 83

Supplemental Return— continued. Notification Register.

	Pulmonary			Non-pulmonary			Total Cases
	Males	Females	Total	Males	Females	Total	Total Cases

Page 85

Home accommodation of 153 of the Cases notified in 1935 (hospital, lodging-house and "diagnosis not confirmed" cases omitted).

Page 86

The number of deaths for the year is 89 as compared with 102 for 1934.

	1931	1932	1933	1934	1895

Page 86

Particulars of New Cases and of Deaths during the Year 1935.

Age Periods.	New Cases.*				Deaths.
	Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary
	M	F	M	F	M	F	M	F

Page 86

P ulmonary T uberculosis.

Page 87

The notifications of non-Pulmonary Tuberculosis were as follows:—

Page 87

With the addition of transfers from other areas and new notifications the Register stands at the end of 1935 as follows:—

	MALES		FEMALES		Total
	Under 15	Over 15	Under 15	Over 15	Total

Page 88

Memo 37/T. Table I. TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Year 1935.

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 91

Analysis of contacts of 157 of the cases primarily notified during the year (including cases notified after death but excluding lodging-house cases and cases in which the diagnosis was not confirmed):—

	Total	T.B. Positive	T.B. Negative	Non-Pul-monary

Page 91

Total School Contact Cards sent to School Medical Officer 83

Page 93

Result of Tuberculin Skin Tests of 92 Children.

	Age 1—2 Group (7)			Age 2—5 Group (18)			Age 5—12 Group (49)			Age 12—15 Group (18)
	Not known to be contacts	Contacts of t.B. – cases	Contacts of T.B. + cases	Not known to be contacts	Contacts of T.B. – cases	Contacts of T.B. + cases	Not known to be contacts	Contacts of T.B.– cases	C ontacis of T.B. + cases	Not known to be contacts	Contacts of T.B. – cases	C ontacts of T.B. + cases

Page 95

The income and expenditure in connection with the supply of dentures and repairs to dentures to 18 patients were as follows:—

						£	s.	d.

Page -

Supplementary Annual Return showing in summary form la) the condition at the end of 1935 of all paiients 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 classification 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					1933					1934					1935
				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. 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. \| lus
				Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B plus)	Class T.B. minus.	Group 1	Group 2	Group 3	Total Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	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 1935 of all patients remaining on the Dispensary Register ; and (6) 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					1933					1934					1935
				Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints.	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints.	Abdominal.	Other Organs.	Peripheral Glands.	Total.	Bones and Joints.	Abdominal.	Other Organs	Peripheral Glands	Total.	\| Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total

Page 103

Summary of Visits paid by Health Visitors, 1935.

Wards (approximate)		Deptford Park and Kvelyn (part)	St. Paul's and Evelyn (part)	Vale and Clifton	Canterbury and Hatcham	Fepys and St. Catherine's	St. Peter's St. John's and Town Hall	Total

Page 104

Analysis of Visits paid by Health Visitors, 1935.

To infants under 5 years Enquiries re	Visits.	Re-visits.	Total.

Page 104

To infants over 5 years Enquiries re

Page 104

Other visits

Page 105

Attendances of Health Visitors at Clinics.

Health Visitor.	Infant Welfare.	Ante-Natal.	Light.	Schick.	Dental.	Total

Page 105

(For details, see Appendix, Table IV.)

Clinic.	No. of times open.	New Cases		Attendances
Clinic.	No. of times open.	Under 1 year.	Ages 1-5 years.	Total New Cases	Total Old Cases	Total New and Old Cases	Under year	1—5 years	Consultations with Doctor

Page 106

Ante-Natal Clinic. 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 107

Abnormalities:—

Page 108

The following is a statement of the year's work:—

Month 1935	Patients on Register at commencement of cach month.	New Patients admitted	Patients Readmitted	Patients Discharged	Patients on Register at the end of month	Total Attendances

Page 108

Classification of Patients during Year.

	Admissions.	Re-admissions.

Page 109

The Dental Surgeon, Mr. J. Eric Magraw, has furnished me with the following details of the work in 1935:—

	Cases.	Extractions.	Fillings.	Scalings, Silver Nitrate etc.	Gas Cases.	Dentures Supplied. Repair'd

Page 113

The following table shows the numbers on the Register during the year under report:—

	No. at end of 1934.	Added.	Removed.	No. at end of year 1935.

Page 116

Table 1. Causes of Death at Different Periods of Life in the Metropolitan Borough of Deptford, 1935.

CAUSES OF DEATH.	Sex.	All Ages	0-	1—	2 —	5—	15 -	25—	35 —	45—	55—	65—	75-

Page 117

Table I — continued.

CAUSES OF DEATH.	Sex.	All Ages.	0—	1—	2—	5-	15—	25-	35—	45—	55-	65—	75-

Page 118

Table II. SHOWING NUMBER OF PREMISES VISITED AND ARTICLES COLLECTED FOR DISINFECTION OR DESTROYED AT OWNERS' REQUEST.

Page 119

Table III. SHOWING NUMBER OF ROOMS DISINFECTED.

1935	Diphtheria	Scarlet Fever	Pulmonary Tuberculosis	Scabies	Cancer	Chicken Fox	Measles	Erysipelas	Impetigo	Puerperal Fever	Bronchitis	Cerebro-Spinal Meningitis	Anthrax	Formalin Spray		Sulphur Fumigated Verminous	Total Rooms
1935	Diphtheria	Scarlet Fever	Pulmonary Tuberculosis	Scabies	Cancer	Chicken Fox	Measles	Erysipelas	Impetigo	Puerperal Fever	Bronchitis	Cerebro-Spinal Meningitis	Anthrax	Infectious	Requests	Sulphur Fumigated Verminous	Total Rooms

Page 120

GOSTER WOOD STREET CLINIC.

1935	No. of	New Cases.				Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consultations with Doctor.
1935	times Clinic opened.	Breast Fed.	Mixed.	Hand.	Ages 1—5.	Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consultations with Doctor.

Page 120

NAPIKK STREET CLINIC.

1935	No. of times Clinic opened.	New Cases.				Total New Cases. 1	Total Old Cases. V	Total New and Old Cases	Consultations with Doctor
1935	No. of times Clinic opened.	Breast Fed.	Mixed.	Hand.	Ages 1—5	Total New Cases. 1	Total Old Cases. V	Total New and Old Cases	Consultations with Doctor

Page 121

GOLDSMITHS' COLLEGE CLINIC.

1935	No. of times Clinic opened.	New Cases.				Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consul-tations with Doctor.
1935	No. of times Clinic opened.	Breast Fed.	Mixed.	Hand.	Ages 1—5.	Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consul-tations with Doctor.

Page 121

PRINCESS LOUISE INSTITUTE, HALES STREET CLINIC.

1935	No. of times Clinic opened.	New Cases.				Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consultations with Doctor.
1935	No. of times Clinic opened.	Breast Fed.	Mixed.	Hand.	Ages 1—5.	Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consultations with Doctor.

Page 122

BESSON STREET CLINIC.

1935	No. of times Clinic opened.	New Cases.				Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consultations with Doctor.
1935	No. of times Clinic opened.	Breast Fed	Mixed.	Hand.	Ages 1-5.	Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consultations with Doctor.

Page 122

ILDERTON ROAD CLINIC.

Page 123

ST. GEORGE'S HALL, SHARDELOES ROAD.

Page 123

ST. JOHN'S CLINIC.

1935	No. of times Clinic opened.	New Cases.				Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consultations with Doctor.
1935	No. of times Clinic opened.	Breast Fed.	Mixed.	Hand.	Ages 1-5	Total New Cases.	Total Old Cases.	Total New and Old Cases.	Consultations with Doctor.

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Deptford 1935

107 tables in this report

The permanent open spaces are as follows :—

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:

Still-births, 43. Rate per 1,000 total births, 29.2.

Number of women dying in, or in consequence of, childbirth:

Death-rate or infants under one year of age, per 1,000 births

By courtesy of the Superintendent Registrar the following gives details as to the places in which these marriages were conducted:

The following table illustrates the steady fall that has taken place : BIRTHS.

43 still-births were registered during the year as follows:—

The figures relative to illegitimacy for previous years areas follows:

Births Notified in the Borough during Year 1935.

Seasonal Mortality.

The trend of the death.rate in recent years is shown by the following table:—

D eaths— S ex and W ard D istribution.

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 :

The following Table expresses as percentages of the total mortality the incidence in the various acre groups:—

The infantile mortality rate for 1935 was 52 per 1,000 births and the following Table gives the death-rates for England and Wales, London and Deptford for previous years:—

Nett Deaths from stated causes at various Ages under 1 year of Age.

Mortality (Stated as Percentages) in Age-groups.

Particulars of the bodies received were as follows :

The causes of death were as follows:—

The following is a summary of the cases visited on behalf of the Borough Council by members of the District Nursing Associations:—

Summary of Sanitary Work carried out during the year 1935.

Summary of Sanitary Work— continued.

R eference to D istricts.

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:—

inspections.

The types of premises inspected were as follows:—

DEFECTS FOUND.

(ii) possibly overcrowded or (iii) satisfactory. The following scale, as laid down by Statute was used in this connection:—

For the purpose of record and as a matter of interest generally a Table is appended, giving information as to the position in the Borough as a whole

The final analysis of these tables can be summarised in the following statement:—

Bacteriological Examination of Milk. Forty samples of Milk were examined bacteriologically with the following results:—

The following is a statement of the sampling done and results obtained in 1935:—

The adulteration in respect of samples submitted for analysis during the previous seven years is as follows:—

Food and Drugs—Samples Taken.

Samples Taken— continued.

Action Taken in regard to Formal Samples Purchased Food and Drugs (Adulteration) Act during the Year 1935.

Action Taken in regard to Informal Samples.

CASES OF INFECTIOUS DISEASE, EXCLUDING TUBERCULOSIS, NOTIFIED DURING THE YEAR 1935. INCIDENCE AND MORTALITY BY AGE GROUPS.

SEASONAL INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES.

Scarlet Fever.

WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1935.

Diphtheria. The following table shows the incidence and mortality from Diphtheria in 1935 as compared with previous years:—

Schick testing and inoculation began in March, 1927. The figures for successive years are as follows:—

Since made compulsorily notifiable, the number of notifications have been as follows:—

Return made on or before the 10th of February, 1936, by Mr. E. S. Elliott , Vaccination Officer, respecting the vaccination of children whose births were registered from 1st January to 31st December, 1934, inclusive:—

During the decennium 1915-1924, the yearly notifications averaged three cases. The figures since then are as follows:—

Acute Poliomyelitis. The average number of notifications received between 1915-1924 was two. The figures since 1924 are as follows:-

The subsequent figures were:—

Pneumonia. Both Acute Primary and Influenzal Pneumonia are notifiable, and a statement of the notifications received and deaths recorded are as follows:—

Since the 1st January, 1928, Malaria, induced therapeutically, is notifiable if liable to recur.

Dysentery. The figures are as follows:—

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:—

The following is a tabular statement of the notifications and deaths in recent years.

The notifications received have been as follows:—

The following is a statement of notifications received:—

The following is a statement of the results of treatment in respect of the cases notified in 1935:—

The following indicates the mortality directly attributed to Influenza since 1920:—

Measles. That Measles is a most important cause of death is often overlooked. The following is a statement of the mortality during recent years.

The fatality in past years is as follows:—

Laboratory Work at Seamen's Hospital, Greenwich, 1935.

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).

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:—

Deaths from Cancer by Sex and Age.

TUBERCULOSIS. The following is a tabular statement of the cases coming to our knowledge by notification and otherwise:—

The Death-rate in recent years is as follows:—

Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications during the period from the 1st January, 1935 to the 31st December, 1935.

SUPPLEMENTAL RETURN. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health, otherwise than by formal notification.

The source or sources from which information as to the above-mentioned cases was obtained is stated below:—

Supplemental Return— continued. Notification Register.

Home accommodation of 153 of the Cases notified in 1935 (hospital, lodging-house and "diagnosis not confirmed" cases omitted).

The number of deaths for the year is 89 as compared with 102 for 1934.

Particulars of New Cases and of Deaths during the Year 1935.