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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 1936
[Report of the Medical Officer of Health for Deptford, Metropolitan Borough of]
- Published
- 1937
- Pages
- 135
- Tables
- 104
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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. 56 still . births were registered during the year as follows :—
Legitimate Illegitimate Total -
Page 12
The number of illegitimate births was equivalent to 3 per cent . of the total births.
Av. for 10 yrs. 1915-24. Av.for 5 yrs. 1925-29 1930 1931 1932 1933 1934 1935 1936 -
Page 12
The following is an analysis of these notifications: Births Notified in the Borough, Year ending 31/12/36.
Ward. Births notified. By whom notified Total Male Female Alive Dead Parent Doctor Midwife Others -
Page 13
Seasonal Mortality.
Quarter ended. 1935 1936 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. 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), 1936. Average No. for 10 years 1915-24. Average 1925-1929 1930 1931 1932 1933 1934 1935 1936 Increase or decrease over 1935 -
Page 15
The following Table expresses as percentages of the total mortality the incidence in the various age groups :—
Average 1915-24 Average 1925-29 1930 1931 1932 1933 1934 1935 1936 -
Page 15
The infantile mortality rate for 1936 was 50 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 No. Death-rate per 1,000 Births Death-rate per 1,000 Births Death-rate per 1,000 Births -
Page 16
Infantile Mortality, 1936. Nett Deaths from stated causes at various Ages under 1 year of Age.
CAUSE OF DEATH. Under 1 week. 1 to 2 weeks. '1 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 months Total Deaths under 1 year. All Causes 19 7 l 6 33 15 13 13. 3 77 -
Page 17
The following Table illustrates the trend of infant mortality during recent years in regard to deaths in the various age groups. 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:
Month, 1936 Male Female Inquests Post-Mortems Under 1 year -
Page 18
Inquests.
Natural Causes Accidental Causes Suicide Misadventure Murder Open Verdict -
Page 18
Bodies Received.
1936 Deptford Other Districts -
Page 28
SANITARY WORK. 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:—
1930 1931 1932 1933 1934 1935 1936 -
Page 29
Summary of Sanitary Work carried out during the year 1936.
Number of District. Comparative figures for 1935. 1 2 3 4 5 6 7 8 9 Totals -
Page 29
R eference to D istricts.
District No. Inspector. Wards (approximate) -
Page 30
Summary of Sanitary Work— continued.
Number of District. Comparative figures for 1934. 1 2 3 4 5 6 7 8 9 Totals -
Page 30
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. 1936 £ 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 39
The following table records the work done in connection with housing inspection:—
-
Page 45
The following is a tabular statement of the visits made by Mr. Yates, Food Inspector:—
No. of Visits. -
Page 46
Bacteriological Examination of Milk. 52 samples of Milk were examined bacteriologically with the following results:—
Designation. Total Count in 1 cc. Designation. Total Count in 1 cc -
Page 47
Continued from previous page...
Designation. Total Count in 1 cc. Designation, Total Count in 1 cc. -
Page 49
Inspector Webster.
Description. Quantity Extent of Examinatio n. Remarks. -
Page 50
Continued from previous page...
Description, Quantity. Extent of Examinatiom Remarks. -
Page 51
Continued from preom previous page...
Description. Quantity. Extent of Examination Remarks. -
Page 51
TRANSHIPPED
Description Quantity -
Page 54
The following is a statement of the sampling clone and results obtained in 1936 :—
Total. N limber Adulterated. Percentage of samples adulterated. * -
Page 55
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 56
Food and Drugs—Samples Taken.
Articles. Number Genuine. Number Adulterated. Total. Percentage of Adulterated Samples. -
Page 57
S amples T aken— continued.
Articles. Number Genuine. Number Adulterated. Total Percentage of Adulterated Samples. -
Page 58
Samples Taken— continued.
Articles. Number Genuine. Number Adulterated. Total. Percentage of Adulterated Samples. -
Page 58
Action Taken in regard to Formal Samples Purchased under the food and drugs (adulteration) act during the year 1936.
Simple No. Article. Particulars of Adulteration or Infringement, Fine. Costs. Remarks. -
Page 59
Action Taken in regard to Informal Samples.
Sample No Article Particulars of Adulteration or infringement Action taken. -
Page 61
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 Total Cases Notified. At Ages—Years TotalCases Removed to Hospital Total Deaths Deaths at Ages—Years At all A(jes Under 1 1 to 5 5 to 15 15 to 25 25 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 64
SEASONAL INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES.
Disease 1st quarter 2nd quarter 3rd quarter 4 th quarter Total for year -
Page 64
Scarlet Fever.
Year No. of Cases Attack Rate per 1,000 population No. of Deaths Case Mortality per cent -
Page 65
WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1936.
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 66
Diphtheria. The following table shows the incidence and mortality from Diphtheria in 1936 as compared with previous years:—
Year No. of Cases Attack Rate per 1,000 population No. of Deaths Case Mortality per cent -
Page 66
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 67
Chicken-pox. Since made compulsorily notifiable, the number of notifications have been as follows:—
-
Page 68
Return made on or before the 13th of February, 1937, by Mr. E. S. Elliott , Vaccination Officer, respecting the vaccination of children whose births were registered from 1st January to 31st December, 1935, inclusive :—
Registration Sub-Districts comprised in the vaccination Officer's District. No. of Births from 1st Jan. to 31st Dec., 1935. Number of these Births duly entered by 31st Jan., 1937. No. of Births which on 31st Jan. 1937 remained unentered in the Vaccination Register on account of— No. of these births remaining on 31st Jan.. 1937 not accounted for. Total No. of Certificates of successful Primary Vaccination children under 14 received during Calendar Year 1936. No. of Declarations of Conscientious Objections actually received by Vaccination Officer during the Calendar Year 1936. Successfully Vaccinated. 1 nsuscept-ible 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 69
Cerebro-spinal Meningitis. During the decennium 1915-1924, the yearly notifications averaged three cases. The figures since then are as follows:—
19-25 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 -
Page 69
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 1936 -
Page 69
V Encephalitis Lethargica. 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 1933 1934 1935 1936 -
Page 70
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 70
Malaria. Since the 1st January, 1928, Malaria, induced therapeutically, is notifiable if liable to recur.
Average Average 1920.1924 1925.1929 1930 1931 1932 1933 1934 1935 1936 -
Page 70
The figures are as follows:—
Average Average 1920.1924 (total) 1925.1929 1930 1931 1932 1933 1934 1935 1936 -
Page 70
Infantile Diarrhoea. 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 1936 -
Page 71
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 71
notifications received have been as follows:—
1926 (part) 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 -
Page 71
The following is a statement of notifications received:—
1926 (part) 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 -
Page 72
The following is a statement of the results of treatment in respect of the cases notified in 1936:—
Notified Treated Vision unimpaired Vision impaired Total blindness Since died from other Causes At home In hospital -
Page 73
Influenza. The following indicates the mortality directly attributed to nfluenza 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
Whooping.Cough. 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, 1936.
Material. Number Positive. Number Negative. Total. -
Page 77
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 78
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 81
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 81
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 82
PUBLIC HEALTH (TUBERCULOSIS) REGULVTIONS, 1930. Summary of Notifications during the period from the 1st January, 1936 to the 31st December, 1936.
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 83
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 65 and up Total Cases -
Page 83
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 84
Supplemental Return — continued. NOTIFICATION REGISTER.
Pulmonary Non-pulmonary Total Cases Males Females Total Males Females Total -
Page 86
Home accommodation of 141 of the Cases notified in 1936 (mental hospital, lodging-house and "diagnosis not confirmed" cases omitted).
CASES and Number in Family. 113 Pulmonary Tuberculosis. 28 Non-Pulmonary Tuberculosis. 80 Cases with T.B. in Sputum. Rooms. 33 Cases in which T.B. not known to be present in Sputum. Rooms. Rooms. 1 2 3 4 5 or more 1 2 3 4 5 or more 1 2 3 4 5 or more -
Page 87
The number of deaths for the year is 76 as compared with 89 for 1935.
1931 1932 1933 1934 1935 1936 -
Page 87
Particulars of New Cases and of Deaths during the Year 1936.
Age Periods. New Cases.* Deaths. Pulmonary Non-Pulmonary Pulmonary Non-Pulmonary m f m f m f m f -
Page 87
Pulmonary Tuberculosis. Interval between Notification and Death in 1936.
-
Page 88
The notifications of non-Pulmonary Tuberculosis were as follows:—
-
Page 88
With the addition of transfers from other areas and new notifications the Register stands at the end of 1936 as follows:—
MALES FEMALES Total Under15 Over 15 Under 15 Over 15 -
Page 89
Memo 37 T. Table I. TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Year 1936.
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 146 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-Pulmonary -
Page 93
The income and expenditure in connection with the supply of dentures and repairs to dentures to 18 patients were as follows:—
£ s. d. -
Page 98
Supplementary Annual Return showing in summary form (a) the condition at the end of 1936 of all paients remaining on the Dispensary Register; and (6) the reasons for the removal of all cases written oft 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 1936 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. 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 2 Group 3 Total(Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group I 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) -
Page -
Supplementary Annual Return showing in summary form (a) the condition at the end of 1936 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 1926 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 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 j Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Principal Glands Total Class T.B. minus Class T.B. plus Group 1 "roup 2 Group 3 rotal (Class T.B. plus) -
Page 102
Summary of Visits paid by Health Visitors, 1936.
Health Visitor District Visits Re-visits Total -
Page 102
Analysis of Visits paid by Health Visitors, 1936.
To infants tinder 5 years Enquiries re Visits. Re-visits Total. -
Page 103
Continued from previous page...
To children over 5 years -
Page 103
Other visits
-
Page 104
Attendances of Health Visitors at Clinics.
Health Visitor Infant ' Welfare Toddlers' Clinic Ante-Natal Light Massage Schick Dental Total -
Page 105
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 Consultations with Doctor Under 1 year. Ages 1-5 years. Total New Cases Total Old Cases Total New and Old Cases Under year 1—5 years -
Page 105
Ante-Natal Clinic. The work of the Ante-natal Clinic during recent years is illustrated bv the following figures.
Year. No. of individual women attending. Average number of attendances per week. Total number of attendances made. -
Page 106
The following is a statement of the year's work:—
1936, Months. Patients on Register at commencement of each month. New Patients Admitted. Patients Re-admitted. Patients Discharged. Patients on Register at end of month. Attendances each month. Total Attendance for each month Under 1 Year 1—5 V ears A.-N. P.-N. Under 1 Year 1—5 Years A.-N. P.-N. Under 1 Year I -5 Years A.-N. P.-N. Under 1 Year 1—5 Years A.-N. P.-N. Under 1 Year 1—5 Years A -N. P.-N. Under ] Year 1—5 Years A.-N. P.-N. -
Page 109
Classification of Patients admitted during the Year.
Diseases. Admissions. Re-admissions. Under 1 Yr. Over 1 Yr. Ante-Nat. Post Nat. Under 1 Yr. Over 1 Yr. Ante-Nat. Post Nat. -
Page 110
The following attendances of Mothers were registered:—
-
Page 110
The Dental Surgeon, Mr. J. Eric Magraw, has furnished me with the following details of the work in 1936:—
Cases. Extractions. Fillings. Scalings, Dentures Silver Nitrate etc. Gas Cases. Supplied. Repair'd -
Page 115
The following table shows the numbers on the Register during the year under report:—
No. at end of 1935. Added. Removed. No. at end of year 1936. -
Page 117
Table 1. Causes of Death at Different Periods of Life in the Metropolitan Borough of Deptford, 1936.
CAUSES OF DEATH. Sex. All Ages 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75- -
Page 118
Table I —continued
CAUSES OF DEATH. Sex. All Ages. 0— 1— 2— 5— 15— 25- 35- 45— 55— 65— 75— -
Page 119
Table II. SHOWING NUMBER OF ARTICLES DISINFECTED OR DESTROYED AT OWNER'S REQUEST.
1936 Articles Stoved Articles Destroyed at Owner's Request Books Bathing Station Lodging Houses Beds Holsters Pillows Mattresses Sheets Blankets Miscellan'us Total Beds Bolsters Pillows Sheets Blankets Mattresses Miscellan'us Books Total D.B.C. Library Private Total Towels Blankets Wearing Apparel Total Persons Cleanse Wearing Apparel -
Page 120
Table III. SHOWING NUMBER OF PREMISES VISITED AND ROOMS DISINFECTED.
1936 Premises Visited Rooms Disinfected Infectious Diseases Requests Bedding only Removals Verminous Scarlet Fever Diphtheria Pulmonary Tuberculosis Scabies Measles Cancer Erysipelas Whooping Cough Typhoid Fever Mumps Formalin Spray Sulphur Total Rooms Infectious Diseases Requests Removals Verminous -
Page 121
GOSTERWOOD STREET CLINIC AND GROUP SESSIONS AT CENTRAL CLINIC.
1936 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 121
NAPIER STREET CLINIC GROUP.
1936 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 122
GOLDSMITHS' COLLEGE CLINIC.
1936 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 122
PRINCESS LOUISE INSTITUTE, HALES STREET CLINIC.
1936 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 123
BESSON STREET GROUP.
1936 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 123
ILDERTON ROAD CLINIC.
1936 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 124
ST. GEORGE'S HALL GROUP.
1936 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 124
ST. JOHN'S CLINIC GROUP (CENTRAL CLINIC).
1936 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