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

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  • Table on page 55
    SUMMARY OF CONDEMNED MEAT
    AnimalConditionNo. affectedWeight
    Text on page 55

    Animal Condition No. affected Weight lbs. Bovines Tuberculosis 14 2,861 Non-Tuberculosis 9 973½ Calves Tuberculosis 1 8 Non-Tuberculosis 6 195 Sheep Non-Tuberculosis 60 645 Pigs Tuberculosis 864 5,989 Non-Tuberculosis 732 3,039 Total

    Text on page 5

    Zymotic Death Rate (11 deaths) 0.071 Tuberculosis Death Rate (all forms, 43 deaths) 0.488 ,, (Pulmonary Tuberculosis, 34 deaths) 0.129 (Non- „ „ 9 „ ) 0.014 Disease of Respiratory Organs other than Tuberculosis, 61 deaths 0.876 Cancer Death Rate,

    Text on page 57

    SUMMARY OF CONDEMNED MEAT Animals Condition Part Condemned Number affected Weight in lbs. Bovines Tuberculosis Carcase 3 2,644 „ Head and Tongue 2 56 Head and Lungs 2 38 „ Head, Tongue and Liver 1 40 „ Lungs 1 16 „ Lungs and Heart 4 64 „ Mesentery

    Table on page 57
    SUMMARY OF CONDEMNED MEAT
    AnimalsConditionPart CondemnedNumber affectedWeight in lbs.

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    Text on page 56

    2.4% over the previous year. Tuberculosis was again the chief cause which necessitated the surrender of the meat, 8.1% of the animals dressed being affected with this disease. The amount destroyed for disease other than Tuberculosis showed

    Text on page 68

    27 children needed to be kept under observation during the year for conditions of heart and circulation. TUBERCULOSIS. The classification of the notified cases on the roll of Elementary Schools in the district is :— Pulmonary— Three cases

    Text on page 84

    Children with severe epilepsy Nil (h) Tuberculous children— i. Pulmonary tuberculosis— At public elementary schools 2 At no school or institution 1 ii. Non-pulmonary tuberculosis— At public elementary schools 15 At other institutions 3 (i)

    Text on page 6

    and due to old age and not to disease. TUBERCULOSIS DEATH RATE. The number of deaths from all forms of Tuberculosis was 43, and the death rate of 0.488 compares with 0.381 in 1936. 34 deaths were due to pulmonary tuberculosis, and 9 to other forms.

    Text on page 42

    Voluntary Tuberculosis Care Committee was formed in the area, and it is anticipated that this organisation will be able to give considerable assistance to patients in ways which are outside the scope of the official schemes. PUBLIC HEALTH (PREVENTION

    Table on page 41
    TUBERCULOSIS—TABLE OF PRIMARY NOTIFICATIONS AND DEATHS, 1937
    Ages.Wards.
    Notifications.Totals.0 to 44 to 55 to 1515 to 2525 to 3535 to 4545 to 5555 to 6565 and overCopers CopeEden ParkLangley | ParkShort-landsManor HouseKent HouseLawrie ParkWickhamTotal
    Table on page 84
    TABLE III. Return of all Exceptional Children in the Area, 1937.
    Table on page 43
    BACTERIOLOGICAL WORK The number and results of the examinations made at the Public Health Department Laboratory during 1937 was:—
    Disease suspectedTotal 1937Results Positive NegativeComparative Total for 1936
    Text on page 40

    OPHTHALMIA NEONATORUM. No cases were notified. TUBERCULOSIS. The table on page 41 gives details of the number of new cases, the deaths, the age and sex of the patients, and the wards to which

    Text on page -

    Treatment Maternity Home Sanitary Circumstances of Area Infectious Diseases— Diphtheria Immunisation Tuberculosis Bacteriological Work Sanitary Inspection of the District— Summary of Visits made Premises controlled by Bye-Laws Shops

    Text on page 27

    11 - Scarlet Fever 56 59 115 86 2 Enteric Fever - 5 5 2 - Puerperal Fever and Pyrexia 9 8 17 - - Pneumonia 44 7 51 — 38 Tuberculosis (all forms) - - 60 - 43 Erysipelas 4 3 7 - - Poliomyelitis 2 10 12 - — Polio-Encephalitis 2 - 2 - 1 Ophthalmia Neonatorum - - - - -

    Text on page 41

    41 TUBERCULOSIS—TABLE OF PRIMARY NOTIFICATIONS AND DEATHS, 1937 Ages. Wards. Notifications. Totals. 0 to 4 4 to 5 5 to 15 15

    Text on page 60

    - - — — — — — — — - - - - - - - - Cerebro-Spinal Fever 1 — 1 1 1 - — — - - - — - — - - - - - - - - 1 - 1 Pulmonary Tuberculosis 34 21 13 34 - - 1 1 3 5 16 5 2 1 - - 3 2 2 8 2 5 7 5 34 Non-Pulmon'y Tuberculosis 9 3 6 9 1 1 — 1 1 2 1 - 1 1 - - - - - 2 2 1 2 2 9 Syphilis 1 — 1 1 - - — — — — - 1 - - - — - - - 1 - - - - 1 Cancer

    Table on page 27
    INFECTIOUS DISEASE The following table gives the number of cases which were notified during the year, the number removed to Hospital for treatment, and the number of deaths.
    DiseasesNotifiedRemoved to HospitalTotal Deaths
    Bk.W.W.TotalTotal
    Table on page 56
    A detailed account of the animals inspected and of the meat destroyed is given in the following tables. Carcases Inspected and Condemned.
    Cattle excluding CowsCowsCalvesSheep and LambsPigs
    Table on page 60
    TABLE SHOWING CAUSES OF DEATHS AT DIFFERENT AGE PERIODS DURING THE YEAR, 1937
    Causes of DeathRegistrar General.All ages0 to 11 to 22 to 55 to 1515 to 2525 to 3535 to 4545 to 5555 to 6565 to 7575 to 8585 and overCopers CopeShortlandsLangley ParkEden ParkManor HouseKent HouseLawrie ParkWest Wickham |Total
    MaleFemaleTotal
    Text on page 14

    Wednesday afternoons. Clinic Block, Town Hall Aural Tuesday afternoons, monthly Clinic Block, Town Hall Tuberculosis Dispensary Wednesdays, 5 to 6 p.m. Fridays, 1.30 to 3.30 p.m. 1, Westbury Road, Penge 14

    Text on page 15

    The Tuberculosis work is carried out by the Kent County Council, and the staff and the premises are maintained by them. PUBLIC MORTUARY. There

    Text on page 43

    Disease suspected Total 1937 Results Positive Negative Comparative Total for 1936 Diphtheria 321 12 309 310 Tuberculosis 145 17 128 170 Other Diseases 50 6 44 66 Total 516 35 481 546 43

    Text on page 49

    after Scarlet Fever and Diphtheria has been discontinued since 1932. Bedding is steam disinfected after Tuberculosis, without charge, and at Hospitals and Nursing Homes to prevent the spread of infection. Other work is done on request and

    Text on page 54

    afternoon and evening on each of the seven days of the week. As usual, pigs contributed most of the diseased meat, Tuberculosis being the chief complaint which caused the unfit condition. Bovines were responsible for a large quantity of the destroyed

    Text on page 58

    Animals Condition Part Condemned Number affected Weight in lbs. Pigs Tuberculosis Lungs 4 5 (contd.) II Lungs and Mesentery 4 20 li Lungs and Heart 1 1 II Liver 13 45 II Pluck 60 422 II Pluck and Mesentery 2 15 II

    Text on page 77

    Diseases 8 1 3 17 8 3 — — 40 18 Verminous Heads 7 — 6 6 — 1 — — 20 3 Bronchitis 1 2 2 6 8 1 — — 20 16 Lungs—Non T.B. — — - — — — — — — — Tuberculosis — — - — — — — — — — Debility - 2 6 5 2 2 — 1 18 65 9 Ear Conditions. - — 1 1 3 — — — 5 Enlarged Glands 2 — — 4 — 2 — — 8 6 Eye Conditions - — — 3 — — — — 3

    Text on page 83

    Functional Heart Disease 5 3 6 2 Anaemia 3 — 1 — Lungs— Bronchitis 2 — 7 3 Other non-Tuberculous Diseases ... 3 6 13 20 Tuberculosis— Suspected Pulmonary — 2 3 — Non-Pulmonary — — 1 — Nervous System— Epilepsy — — 1 — Other conditions 1 6 6 4 Deformities— Spinal

  • Table on page 51
    SUMMARY OF CONDEMNED MEAT
    Animal.Condition.No. affected.Weight.
    Text on page 51

    affected. Weight. Cows Tuberculosis 2 24 lbs. Non-Tuberculosis 7 908 „ Oxen Tuberculosis 21 287 „ Non-Tuberculosis 12 250 „ Calves Tuberculosis 12 226 „ Non-Tuberculosis 9 129½ „ Sheep Non-Tuberculosis 108 1,561 „ Pigs Tuberculosis 1.139

    Text on page 5

    Zymotic Death Rate (3 deaths) 0.042 Tuberculosis Death Rate (all forms, 25 deaths) 0.354 ,, (Pulmonary Tuberculosis, 22 deaths) 0.312 Disease of Respiratory Organs other than Tuberculosis, 84 deaths 1.189 Cancer Death Rate, 96 deaths 1.359

    Text on page 6

    and due to old age and not to disease. TUBERCULOSIS DEATH RATE. The number of deaths from all forms of Tuberculosis was 25, and the death rate of 0.354 compares with 0.488 in 1937. 22 deaths were due to pulmonary tuberculosis, and 3 to other forms.

    Text on page 36

    Voluntary Tuberculosis Care Committee was formed in the area, and it is anticipated that this organisation will be able to give considerable assistance to patients in ways which are outside the scope of the official schemes. PUBLIC HEALTH (PREVENTION

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    Text on page 50

    bovines were found to be affected with a disease to some extent. Only two of the cows, or 4.8% were affected with Tuberculosis, but 63% of the oxen were affected with the disease. The disease was, however, localised in each case and it was therefore

    Text on page 52

    SUMMARY OF CONDEMNED MEAT Animal. Condition. Part condemned. No. affected. Weight in lbs. Bovine Tuberculosis Head and Tongue 5 128 „ Lungs 4 35 „ Lungs and Heart 6 62 „ Liver 4 44 „ Mesentery 2 18 „ Lungs and Mesentery 2 24 „ 23 311 Non-Tuberculous:

    Table on page 35
    TUBERCULOSIS—TABLE OF PRIMARY NOTIFICATIONS AND DEATHS, 1938
    Notifications.Totals.Ages.Wards.
    0 to 44 to 55 to 1515 to 2525 to 3535 to 4545 to 5555 to 6565 and overCopers CopeEden ParkLangley ParkShort-landsManor HouseKent HouseLawrie ParkWickhamTotal
    Table on page 52
    SUMMARY OF CONDEMNED MEAT
    Animal.Condition.Part condemned.No. affected.Weight in lbs.
    Table on page 37
    BACTERIOLOGICAL WORK The number and results of the examinations made at the Public Health Department Laboratory during 1 938 was :—
    Disease suspectedTotal 1938ResultsComparative Total for 1937
    PositiveNegative
    Table on page 81
    Continued from previous page...
    Text on page 33

    Maternity Home. The table on page 34 gives details of the cases. OPHTHALMIA NEONATORUM. One case was notified. TUBERCULOSIS. The table on page 35 gives details of the number of new cases, the deaths, the age and sex of the patients, and the wards to which

    Text on page 64

    58 children needed to be kept under observation during the year for conditions of heart and circulation. TUBERCULOSIS. The classification of the notified cases on the roll of Elementary Schools in the district is:— Pulmonary— Five cases:

    Text on page -

    Treatment Maternity Home Sanitary Circumstances of Area Infectious Diseases— Diphtheria Immunisation Tuberculosis Bacteriological Work Sanitary Inspection of the District— Summary of Visits made Premises controlled by Bye-Laws Shops

    Text on page 35

    35 TUBERCULOSIS—TABLE OF PRIMARY NOTIFICATIONS AND DEATHS, 1938 Notifications. Totals. Ages. Wards. 0 to 4 4 to 5 5 to 15 15

    Text on page 80

    Public Elementary Schools Nil (g) Children with severe epilepsy Nil (h) Tuberculous children— i. Pulmonary tuberculosis— At Public Elementary Schools 1 At no school or institution 2 At other institutions 2 80

    Text on page 81

    ii.Non-pulmonary tuberculosis— At Public Elementary Schools 13 At other institutions 2 At no school or institution 1 (i) Delicate children— At Public Elementary

    Text on page 55

    - - - - - - - - - - - - - - - - - - - - Cerebro-Spinal Fever - - - - - - - - - - - - - - - - - - - - - - - - Pulmonary Tuberculosis 22 13 9 22 - - - - 7 3 5 3 1 3 - - 1 2 - 4 5 2 2 6 22 Non-Pulmon'y Tuberculosis 3 2 1 3 - - - - - - - - - - - - - - - - - - 1 1 3 Syphilis - - - - - - - - - - - - - - - - - - - - - - - - - General

    Table on page 27
    INFECTIOUS DISEASE The following table gives the number of cases which were notified during the year, the number removed to Hospital for treatment, and the number of deaths.
    DiseasesNotifiedRemoved to HospitalTotal Deaths
    Bk.W.W.TotalTotal
    Table on page 51
    Carcases Inspected and Condemned.
    Cattle excluding CowsCowsCalvesSheep and LambsPigs
    Table on page 80
    TABLE III. Return of all Exceptional Children in the Area, 1938
    Table on page 55
    TABLE SHOWING CAUSES OF DEATHS AT DIFFERENT AGE PERIODS DURING THE YEAR, 1938
    Causes of DeathRegistrar General.All ages0 to 11 to 22 to 55 to 1515 to 2525 to 3535 to 4545 to 5555 to 6565 to 7575 to 8585 and overCopers CopeShortlandsLangley ParkEden ParkManor HouseKent HouseLawrie ParkWest WickhamTotal
    MaleFemaleTotal
    Text on page 13

    Wednesday afternoons. Clinic Block, Town Hall Aural Tuesday afternoons, monthly Clinic Block, Town Hall Tuberculosis Dispensary Wednesdays, 5 to 6 p.m. 1, Westbury Road, Penge Fridays, 1.30 to 3.30 p.m. 13

    Text on page 27

    19 3 22 17 2 Scarlet Fever 117 57 174 131 — Enteric Fever 1 — 1 1 — Puerperal Pyrexia 9 4 13 2 1 Pneumonia 27 6 33 — 28 Tuberculosis (all forms) 54 17 71 — 25 Erysipelas 12 4 16 — — Poliomyelitis — — — — — Polio-Encephalitis — — — — — Ophthalmia Neonatorum 1 — 1

    Text on page 37

    Disease suspected Total 1938 Results Comparative Total for 1937 Positive Negative Diphtheria 379 17 362 321 Tuberculosis 168 20 148 145 Other Diseases 70 15 55 50 Total 617 52 565 516

    Text on page 43

    after Scarlet Fever and Diphtheria has been discontinued since 1932. Bedding is steam disinfected after Tuberculosis, without charge, and at Hospitals and Nursing Homes to prevent the spread of infection. Other work is done on request and

    Text on page 74

    Diseases — — 3 5 6 2 1 — 17 40 Verminous Heads — 1 — 3 2 5 2 — 13 20 Bronchitis 1 — 1 1 1 — 1 — 5 20 Lungs—Non T.B. — — — — — — — — — — Tuberculosis 1 — — — — — — — 1 — Debility — — — 1 2 1 — — 4 18 Ear Conditions. — — 2 1 2 — 1 — 6 5 Enlarged Glands 2 5 — 6 5 — 1 — 19 8 Eye Conditions — 2 2 2 6 2 — — 14

    Text on page 79

    TABLE II. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1938. Excluding Defects of Nutrition,

  • Table on page 21
    SUMMARY OF CONDEMNED MEAT
    Animal.Condition.No. affected.Weight.
    Text on page 21

    affected. Weight. Cows Tuberculosis 8 800 lbs. Non-Tuberculosis 2 186 „ Oxen Tuberculosis 25 859 „ Non-Tuberculosis 9 203 „ Calves Tuberculosis 4 16 ,, N on-T uberculosis 10 122½ „ Sheep Non-Tuberculosis 28 576 „ Pigs Tuberculosis 577 3,767 J .,

    Text on page 13

    Care Committee.–The Voluntary Tuberculosis Care Committee has given considerable assistance to patients in ways which are outside the scope of the official schemes. PUBLIC HEALTH (PREVENTION OF TUBERCULOSIS) REGULATIONS, 1925. No occasion

    Text on page 20

    was, however, present to a larger extent in cows, 21.05% of them being affected. In the oxen there was a marked reduction; 25% as against 63%—of the animals suffered from this disease. In every case the appropriate authority was acquainted with

    Table on page 14
    The number and results of the examinations made at the Public Health Department Laboratory during 1939 was:—
    Disease suspectedTotal 1939ResultsComparative Total for 1938
    PositiveNegative

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    Text on page -

    Treatment Maternity Home Sanitary Circumstances of Area Infectious Diseases— Diphtheria Immunisation Tuberculosis Bacteriological Work Sanitary Inspection of the District— Summary of Visits made Premises controlled by Bye-Laws Shops

    Table on page 12
    The following table gives the number of cases which were notified during the year, the number removed to Hospital, and the age grouping:—
    Disease.NotifiedRemoved to HospitalAge Groups.
    Beck.W.W.Totalunder l yr.1/22/33/44/55/ 1010/ 1515/ 2020/ 3535/ 4545/ 6565 & over
    Table on page 21
    Carcases Inspected and Condemned.
    Cattle excluding CowsCowsCalvesSheep and LambsPigs
    Text on page 12

    – – – – – – – – – – Measles (from 1/10/39) 2 – 2 – – – – – – – 1 – 1 – – – Whooping Cough (from 1/10/39) – 1 1 – – – – – – 1 – – – – – – Tuberculosis (all Forms) 55 11 66 – 1 — — 1 — 8 31 10 13 2 DIPHTHERIA. Thirteen cases were notified, compared with 22 cases in 1938. Seven of

    Text on page 14

    Disease suspected Total 1939 Results Comparative Total for 1938 Positive Negative Diphtheria 274 5 269 379 Tuberculosis 151 15 136 168 Other Diseases 31 7 24 70 Total 456 27 429 617 14

    Text on page 18

    after Scarlet Fever and Diphtheria has been discontinued since 1932. Bedding is steam disinfected after Tuberculosis, without charge, and at Hospitals and Nursing Homes to prevent the spread of infection. Other work is done on request and

    Text on page 28

    Diseases 1 2 - 1 - - - 1 5 17 Verminous Heads 1 - 3 5 - 2 10 — — 21 13 Bronchitis - - 1 - - - 2 2 - 5 5 I.ungs—Non T.B. - - - - - - - - - - - Tuberculosis - - - - - - 1 - - 1 1 Debility - - - - - - 2 — - 2 4 Ear Conditions — - - 1 - - - - - 1 6 Enlarged Glands - - - 2 - 1 - - 3 19 Eye Conditions - - 2 1 - 4 3 11

  • Table on page 14
    New Cases attending the Chest Clinics for the first time during 1964
    AdultsChildren under 15 years
    MaleFemaleMaleFemale
    Text on page 14

    years Male Female Male Female Pulmonary Tuberculosis 11 9 1 1 Non-Pulmonary Tuberculosis - 4 - - Non-Tuberculosis 99 57 32 30 Non-Tuberculosis Tuberculosis New Contacts Examined 97 3 B.C.G-. Vaccination of contacts: 62 Patients admitted to

    Table on page 6
    For comparison, deaths from Respiratory Tuberculosis are shown
    19601961196219631964
    Text on page -

    2 Summary of Vital Statistics 4 Total Deaths 3 Cancer Deaths, I960 to 1964 6 Notifications and Deaths from Tuberculosis 7 Infantile Mortality 8 Stillbirths 9 Section B. Health and Social Services Hospitals and Clinics 10 County Council Health

    Text on page 15

    BECKENHAM DISTRICT TUBERCULOSIS CARE COMTITIEE The following report on the work of the local Tuberculosis Care Committee has been submitted by the Hon. Secretary., Mr. M.E, Forster, to whom I express my thanks. Twenty seven years ago the Beckernham

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    Table on page 7
    TUBERCULOSIS - Table of Notifications and Deaths, 1964, from Local Records
    SEXTotalAGESWARDS*
    M.F.0 to 56 to 1011 to 1516 to £021 to 2526 to 3536 to 4546 to 5556 to 6566 and overAge Un knownL.Pk. and K.H.M.H.C.C.C.H.E.P.Short lands|W.W. (Nth)W.W. (sth).
    Text on page 5

    Official Returns). All causes - 854. Male, 406 Female 448. CAUSES OF DEATH MALES FEMALSS l. Tuberculosis, respiratory 2 – 2. Tuberculosis, other - _ 3. Syphilitic disease - 1 4. Diphtheria - - 5. Whooping Cough - - 6. Meningococcal infections

    Text on page 6

    Deaths from Cancer 182 193 199 196 188 Males 450 Females 508 Total 958 For comparison, deaths from Respiratory Tuberculosis are shown 1960 1961 1962 1963 1964 1 1 4 2 2 Males 10 Females 0 Total 10 -6-

    Text on page 22

    eni s Holiday s We have been able to arrange holidays for a number of children who are recommenaed to us by the Tuberculosis After Care Committee and Health Visitors, Last summer seven children benefited from a holiday at the seaside or in the country,

    Table on page 5
    TOTAL DEATHS, 1964 (Registrar-General's Official Returns). All causes - 854. Male, 406 Female 448.
    CAUSES OF DEATHMALESFEMALSS
  • Text on page 5

    complaint. In regard to Tuberculosis the Council have passed a resolution by which Pulmonary Tuberculosis is now voluntarily notifiable. I am glad to find that this has been done because I have in several previous annual reports invited practitioners

    Text on page 17

    they are conducive to the spread of Tuberculosis among the animals. To obtain sound milk healthy beasts are essential, and healthy beasts are not produced by unhealthy measures. Cows display signs of Tuberculosis either by wasting and cougning,

    Text on page 18

    currents which pervade infected cowsheds. Cows suffering from obvious tuberculosis of the udder are likely to be detected and weeded out, but cows with early tuberculosis of the lungs without wasting, and those which display no symptoms whatever

    Table on page 15
    The following Table shows the principal causes of death in 1907 compared with those under review:—
    Disease.19071908
    Text on page 19

    the udder. The best known means at the present time for the detection of tuberculosis in cattle is the use of the Tuberculin test. It has been realised for some years that tuberculosis in cattle in this country is by no means uncommon. There can be

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    Text on page -

    Bromley Road Schools for two weeks on that account. Ten deaths were registered as being caused by Pulmonary Tuberculosis of people varying in age from 28 to 56 years,

    Text on page 15

    Disease 37 28 Cancer 25 29 Bronchitis 22 12 Senile Decay 21 17 Diseases of the Nervous System 21 26 Pneumonia 18 15 Tuberculosis 13 27

    Text on page 32

    their hosts vulnerable not only to Scarlet Fever, but to other serious complaints such as Rheumatic Fever, Tuberculosis, and so on. In regard to this question of Scarlet Fever Carriers, I would suggest that an additional medical inspection of

  • Text on page 58

    cases of Tuberculosis are referred to the Tuberculosis Dispensary for examination and observation. As the School Medical Officer is also Tuberculosis Officer, the work of following up these children is simplified. There were 52 Beckenham School

    Text on page 34

    resided. The Medical Officer of Health is Tuberculosis Officer for this area, and is in charge of the Tuberculosis Dispensary under the Scheme of the Kent County Council. The Senior Health Visitpr also acts as Tuberculosis Nurse, so that the Health

    Text on page 36

    Tuberculosis work. At the end of the year the total number of Beckenham cases who were suffering from active disease was as follows: — Pulmonary Tuberculosis 101 Non-Pulmonary Tuberculosis 42

    Text on page -

    and Drainage 10 Statistics, Summary of 5 Surface Water Drainage 11 Trench Fever 33 Tubercular Death Rate 5 Tuberculosis 34, 35, 36 Typhoid Fever 29-31 Water Supply 10 Whooping Cough 32

    Table on page 17
    The following Table gives the results of these examinations and the diseases suspected:—
    Diseases suspected.Total Number of Examinations.Result.
    Positive.Negative.

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    Table on page 45
    HOUSING CONDITIONS. Statistics.
    Text on page 5

    1,000 living 0.4 Death-rate per 1,000 from other forms of Tuberculosis 0.2 Total Tubercular Death-rate 0.6 Death-rate from Disease of Respiratory Organs other than Tuberculosis 1.1 Death-rate from Cancer per 1,000 living 1.4 Infantile

    Table on page 36
    TUBERCULOSIS.—TABLE II.
    Year.No. of Deaths from Phthisis.Deaths from other Tubercular Diseases.Total Deaths all forms of Tubercular Disease.Total Tubercular Death Rate per 1,000 Population.Phthisis Death Rate per 1,000 Population.
    Text on page 84

    Attending Public Elementarv Schools 12 3 15 Attending Certified Schools for Physically Defective Children ... ... ... In Institutions other than Certified Schools ... ... ... Not at School 2 2 4 Crippling due to Tuberculosis Attending Public

    Text on page 89

    Dental Disease 887 Heart Disease— Organic 14 Functional 13 Anaemia 7 Lung Disease (Non-Tubercular) 29 Tuberculosis— Pulmonary (definite) — (suspected) — Non-Pulmonary 4 Disease of the Nervous System 7 Deformities 39 Other defects and

    Text on page -

    52 Routine Inspection, 1920 53, 82 Skin Diseases 54, 55 Staff 50 Statistics 50 Treatment of Defects 85-89 Tuberculosis 58 Uncleanliness 54 Maternity Home 40, 41 Meteorology, Table of 48 Milk (Mothers and Children) Order, 1919 43 Mumps 34 Notification

    Table on page 89
    TABLE VI. SUMMARY RELATING TO CHILDREN MEDICALLY INSPECTED AT THE ROUTINE INSPECTIONS DURING THE YEAR 1920.
    Table on page 84
    MEDICAL INSPECTION RETURNS. TABLE III. NUMERICAL RETURN OF ALL EXCEPTIONAL CHILDREN IN AREA IN 1920.
    Boys.Girls.Total.
    Text on page 9

    and cause of death. The principal causes were: Cancer 47, Bronchitis and Pneumonia 43, Heart Disease 40, Tuberculosis 21. INQUESTS. Eleven inquests were held on deaths occurring within the District, and the cause of death was returned as

    Text on page 17

    Diseases suspected. Total Number of Examinations. Result. Positive. Negative. Diphtheria 660 106 554 Tuberculosis 172 32 140 Typhoid Fever 4 1 3 Other Diseases 73 18 55 Totals 909 157 752

    Text on page 45

    December, 1920. 1.—General. (1) Estimated Population 33812 (2) General Death-Rate 10.1 (3) Death-Rate from Tuberculosis 0.6 (4) Infantile Mortality 61.4 (5) Number of Dwelling Houses of all Classes 7752 (6) Number of Working Class Dwelling

  • Table on page 33
    New Cases attending the Tuberculosis Dispensaries for the first time during 1947 (Information from the Tuberculosis Officer)
    AdultsChildren under 15 years
    MaleFemaleMaleFemale
    Text on page 33

    Positive Contacts Examined 120 4 - - No. of patients admitted to Sanatoria during the year: 66 Tuberculosis Care Committee. The Voluntary Tuberculosis Care Committee which was formed in 1938 has continued to raise considerable sums of money and

    Table on page 34
    Tuberculosis—Table of Notifications and Deaths, 1947, from Local Records
    SexAgesWards
    M.F.Total0 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 65Over 65L.PR.K.H.M.H.C.C.E.P.PR.L.ShortW.W.
    Table on page 32
    The number and results of the examinations made at the Public Health Department Laboratory during 1947 was:—
    Disease suspectedTotal 1947ResultsComparative Total for 1946
    PositiveNegative
    Text on page 32

    1947 Results Comparative Total for 1946 Positive Negative Diphtheria 95 95 117 Tuberculosis 39 3 36 41 Other Diseases 12 1 11 6 Total 146 4 142 164 Tuberculosis. The total of 81 cases compare with 78, 64, 79, 71 and 76 in the preceding five years. In

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    Table on page 27
    The following table gives the number of cases notified during the year, the number removed to Hospital and the number of deaths. Cases of Tuberculosis are shown in a separate table.
    DiseaseBeckenhamWest WickhamTotal0 to 11 to 55 to 1010 to 1515 to 2525 to 4545 to 65Over 65Age UnknownAdmitted to HospitalDeaths
    Text on page -

    Legitimate 16 20 Illegitimate 2 Total 39 Death Rate from Cancer (136 deaths) 1.775 Death Rate from Pulmonary Tuberculosis (19 Deaths) 0.256

    Text on page 27

    number of cases notified during the year, the number removed to Hospital and the number of deaths. Cases of Tuberculosis are shown in a separate table. Disease Beckenham West Wickham Total 0 to 1 1 to 5 5 to 10 10 to 15 15 to 25 25 to 45 45 to 65 Over 65

    Text on page 34

    34 Tuberculosis—Table of Notifications and Deaths, 1947, from Local Records Sex Ages Wards m. F. Total 0 to 5 5 to 10 10 to 15

    Table on page 9
    Table of Causes of Infant Deaths in Beckenham. Cases in 1947.
    Age in WeeksTotal under 1 mthAge in MonthsTotal under 1 yr.
    0-11-22-33-41-34-67-910-12
    Text on page -

    REPORT OF THE MEDICAL OFFICER OF HEALTH FOR 1947 TABLE OF CONTENTS Page 1. Members of Health & Welfare Committee 3 2. Staff of the

    Text on page -

    Civilians from all causes (including enemy action) Deaths of Mothers in Childbirth Deaths from Pulmonary Tuberculosis Deaths from all forms of Cancer Number Rate per 1,000 of population Number Number Rate per 1,000 population Number Rate

    Text on page 9

    1 - - - 1 - - - - 1 'c' Infections. Broncho-pneumonia - - - - - 5 - - 1 6 Gastro-enteritis - - - - - 1 1 1 1 4 Gen. Miliary Tuberculosis - - - - - - 1 - - 1 Abscess in the Lung - - - - - 1 - - - 1 'D' Other Causes. Intussusception - - - - - - - 1 - 1 Erythroblastosis foetalis

  • Table on page 16
    New Cases attending the Tuberculosis Dispensaries for the first time during 1949. (INFORMATION FROM THE TUBERCULOSIS OFFICER)
    AdultsChildren under 15 years
    MaleFemaleMaleFemale
    Text on page 16

    Contacts Examined 106 1 — - Number of patients admitted to Sanatoria during the year : 73. Tuberculosis Care Committee. The Voluntary Tuberculosis Care Committee which was formed in 1938 has continued to raise considerable sums of money and

    Table on page 17
    TUBERCULOSIS — T able of N otifications and D eaths, 1949, from L ocal R ecords.
    SexTotalAgesWards
    M.F.0 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 65over 65L. PK.K.H.M.H.C.C.E.P.PK. L.Short-landsW.W.
    Text on page 6

    Illegitimate Total 24 Death Rate from Cancer (130 deaths) 1.71 Death Rate from Pulmonary Tuberculosis (22 deaths) 0.29 Death Rate for Non-Pulmonary Tuberculosis (1 death) 0.013 Table A. Birth rates, Civilian death rates, and Infant Mortality

    Text on page 17

    TUBERCULOSIS—Table of Notifications and Deaths, 1949, from Local Records. Sex Total Ages Wards M. F. 0 to 5 5 to 10 10 to 15 15 to 20 20 to 25 25 to 35

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    Cerebro-spinal Fever — - 3. Scarlet Fever — - 4. Whooping Cough — 1 5. Diphtheria — — 6. Tuberculosis of Respiratory System 14 8 7. Other forms of Tuberculosis 1 — 8. Syphilitic Diseases — 1 9. Influenza 5 5 10. Measles — — 11. Acute Poliomyelitis and

    Table on page 7
    TOTAL DEATHS, 1949 (Registrar-General's Official Returns). All causes— 798 ; Male, 380 ; Female, 418.
    causes of death.malesfemales
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    REPORT OF THE MEDICAL OFFICER OF HEALTH FOR 1949 TABLE OF CONTENTS. 1. Members of Public Health Committee 3 2. Staff of the Department

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    Civilians from all causes (including enemy action) Deaths of Mothers in Childbirth Deaths from Pulmonary Tuberculosis Deaths from all forms of Cancer Number Rate per 1,000 of population Number Number Rate per 1,000 population Number Rate

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    Service." New Cases attending the Chest Clinics for the first time during 1959 Adults Children under 15 years Male Female Male Female Pulmonary Tuberculosis 27 13 – 1 Non-Pulmonary Tuberculosis 3 1 – – Non-Tuberculous 60 54 33 35 Non-Tuberculous

    Table on page 13
    For comparison, deaths from Respiratory Tuberculosis are shown:—
    19551956195719581959
    Table on page 21
    New Cases attending the Chest Clinics for the first time during 1959
    AdultsChildren under 15 years
    MaleFemaleMaleFemale
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    Summary of Vital Statistics 11 Total Deaths 12 Cancer Deaths, 1955 to 1959 13 Notifications and Deaths from Tuberculosis 14 Infantile Mortality 15 Section B. Health and Social Services Hospitals and Clinics 16 County Council Health Services

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    There is a continued decrease in cases of Tuberculosis, and excluding last year's figure, the cases of nervous illness are similar to those of previous years as shewn below. There

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    Table on page 14
    TUBERCULOSIS —Table of Notifications and Deaths, 1959, from Local Records.
    SexTotalAges 1 1Wards*
    0 to 56 to 1011 to 1516 to 2021 to 2526 to 3536 to 4546 to 5556 to 6566 and overAge unknownL.Pk. and K.H.M.H.C.C.C.H.E.P.Short-landsW.W. (Nth.)W.W. (Sth.)
    M.F.
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    Deaths from Cancer 152 152 169 177 186 Males 437 Females 399 Total 836 For comparison, deaths from Respiratory Tuberculosis are shown:— 1955 1956 1957 1958 1959 6 2 3 1 2 Males 11 Females 3 Total 14

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    Mr. M. E. Forster, Hon. Secretary of the above Committee, for kindly submitting the following report. "During 1959 the Beckenham District Tuberculosis Care Committee, which works in close connection with the County Tuberculosis Care Committee

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    population from Cancer (186 deaths) 2.47 Death Rate per 1,000 population from Pulmonary Tuberculosis (2 deaths) 0.03 Death Rate per 1,000 population from Non-Pulmonary Tuberculosis (1 death) 0.01 Death Rate per 1,000 population from Accidents (21

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    Official Returns). All causes—876. Male, 428 ; Female, 448. causes of death males females 1. Tuberculosis, respiratory – 2 2. Tuberculosis, other 1 – 3. Syphilitic disease – – 4. Diphtheria – – 5. Whooping Cough – – 6. Meningococcal infections

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    The medical causes are classified in the following groups.
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    There is a slight increase under illnesses of children. Certificates are forwarded less for chronic diseases and more for temporary or recurrent illness for which low medical points are awarded and for which greater discrimination in the award of medical certificates is necessary.
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    TOTAL DEATHS, 1959 (Registrar-General's Official Returns). All causes—876. Male, 428 ; Female, 448.
    Causes of DeathMalesFemales
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    14 TUBERCULOSIS—Table of Notifications and Deaths, 1959, from Local Records. Sex Total Ages 1 1 Wards* 0 to 5 6 to 10 11 to 15

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    statutory. The second exception is the continued downward trend in the number of patients suffering from tuberculosis who seek assistance under the County Council's care and after-care scheme. This is entirely due to the progress made in

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    Party—Women's Section. Labour Party—Women's Section. Pharmaceutical Society (G.B.) West Kent Branch. District Tuberculosis Care Committee. Junior Accident Prevention Council. British Red Cross Society. Girl Guides Organisation. NATIONAL

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    Functional 12* Organic Nil Total 12 Illness of Children (With or without overcrowding or dampness) Total 11 Tuberculosis Total 2 Diseases of Bones and Joints Total 5 Bronchitis or Asthma Total 3 Varicose Veins or Ulcers Total 3 Cardiovascular

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    Council undertakes, free of charge, the disinfection of rooms, articles of clothing and bedding after cases of Tuberculosis and occasionally other Infectious Diseases. Requests for the steam disinfection of bedding, etc., other than for notifiable

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    Mantoux reactors have been infected with the germ of tuberculosis, and may in the future develop pulmonary tuberculosis. In the field of treatment of tuberculosis by chemotherapy, one must again emphasize the importance of the full co-operation

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    New Cases attending the Chest Clinics for the first time during 1960
    AdultsChildren under 15 years
    MaleFemaleMaleFemale
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    Summary of Vital Statistics 9 Total Deaths 10 Cancer Deaths, 1956 to 1960 11 Notifications and Deaths from Tuberculosis 12 Infantile Mortality 13 Section B. Health and Social Services Hospitals and Clinics 14 County Council Health Services

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    Annual Report it was noted that out of 11,974 persons examined in various parts of the Borough, 25 new cases of pulmonary tuberculosis and 158 cases with chest abnormalities were recorded. Intolerance to drugs is still a barrier to the early

    Table on page 12
    TUBERCULOSIS—Table of Notifications and Deaths, 1960, from Local Records.
    SexTotalLGESWards*
    0 to 56 to 1011 to 1516 to 2021 to 2526 to 3536 to 4546 to 5556 to 6566 and oveiAge unknownl.Pk. and K.H.m.h.c.c.c.h.E.P.Short-landsW.W. (Nth.)W.W. (Sth.)
    M.F.

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    Deaths from Cancer 152 169 177 186 182 Males 444 Females 422 Total 866 For comparison, deaths from Respiratory Tuberculosis are shown :— 1956 1957 1958 1959 1960 2 3 1 2 1 Males 6 Females 3 Total 9 11

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    CANCER DEATHS
    19561957195819591960
    Table on page 26
    The medical causes are classified in the following groups.
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    population from Cancer (182 deaths) 2.41 Death Rate per 1,000 population from Pulmonary Tuberculosis (1 death) 0.01 Death Rate per 1,000 population from Non-Pulmonary Tuberculosis (1 death) 0.01 Death Rate per 1,000 population from Accidents (21

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    BECKENHAM DISTRICT TUBERCULOSIS CARE COMMITTEE The following report on the work of the local Tuberculosis Care Committee has been submitted by the Hon. Secretary, Mr. M. F. Forster, to whom I express

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    Kidneys 1 Hydrocephalus and Spina bifida 1 Operation for Imperforate anus 1 General Debility and colds 1 Tuberculosis 1 Cardiovascular Angina 2 Hypertension 3 Myocardial failure 1 Arthritis 7 *Miscellaneous 2 *Pernicious Anaemia, Gastrectomy.

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    Official Returns). All causes—852. Male, 387 ; Female, 465. causes of death males females 1. Tuberculosis, respiratory 1 — 2. Tuberculosis, other 1 — 3. Syphilitic disease 1 1 4. Diphtheria — — 5. Whooping Cough — — 6. Meningococcal infections

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    TOTAL DEATHS, 1960 (Registrar-General's Official Returns). All causes—852. Male, 387 ; Female, 465.
    Causes of deathMalesFemales
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    IO TUBERCULOSIS—Table of Notifications and Deaths, 1960, from Local Records. Sex Total LGES Wards* 0 to 5 6 to 10 11 to 15 16

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    during the summer. In addition to the aforementioned activities the W.V.S. is closely connected with the Tuberculosis After Care Committee, Area Pension Officer, British Legion, the Disabled Persons' Committee and Children's Homes. Children's

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    Council undertakes, free of charge, the disinfection of rooms, articles of clothing and bedding after cases of Tuberculosis and occasionally other Infectious Diseases. Requests for the steam disinfection of bedding, etc., other than for notifiable

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