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b1cae661-cb10-453f-8971-23ff520a903e | 23rd do. 26 14th do. - 873 13th November 24th December 41 29th do. — Deaths.—There were three deaths from scarlet fever during the year. In 1933 there were none. Home Isolation.—Seventy-one cases, or 7.17 per cent., were isolated at home, and in one instance a return case occurred. The same procedure as in Diphtheria was carried out. Five certificates of efficient home isolation were issued. Dick Test.—This has not been employed in the neighbourhood so far as I am aware. 106 Smallpox. There were no cases of Smallpox. Erysipelas, Malaria and Dysentery. The number of notifications of Erysipelas received was 119, compared with 67 in 1933, and one case of Malaria was notified. No case of Dysentery was notified. Enteric Fever. |
136f4207-1b5b-4e03-aa98-f6ea445bba76 | Eight cases were notified, seven of which were treated in hospital. There were no deaths. The following Table No. 45, gives details of each case notified. TABLE No. 45. Enteric. No. Date Notified. Sex. Age. Diagnosis. Final Diagnosis. Remarks. 1 11/1/34 M. 30 Typhoid Fever Typhoid Fever — 2 17/3/34 F. 50 Typhoid Fever Paratyphoid Fever — 3 30/4/34 M. 23 Paratyphoid Fever Paratyphoid Fever — 4 2/5/34 M. 24 Typhoid Fever Paratyphoid Fever — 5 6/6/34 F. 29 Enteric Fever Bacterial Endocarditis Died 6 30/7/34 M. 41 Typhoid Fever Typhoid Fever — 7 13/9/34 F. |
8eabc925-894c-44ff-9552-a63e4ee916ff | 8 Typhoid Fever Typhoid Fever — 8 22/10/34 M. 3 Typhoid Fever Typhoid Fever — Anterior Poliomyelitis. Three notifications including one of polio-encephalitis were received and all patients were admitted to hospital, but the diagnosis was not confirmed in one instance. The case of polio-encephalitis died. Cerebro-Spinal Meningitis. Four cases were notified, all of which were admitted to hospital. In one instance the diagnosis was not confirmed. There was one death. The following Table No. 46, gives details of each case:— 107 TABLE No. 46. Cerebro-spinal Meningitis. No. Date Notified. Sex. Age. Ultimate Diagnosis. Remarks. I 19/2/34 F. 14 Cerebro-spinal Meningitis — 2 21/2/34 M. |
beed63ae-c2e6-466c-85b2-75fb856028d6 | 5 Pyrexia of unknown origin — 3 1/11/34 F. 3 Cerebro-spinal Meningitis — 4 28/11/34 M. 23 do. do. Died Encephalitis Lethargica. As in 1933, no cases of this disease were notified. Puerperal Fever and Puerperal Pyrexia. Thirty-five cases were notified, compared with 40 in 1933, and 40 in 1932. In 30 instances the notification was in respect of Puerperal Pyrexia, but in four of these instances the notification should have been Puerperal Fever. In four instances the disease was a sequel to abortion. Treatment.—The Council's scheme for the treatment of these diseases provides for a Consultant, for hospital treatment, for bacteriological examination where necessary, and for nursing assistance. Specific sera may also be supplied. No cases were seen by Mr. |
d590a32e-dab8-43bf-aad7-91c5967e5257 | Harold Taylor during the year. It was not necessary to provide nursing assistance and no bacteriological examinations were carried out. Only one case did not receive hospital treatment. Deaths.—There were two deaths, compared with two in 1933 and four in 1932. Ophthalmia Neonatorum. Seven cases were notified, two of which were admitted to hospital. Three cases were nursed at home under the Council's scheme, 111 visits in all being paid. The cost of this service was £5 11s. 0d. The following Table No. 47, gives details of each case. 108 TABLE No. 47. Date Notified. Cases Treated. Vision Unimpaired. Vision Impaired. Total Blindness. Deaths. Home. Hospital. |
2946091b-0c68-4c2b-bc9a-cc6d77f3d238 | 1934 15th January Yes — Yes — — — 20th January Yes — Yes — — — 11th March Yes — Yes — — — 28th March Yes — Yes — — — 18th April Yes — Yes — — — 26th July — Yes Yes — — — 29th October — Yes Yes — — — Zymotic Enteritis. Three cases were notified during the year, compared with five cases in 1933 and eleven in 1932. The number of deaths in children under two years of age, certified to be due to diarrhoeal diseases, was nine. None of the notified cases died. Whooping Cough. During the year 253 cases of Whooping Cough came to the knowledge of the Department, compared with 514 in 1933 and 233 in 1932. |
83033568-1f23-4d1a-9216-31220cbf2117 | As this disease is not notifiable in the Borough, knowledge is usually obtained through the School Medical Service, but, exceptionally, cases are notified by medical practitioners and occasionally cases are discovered by the health visitors in their routine visits. Nursing.—Two cases were nursed under the Council's scheme, 69 visits in all being paid. The cost of this service was £3 9s. 0d. Deaths.—There were 13 deaths certified to be due to this disease, compared with 9 in 1933. Measles. The two main sources of our knowledge of the incidence of Measles in the Borough are the School Medical Service and the health visitors. Occasionally, however, information comes through the local nursing associations and from parents. During the year 2,392 cases (including 55 cases of German Measles) were discovered. In 1933 and 1932 the corresponding figures were 354 and 3,135. |
6804571c-bb2f-4835-8152-0b4371ec5879 | 109 Measles occurs in epidemic form every two years and usually lasts for four months. The incidence in each of the twelve months of the year was as follows:— January 168 February 367 March 350 April 353 May 614 June 381 July 62 August 3 September 20 October 50 November 12 December 12 From these figures it will be noted that the disease first assumed epidemic proportions in January, reached its peak in May, and fell away thereafter. The Council's scheme for dealing with Measles epidemics was put in force at the beginning of the year, two temporary health visitors being appointed for Measles work. They investigated every reported case of Measles from whatever source information came ; they visited cases absent from school from unknown causes and every case of suspected Measles. The staff health visitors made subsequent visits to cases where children were under school age, but where they were of school age the subsequent visits were made by the temporary health visitors. |
18c04d1b-f384-4f81-94d7-e73631af6ba9 | Notices were sent to head teachers when the diagnosis of Measles was not confirmed and when suspect cases were diagnosed as Measles. The co-operation between the School Medical Service and the Department was excellent, visits being paid to every home where cases of Measles or suspected Measles were living, within 24 hours of the teacher sending the notification to the Department. The scheme worked very well in other respects. It enabled the normal routine work of the health visitors to be maintained with very little disturbance ; it ensured the early diagnosis of secondary cases and their exclusion from school in an infectious state; it ensured the early provision of nursing assistance and it enabled arrangements to be made for the early admission of cases to hospital where necessary. In every way the Council's policy was justified. Home Nursing.—In 33 cases nursing assistance was provided during the year, 410 visits in all being paid. The cost to the Council was £20. Hospital Treatment.—The number of children admitted to fever hospitals was 188. |
2757f22d-ede8-4abb-b6d6-083b7700ae5d | Deaths.—There were 10 deaths from Measles during the year. Pneumonia. The number of cases notified was 280, compared with 249 in 1933. Of these, 7 were influenzal. The number of deaths certified to be due to lobar or broncho pneumonia was 126 and to acute influenzal pneumonia 6. The ward incidence of the Pneumonias is shown in Table No. 37. 110 The following Table No. 48, shows the number of notifications of Pneumonia received each month, classified by sex and according to type. It also shows the number of deaths occurring from acute primary pneumonia and influenzal pneumonia. TABLE No. 48. Monthly Incidence of Pneumonia. Month. Male. Female. Total. Type. No. of Deaths. Lobar. Broncho. Influenzal. |
2f461f0d-7341-4521-8faa-c55cefb3f4ef | Acute Primary (not specified) Acute Primary Pneumonia. Influenzal Pneumonia. January 25 17 42 5 7 2 28 18 1 February 18 14 32 4 8 - 20 9 2 March 15 16 31 6 4 1 20 17 2 April 20 7 27 2 1 — 24 13 — May 10 5 15 — 1 — 14 7 — June 9 10 19 3 2 — 14 3 — July 7 2 9 3 — 1 5 3 — August 4 4 8 3 1 — 4 8 — September 11 2 13 4 1 — 8 3 — October 8 5 13 — 2 1 10 8 — November 23 17 40 9 9 1 |
3a0eb270-2bbe-427d-946e-032e7eafb28c | 21 17 — December 19 12 31 2 9 1 19 20 1 169 111 280 41 45 7 187 126 6 Nursing.—Nursing assistance is provided by the Council for cases of Pneumonia and during the year 24 cases were nursed, 431 visits being paid by the nurses of the local nursing associations. The total cost to the Council was £26 18s. 9d. Anti-Pneumococcal Serum.—During the year the Council provided, free of charge, anti-pneumococcal serum (mainly Felton's) for the treatment of persons suffering from Pneumonia to those medical practitioners who considered this form of treatment suitable. The total cost to the Council was £102 10s. 4d. Tuberculosis. |
ab2ca3e1-5e31-4ac0-9d47-022b3c5463ec | The Council's tuberculosis scheme was set out fully in the Annual Report for 1933 and no substantial change took place during 1934. 111 Notifications.—During the year, excluding duplicates, 219 cases of pulmonary tuberculosis and 50 cases of non-pulmonary tuberculosis were notified. Cases of tuberculosis are often notified more than once, and in this way during the year 56 duplicate notifications were received. The number of cases notified from each of the different wards of the Borough is shown in Table No. 49. TABLE No. 49. Ward Incidence of Tuberculosis, 1934. Ward. Pulmonary. Non-Pulmonary. Dockyard 14 2 St. Mary's 8 2 River 19 4 St. George's 22 3 Burrage 11 2 Herbert 10 4 Glyndon 12 4 St. Margaret's 12 4 Central 14 1 St. |
e93346d0-45db-4dfb-ac57-508105079cc9 | Nicholas 23 5 Abbey Wood 14 3 Well Hall 17 4 Avery Hill 24 7 Sherard 19 5 Total 219 50 In the following Table No. 50, appears a summary of cases coming to the knowledge of the Department in 1934. It includes notifications received from general practitioners, cases not notified but included in the death returns, and cases transferred from other areas. It does not include notifications received from Medical Superintendents of hospitals on admission or discharge of patients, nor any duplicate notifications. Deaths occurring within the year are classified in the same Table by age and sex groups. 112 TABLE No. 50. Tuberculosis—New Cases and Mortality, 1934. Age Periods. New Cases. Deaths. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. M. F. M. F. M. F. M. F. 0-1 year — 1 |
0ae10e78-c739-44da-98c8-1eb90510be14 | — 1 — — — 2 1-5 years 1 1 4 3 — — 4 — 5-10 years 3 4 7 1 — — 1 1 10-15 years 7 4 6 1 3 — 1 1 15-20 years 6 19 6 1 4 8 2 1 20-25 years 16 20 5 3 6 5 2 1 25-35 years 34 24 6 3 13 9 4 — 35-45 years 23 14 1 5 19 11 — 1 45-55 years 22 9 1 1 13 6 — 1 55-65 years 17 4 3 1 10 3 — 2 65 and upwards 9 4 2 — 8 2 1 1 Totals 138 104 41 |
fdc64436-ce3b-41e3-b77c-dc30c087821b | 20 76 44 15 11 The following Table No. 51, shows the site of the disease in patients notified each year since 1930. TABLE No. 51. Year. Lungs. Meninges. Intestines and Peritoneum. Glands. Joints. Spine. Other Forms. All Forms. |
bd7926c6-6363-4c07-9afc-4bcc128073d4 | 1930 244 6 5 18 15 3 8 299 1931 229 11 5 18 8 2 7 280 1932 235 6 6 11 8 5 12 283 1933 207 7 4 14 10 4 6 252 1934 219 8 6 12 9 2 13 269 113 Cases of Tuberculosis in the District.—The usual steps were taken during the year to ensure that the Tuberculosis register correctly represented the number of cases of Tuberculosis in the district, and the following Table No. 52, shows the changes which have taken place during the year. TABLE No. 52. Pulmonary. Non-Pulmonary. Totals. |
1ac2366f-831b-46d6-a24b-c812ae253ab8 | M. F. M. F. Number on register on 1st January, 1934 471 356 95 113 1,035 Number of new cases notified 117 95 33 17 262 Number of cases restored 11 6 1 — 18 Other additions 13 8 5 4 30 Deletions 135 113 25 24 297 Number on register on 31st December, 1934 477 352 109 110 1,048 Of the total number on the register on the 31st December, 91.75 per cent. were on the dispensary register, i.e., had been dealt with in connection with the Public Health scheme for the treatment of tuberculosis. In 1933 the corresponding percentage was 86.66 and in 1932, 92.91. Deaths.—The following Table No. 53, shows the number of deaths and the death rates each year since 1930. TABLE No. |
d835a963-2f94-412c-b539-f431d6590c13 | 53. Tuberculosis—Deaths and Death-Rates. Year. Deaths. Death-rates. All Forms. Pulmonary. NonPulmonary. All Forms. Pulmonary. NonPulmonary. 1930 165 150 15 1.17 1.06 0.11 1931 168 148 20 1.14 1.00 0.14 1932 154 139 15 1.05 0.95 0.10 1933 135 116 19 0.92 0.79 0.13 1934 146 120 26 1.00 0.82 0.18 114 In addition to the deaths recorded in the above Table, seven persons who had been notified as suffering from tuberculosis died during the year from other causes, and detailed information as to these is given in the following Table No. 54. TABLE No. |
6f587650-d703-4cc5-9203-c438dac2b127 | 54. Case No. Date notified as Tuberculosis. Cause of Death. 1 4/10/1933 Ulcerative Endocarditis. 2 3/1/1917 Hypostatic Pneumonia. Myocarditis. 3 3/4/1930 Cerebral Haemorrhage. Cerebral Tumour. 4 16/2/1934 Oxalic Acid Poisoning. 5 12/5/1919 Broncho-pneumonia. Auricular Fibrillation and Cardiac engorgement. 6 17/11/1932 Pelvic Abscess. Perforative Diverticulitis. Operation, secondary abscess, liver. 7 31/1/1932 Chronic Bronchitis. The period which elapsed between notification and death is shown below:— TABLE No. 55. Pulmonary. Percentage. NonPulmonary. Percentage. |
d8fcd621-29c7-40fb-85af-335aceb42c8d | Not notified 14 11.67 10 38.50 0-1 month 18 15.00 12 46.11 1-3 months 9 7.50 - — 3-6 months 13 10.83 1 3.85 6-12 months 16 13.33 - — 1-2 years 17 14.17 — — 2-5 years 22 18.33 — — Over 5 years 11 9.17 3 11.54 120 100.00 26 100.00 The ratio of non-notified tuberculosis deaths to the total tuberculosis deaths was as 1 is to 6. In 1933 it was as 1 is to 8, and in 1932 it was as 1 is to 12. |
fbe9d148-4459-422f-9ef6-f676c8cb9c8a | 115 Public Health (Prevention of Tuberculosis) Regulations, 1925.—These Regulations provide for the compulsory discontinuance of employment of persons engaged in the handling or treatment of milk, who are suffering from tuberculosis. No case of this kind came to the notice of the Council during the year. Every milk vendor in the Borough is periodically reminded that the Tuberculosis Officer is willing to examine, free of charge, all employees or candidates for employment in the milk trade. One such examination was made during the year. The County of London (Tuberculosis) Regulations, 1930.—These Regulations enable the County Council to maintain or arrange for the maintenance, otherwise than in their homes, of children living in London in houses where, owing to overcrowding or otherwise, they are, in the opinion of the County Medical Officer, in danger of being infected with tuberculosis ; or whose parent or parents are receiving institutional treatment for tuberculosis and for whose care adequate arrangements cannot otherwise be made. During the year such arrangements were made for four children. |
fd07d71e-0445-40a0-a54a-c651a4960c8e | Staff.—There is one whole-time Tuberculosis Officer and the other three assistant medical officers devote three half-days per week to Tuberculosis and eight half-days per week to Maternity and Child Welfare. There are three Tuberculosis Health Visitors; one Clerk-Dispenser, who also acts as Secretary to the Care Committee, and one Clerk. The Work of the Dispensaries.—The Council's Dispensary is situated at Maxey Road, Plumstead, and there is a branch Dispensary at 179, Well Hall Road, Eltham. The Eltham branch was opened in 1931 and more use of it is being made now than in that year. In accordance with the Minister of Health's instructions the Dispensary figures are shown for the Borough as a whole and not for individual dispensaries. One of the Tuberculosis Officers attends at the main Dispensary every week-day, but an evening session is held, instead of an afternoon one, on Thursdays. |
02f8d8b9-f5f5-48a4-92e7-d7bf4e0edfd3 | Eight separate clinical sessions in all are held for men, for women and for children. The branch Dispensary is open on three half-days a week—Monday afternoons for men, and Wednesday and Friday mornings for women and children. The total number of attendances at the Dispensaries during 1934 was 4,833. In this connection it is interesting to point out that 202 of the persons notified during '934 attended the Dispensaries, which is equivalent to 75.08 per cent. The corresponding percentage in 1933 was 68.25, and in 1932 it was 89.7. 116 A return of the work of the Dispensaries is given in Table No. 56. Alterations at Maxey Road Dispensary.—During the year the Council had under consideration the question of modernising the Council's Tuberculosis Dispensary, as an opportunity was afforded by the fact that other services of the Council were no longer maintained in the existing building. |
820ec427-1e7d-4517-ae1c-94cc0df0783b | It was possible by using the existing rooms, by adding the Caretaker's office and the office formerly used for rate collection and a portion of the yard and buildings previously used by the Works Department, to make such alterations as would provide a modern and convenient dispensary. The Council decided to carry out this work at an estimated cost of £760 and the plans were approved by the Ministry of Health and by the London County Council. The work was started before the end of the year. Home Visiting of Tuberculosis Cases.—On receipt of every notification the home is visited by the Tuberculosis Visitor, who advises as to any re-arrangement that seems possible and desirable in the interests of the patient and other members of the family. In the case of patients notified by the Tuberculosis Officer a visit is also made by one of the medical staff, who thus gains a knowledge of the home circumstances of the patient. |
2ceb8282-bb4a-4ce9-841b-f27a62698855 | The Tuberculosis Visitor endeavours to visit each home in her district once in three months, but, in the case of patients with recent and more active disease, visits are more frequent. Work for the Ministry of Pensions.—The amount of work done under this heading has practically come to an end. In 1933 only 4 reports were made ; during 1934 no reports were made. Examination of Home Contacts.—On receipt of each primary notification every effort is made to induce people living in the same house as the patient to present themselves for examination. In many cases, however, it is very difficult to persuade them of the necessity for examination. During the year under review 477 contacts were examined. 117 TABLE No. 56. Return showing the Work of the Dispensaries for 1934. Diagnosis. Pulmonary. Non-Pulmonary. Total. Grand Total. Adults. Children. Adults. Children. Adults. |
cc0bead5-1928-421f-8beb-c1d4fb1b672b | Children. M. F. M. F. M. F. M. F. M. F. M. F. A.—NEW CASES examined during the year (excluding contacts) :— (a) Definitely tuberculous 124 104 7 7 14 12 16 10 138 116 23 17 294 (b) Diagnosis not completed — — - - - - - - - 1 - - 1 (c) Non-tuberculous - - - - - - - - 126 151 94 68 439 B.—CONTACTS examined during the year:— (a) Definitely tuberculous 8 7 3 3 1 - - 1 9 7 3 4 23 (b) Diagnosis not completed — — — — - — — — — — — — — (c) Non-tuberculous - - - - - - - - 82 144 103 125 454 C. |
4f3574d5-34dd-4f51-adc9-4266aa218149 | —CASES written off the Dispensary Register as:— (a) Recovered 15 23 1 3 1 3 4 2 16 26 5 5 52 (b) Non-tuberculous (including any such cases previously diagnosed and entered on the Dispensary Register as tuberculous) — — — — — — — — 219 301 198 196 914 D.—NUMBER OF CASES on Dispensary Register on December 31st:— (a) Definitely tuberculous 405 331 24 18 51 53 38 48 456 384 62 66 968 (b) Diagnosis not completed — - — — — — — - - 1 - - 1 118 Return showing the Work of the Dispensaries for 1934—continued. 1. Number of cases on Dispensary Register on January 1st 897 2. |
6964ae93-2f24-4c9b-b1b7-23b0bf1d7796 | Number of cases transferred from other areas and cases returned after discharge under Head 3 in previous years 7 3. Number of cases transferred to other areas, cases not desiring further assistance under the scheme, and cases "lost sight of " 68 4. Cases written off during the year as Dead (all causes) 112 5. Number of attendances at the Dispensary (including Contacts) 4,833 6. Number of Insured Persons under Domiciliary Treatment on the 31st December 223 7. Number of consultations with medical practitioners:— (a) Personal 72 (b) Other 1,157 8. Number of visits by Tuberculosis Officers to homes (including personal consultations) 457 9. Number of visits by Nurses or Health Visitors to homes for Dispensary purposes 4,654 10. |
844b3fef-d5c1-4777-bf08-7f6037c555a8 | Number of:— (a) Specimens of sputum, etc., examined 538 (b) X-ray examinations made in connection with Dispensary work 411 11. Number of "Recovered" cases restored to Dispensary Register, and included in A(a) and A(b) above 11 12. Number of "T.B. plus" cases on Dispensary Register on December 31st 365 Number of Dispensaries for the treatment of Tuberculosis (excluding centres used only for special forms of treatment). Provided by the Council 2 Provided by Voluntary Bodies Nil X-Ray Examinations.—More and more use is being made of X-rays in the investigation of cases of Tuberculosis. They are used to diagnose the disease in its early stages; they are used in the efficient control of the treatment of tuberculosis; and more and more use is being made of them in the clinical investigation of contacts previously found to be positive to the Mantoux test—an intradermal tuberculin test. |
daad1f0b-6fbd-4a56-bf75-eee284bae4cc | 119 The figures now presented do not show the total use made of X-rays by the Tuberculosis Officer, because when cases are sent into St. Nicholas Hospital for institutional treatment he is able to make use of the X-ray apparatus there for diagnosis and control. The Council's arrangements for X-ray examinations are made with the War Memorial Hospital, and during the year 411 such examinations were carried out. Co-operation with St. Nicholas Hospital (L.C.C.).—Since July, 1926, the Tuberculosis Officer has visited St. Nicholas Hospital weekly in accordance with an arrangement made with the late Board of Guardians. In 1933 the London County Council, in pursuance of their policy of uniformity throughout London, terminated the appointment of all Consultants in their service and subsequently made re-appointments. Included in these appointments were Tuberculosis Officers as Consultants at the Poor Law Hospitals for their respective areas. |
28994611-116f-4ac5-9c78-b284cff00d81 | In July, the London County Council decided to continue these appointments subject to review at a later date. Co-operation with Local Practitioners.—During the year 72 new cases were seen by the Tuberculosis Officer at the homes of the patients, and 280 were referred to the Dispensary by medical practitioners in the Borough. Co-operation with the School Medical Service.—There is intimate relationship between the School Medical Service and the Dispensary. Many cases are referred to the Dispensary by the School Medical Officers, and the child contacts of tuberculous patients are referred to the School Medical Service for special observation and supervision. The Divisional School Medical Officer and the Tuberculosis Officer in personal consultation, discuss these contacts and decide on the supervision desirable. |
ec3b91e7-c39f-4703-a302-f5729e2278a1 | Other children, whose condition is unsatisfactory, are referred to the School Clinic for the treatment of minor ailments and dental caries; to the School Care Organiser, with a recommendation as to the provision of milk and cod-liver oil to be given at school, or to the Woolwich Invalid Children's Aid Association. Extra Nourishment.—Extra nourishment in the form of butter, eggs and milk, is supplied to tuberculous patients on the certificate of the Tuberculosis Officer. The object of this measure is to help the ex-sanatorium patient and other suitable cases by the provision of such extra nourishment as will make the difference between progress and relapse : it is not intended for advanced cases of tuberculosis where real improvement cannot be expected. The expenditure on this service is limited to £2 per 1,000 of the population. Dental Treatment.—Dental treatment is carried out under the Council's scheme at the School Clinic, Brewer Street. |
f811dbbf-a69c-4759-8c30-63f954ce0b91 | During the year 21 cases received treatment the number of attendances being 40. The only charge made to patients is in 120 connection with the supply of dentures, and then patients are assessed according to their means. Dentures were supplied in 5 cases at a cost of £23 0s. 0d. and payments by patients amounted to £10 7s. 6d. In assessing patients due regard is given to dental benefits they may be entitled to from approved societies. Finscn Light Treatment.—In 1921 the Council entered into an agreement with the London Hospital for the treatment of persons suffering from Lupus in the Finsen Light Department of the Hospital. A fee of 5s. is paid for each attendance. During the year 14 attendances were made. Artificial Pneumo-thorax.—This treatment consists of collapsing the diseased lung and so putting it at rest. |
ef32be6c-1904-4f76-9e8b-bb500f8ee48c | This is done by introducing gas or air through a needle into the pleural cavity of the affected side. The air so introduced becomes absorbed and has to be replaced at varying intervals. These refills have to be maintained over a period varying from two to five years. In 1921 the Council agreed to pay 10s. 6d. a refill to the Brompton Hospital, where this work was carried out, in the case of patients recommended by the Tuberculosis Officer, but since that date payments have been made in respect of patients so treated at other special hospitals and at hospitals belonging to the London County Council. The number of patients who received such treatment during the year was 38, and the number of refills was 368. Woolwich Tuberculosis Care Committee.—At the end of the year the Committee was constituted as follows:— Bodies. Representatives. Woolwich Borough Council Alderman Mrs. E. Brooks, Councillors R. Campbell, Mrs. |
ef23f94f-825a-4642-9906-b21656be9be7 | L. E. Driver, S. Crown, J.P., G. Greenwood, Mrs. E. L. Reeves. Trade Unions Mr. W. H. Fairchild, Mr. E. Ware. Employers Miss L. Ames, Miss Fletcher, Mr. C. N. McLaren. Friendly Societies Mr. W. A. Lyon, Mr. A. J. Rourke, Mr. F. Smyth. London County Council Dr. H. R. Kidner, Miss C. F. Aves. London County Council (Public Assistance Committee) Mr. R. Campbell, Mrs. B. G. Dickinson, Mr. 1. Moran. London Insurance Committee Mr. S. H. Brown. Panel Committee for the County of London British Red Cross Society Dr. H. M. Wise. Mr. J. O'Connell. War Pensions Committee Mr. A. R. Loader. |
1d74f1a7-1d38-4068-a98d-b086b47c490a | Woolwich Invalid Children's Aid Association Mrs. J. B. Great Rex. Late Tuberculosis Dispensary Committee Mr. W. Dashwood, Mr. E. G. Dixon, J.P. United Services Fund Mrs. A. Evans. Ex-Officio. Voluntary Visitors Miss D. A. Frye, Miss M. Ross. Tuberculosis Officer Dr. F. J. C. Blackmore. Medical Officer of Health Dr. J. MacMillan, D.S.O., M.C. 121 The After-Care Committee continued to do excellent work during the year, and the assistance rendered to necessitous cases makes the Council's Tuberculosis Scheme more effective. They assist in many ways. |
fd0611e4-5ca9-4136-8f2e-7b44d86d991e | They help by the provision of clothing to necessitous patients entering an institution; by aiding in the purchase of surgical apparatus and nursing requisites; by paying fares for varying periods in the case of patients going to and from hospital for out-patient treatment, and in many other smaller ways. Prior to September, the Committee assessed patients' payments for institutional treatment, but when the London County Council resolved to make all institutional treatment free of charge, this work ceased. The Committee assessed patients' payments under the Council's Dental Scheme, and supervised the provision of additional nourishment. Institutional Treatment.—Institutional treatment for the tuberculous became free in London in September, but when the County Council adopted this modification of their scheme, they decided to accept voluntary contributions from patients. The following Table No. 57, shows the number of admissions to special hospitals, sanatoria, public general hospitals, institutions and training colonies:— TABLE No. 57. Admissions to Hospitals, etc. Special Hospitals. Sanatoria. |
c12fb392-6280-4734-8331-4cdc70763e61 | Public General Hospitals. Training Colonies. Insured 108 78 122 3 Uninsured 59 23 48 1 Children 17 14 34 — 184 115 204 4 These figures refer to 374 patients and the monthly admissions were as follows:— January 32 May 51 September 42 February 32 June 53 October 27 March 57 July 35 November 54 April 55 August 39 December 30 Shelters.—Thirteen shelters are maintained by the Council for patients returning from sanatoria who are able and willing to continue this form of treatment. A ursing.—Home nursing is provided for certain cases of tuberculosis, and in accordance with the arrangements entered into with the local Nursing Associations the number of visits paid by nurses during the year was 1,203, and the cost to the Council was £75 3s. 9d. |
0c74e605-91ba-43aa-a628-d7b1bb796857 | 122 ARRANGEMENTS FOR DISINFECTION AND DISINFESTATION AND THE EXTENT OF THEIR USE. Disinfection.—The Council's Disinfecting Station is situated at White Hart Road, Plumstead, where there are installed two Washington Lyon steam disinfectors, one high-pressure steam washing disinfector, and one room for disinfecting articles which cannot be subjected to heat. The heavy demand on the resources of the Station owing to the work of bug eradication was again apparent during the year. The Station is sometimes used for special disinfection at the request of inhabitants. A small charge is made for these disinfections and during the year 35 such disinfections were carried out, and charges amounting to £8 13s. 6d. were paid. In tabular form is shown below the amount of disinfection which was carried out during the year. TABLE No. 58. |
ec7b4327-27d8-41e2-805d-660c8e5edc0a | Rooms disinfected after ordinary fevers 1,394 „ „ „ tuberculosis 180 „ „ „ verminous cases 1,391 ,, ,, for other reasons 13 Articles disinfected 62,029 Disinfestation.—In accordance with the terms of an agreement with the London County Council, disinfestation of school children is carried out at the Cleansing Station, White Hart Road. Disinfestation of adults is carried out at times when the children are not there. The following Table No. 59, shows the number of persons cleansed each year since 1930. TABLE No. 59. Year. Children. Adults. Grand Total. Boys. Girls. Total. Males. Females. Total. |
fb7ef2b2-8ba3-406d-9838-5fb8ff8e38a2 | 1930 477 1,386 1,863 11 10 21 1,884 1931 483 1,543 2,026 14 4 18 2,044 1932 560 1,613 2,173 8 4 12 2,185 1933 550 1,579 2,129 7 11 18 2,147 1934 611 1,715 2,326 6 1 7 2,333 A report on disinfestation of bug-infested premises will be found in the Housing Section. 123 SECTION VIII.—GENERAL STATISTICS. TABLE No. 60. |
896e120d-5b78-4526-bed4-d4c801dee31e | Area (acres) 8,282 Population, estimated to middle of 1934 145,520 Population, Census 1931:— Total (including military) 146,881 Civilians 141,504 Number of inhabited houses, 1931 29,870 Number of families or separate occupiers, 1931 38,176 Rateable value (April, 1934) £1,089,801 Sum represented by a penny rate (April, 1934) £4,541 Population. The Registrar General estimates the population of the Borough at the middle of the year as 145,520, a decrease of 680 on the previous year. Each year since 1931 he has shown a decrease on the previous year. It is difficult to believe that this is correct because there is much new building going on in the Borough and it is definitely known that many of the new occupiers come from outside the Borough, and in addition, each year, there is a natural increase in the population. |
de754376-63b5-482c-8e4e-69f21aa871de | As the figures of the Registrar General are used generally throughout the country they are the only safe basis for comparison and so his total has been used in calculating rates for the purposes of this report. It should be noted, also, that this figure includes non-civilians and that the pre-war practice in this respect was returned to from the beginning of 1932. In estimating the population of the wards of the Borough regard has been had to such information as is available from the records of the Housing Department so far as occupants of new Council houses are concerned, and of the records of the Treasurer's Department when advances have been made under the Small Dwellings Acquisition Acts. The estimated population of each of the wards of the Borough at the middle of 1934, is shown in the following Table No. 61. 124 TABLE No. 61. Wards. Population Dockyard 6,547 St. Mary's 5,797 River 10,834 St. |
f1521e1c-c16c-4c7c-a3e2-55119a5b4ef4 | George's 7,853 Burrage 7,394 Herbert 8,375 Glyndon 8,144 St. Margaret's 11,944 Central 7,422 St. Nicholas 13,454 Abbey Wood 11,672 Well Hall 12,278 Avery Hill 13,268 Sherard 20,538 In the old parishes the estimated populations are therefore:— Woolwich 31,031 Plumstead 68,405 Eltham 46,084 Social Conditions. A Table showing the occupations of all Woolwich inhabitants, aged 14 years and over, compiled from the Occupation Tables Report of the Registrar General on the Census of 1931, was prepared and printed in my annual report for 1933. An Industry Table report was issued by the Registrar General in 1934 and from it a similar table has been prepared. It appears below as Table No. 62. |
ee9a791c-29ba-4f3e-a6b0-b196a8542248 | It should be noted, however, that it is Woolwich residents who are enumerated in industries and not the number of persons employed in these industries in Woolwich. The Table sets out in generalised headings those actually engaged in industries at the time of the Census and therefore those "out-of-work" are excluded. TABLE No. 62. Industries—Males and Females aged 14 years and over, exclusive of "Out-of-Work.' Industry. Males. Females. I. Fishing 1 — II. Agriculture 240 9 III. Mining and Quarrying, and Treatment of Non-Metalliferous Mine and Quarry Products 97 12 Iv. Manufacture of Bricks, Pottery, Glass, etc. 513 103 125 TABLE No. 62—continued. Industry. Males. Females. |
1e4b6913-3b62-4bf2-882a-3d4caaa58d6a | v. Manufacture of Chemicals, Dyes, Explosives, Paints, Oils, Grease 1,716 146 VI. Manufacture of Metals, Machines, Implements, Conveyances, Jewellery, Watches 11,958 2,578 VII. Manufacture of Textiles and Textile Goods (not dress); Cellulose 114 173 VIII. Preparation of Skins and Leather, and Manufacture of Goods of Leather and Leather Substitute (not clothing or footwear) 78 32 IX. Manufacture of Clothing (not knitted) 600 1,457 x. Manufacture of Food, Drink, Tobacco 1,263 567 XI. Wood Working: Manufacture of Cane and Basket Ware, Furniture, Fittings (not elsewhere enumerated) 354 31 XII. Paper Making: Manufacture of Stationery and Stationery Requisites; Printing, Bookbinding and Photography 686 305 XIII. |
08535b53-5cb4-4171-91d1-63ab1f4a90e1 | Building, Decorating, Stone and Slate Cutting and Dressing and Contracting 3,300 37 XIV. Other Manufacturing Industries 583 478 XV. Gas, Water, Electricity 882 42 XVI. Transport and Communication 3,402 160 XVII. Commerce and Finance 7,632 3,600 XVIII. Public Administration and Defence 10,458 2,012 XIX. Professions 839 902 XX. Entertainments and Sport 360 167 XXI. Personal Service (including Hotels and Catering but excluding Government and Local Authority) 1,466 3,644 XXII. Other Industries, or Industry not stated 45 31 Total in Industries 46,587 16,486 Unoccupied and Retired 5,313 39,963 Out of Work 4,895 1,265 Total population aged 14 years and over 56,795 57,714 The following Table No. |
72069b77-27e1-468c-b23e-d3b8d1390a08 | 63, shows those employed in different industries, classified by Industrial Status, viz., Managerial, Operative, Working on Own Account and Out-of-Work. The Managerial group consists of employers, directors, managers, 126 superintendents and persons of like status. The figures in column one indicate the same industries as set out in the previous table. TABLE No. 63. Industry Managerial. Operative. Own Account. Out-of-Work. M. F. M. F. M. F. M. F. I. - - 1 - - - - - II. 32 — 139 8 69 1 40 3 III. 3 — 94 12 — — 31 — IV. 5 1 508 102 — — 47 7 v. 29 1 1,086 145 1 — 91 12 VI. |
6f5f04dd-0bef-4f34-9032-3b7481cbb0bb | 158 4 11,714 2,570 86 4 1,482 258 VII. 10 — 102 169 2 4 12 18 VIII. 11 — 58 31 9 1 9 6 IX. 75 16 410 1,313 115 128 55 53 X. 70 14 1,179 551 14 2 126 33 XI. 21 1 284 24 49 6 52 5 XII. 57 3 608 300 21 2 51 17 XIII. 193 2 2,973 35 134 — 748 2 XIV. 32 2 526 474 25 2 60 28 XV. 5 1 877 41 — — 61 — XVI. 68 1 3,261 159 73 — 468 7 XVII. |
b785c7d9-2d5a-435c-b81a-c4d87a9f352c | 902 119 5,848 3,223 882 258 551 184 XVIII. 35 13 10,423 1,999 - — 453 44 XIX. 87 21 622 721 130 160 34 36 XX. 30 — 300 152 30 15 77 34 XXI. 267 106 1,001 3,422 198 116 220 416 XXII. 2 3 41 28 2 — 227 102 Totals 2,092 308 42,655 15,479 1,840 699 4,895 1,265 127 Sickness and Invalidity. There was no unusual or excessive mortality during the year which calls for any comment under this head. Physical Features and General Characteristics of the Area. In the physical configuration of the Borough the outstanding feature is Shooters Hill, which rises over 400 feet above sea level. |
981699c1-5126-4343-9d6d-62d7c80e87e2 | At a little lower level, on the Woolwich and Plumstead side, there is a well-marked plateau of Woolwich and Plumstead Commons, due to the erosion of local clay from off the pebble beds. Lower down still is the level plain of the Thames. Southward, in Eltham and Lee, the land, after sloping downwards from Shooters Hill, rises slightly again in Eltham and then falls away towards New Eltham and Lee, but rises again as it approaches Chislehurst. In the main this area is composed of London clay although there is a considerable amount of sand and gravel in Avery Hill Ward. 128 SECTION IX.—VITAL STATISTICS. In accordance with the requirements of the Ministry of Health, the following extracts from the vital statistics of the year are shown below:— TABLE No. 64. |
a377d53a-635c-455e-a4fb-d3d2345a3749 | Births—Legitimate 1,927 Births—Illegitimate 73 2,000 Still-births 75 Still-births—Rate per 1,000 total births 36.1 Birth Rate 13.7 Deaths 1,650 Death Rate 11.3 Percentage of total deaths occurring in public institutions 60.18 Number of women dying in, or in consequence of, Child Birth:— (a) From Sepsis 2 (b) From other causes 1 Deaths of Infants under one year:— (a) Legitimate 113 (b) Illegitimate 14 Infantile Mortality Rate 63 Deaths from Measles (all ages) 10 Deaths from Whooping Cough (all ages) 13 Deaths from Diarrhoea (under 2 years of age) 9 The chief Vital Statistics since 1901 are given in the following Table 129 TABLE No. 65. Year. (1) Population estimated to middle of each Year. |
83233737-2b50-44f4-82bd-e0b408a634f0 | (2) Births. Nett Deaths belonging to the District. Nett. Under 1 year. At all Ages. Number. (3) Rate. (4) Number. (5) Rate per 1,000 Nett Births. (6) Number. (7) Rate. (8) 1901 117,652 3,536 30.1 457 129 1,709 14.6 1902 119,285 3,734 31.3 467 125 1,837 15.4 1903 117,842 3,684 31.3 398 108 1,638 13.9 1904 118,456 3,535 29.8 477 135 1,763 14.9 1905 118,589 3,546 29.9 362 102 1,604 13. |
d0fd0f36-3f57-42bc-8f4c-9fb42a196b1b | 5 1906 119,143 3,549 29.8 388 109 1,668 14.0 1907 119,704 3,330 27.8 373 112 1,616 13.5 1908 122,258 3,176 26.0 300 94 1,516 12.4 1909 120,227 2,947 24.5 242 82 1,587 13.2 1910 121,197 2,842 23.6 242 85 1,418 11.7 1911 121,487 2,810 23.1 272 97 1,566 12.9 1912 121,932 2,776 22.8 208 75 1,456 11.9 1913 122,382 2,833 23.1 228 80 1, |
5b5efa8e-e344-48ad-944f-f74bb49c3b72 | 549 12.7 1914 122,431 2,838 23.2 241 85 1,706 13.9 1915 a 138,200 2,839 21.9 268 94 1,837 14.2 b 129,505 1916 a 141,783 3,068 23.5 213 69 1,704 13.1 b 130,313 1917 a 147,078 2,718 20.6 216 79 1,566 11.9 b 131,942 1918 a 150,650 2,548 19.0 270 106 2,100 15.6 b 134,453 1919 a 141,918 2,737 20.1 235 86 1,679 12.3 b 136,237 1920 a 140,000 3,658 26. |
71be252f-0909-4b0b-b24c-441deb50b85d | 9 224 61 1,487 10.9 b 135,904 1921 a 141,700 3,197 23.2 197 62 1,594 11.6 b 137,604 1922 a 142,350 2,941 21.3 184 63 1,603 11.6 b 138,254 1923 a 143,530 2,867 20.5 123 43 1,387 9.9 b 140,000 1924 a 144,400 2,590 18.5 168 65 1,543 11.0 b 139,980 1925 a 145,440 2,582 18.3 141 55 1,519 10.8 b 140,740 1926 a 146,200 2,463 17.4 107 43 1,450 10. |
1525231f-29f9-4177-801f-0c5e6845c3c1 | 2 b 141,900 1927 a 144,770 2,242 15.9 95 42 1,491 10.6 b 140,770 1928 a 146,600 2,269 161 114 50 1,554 11.0 b 141,100 1929 a 146,800 2,312 16.3 144 62 1,780 12.6 b 141,600 1930 a 146,800 2,188 15.5 91 42 1,547 10.9 b 141,600 1931 a 147,400 2,155 15.1 128 59 1,654 11.6 b 142,600 1932 a 146,400 2,054 14.0 123 60 1,635 11.1 1933 a 146,200 1,857 12. |
296ace4d-d4d7-467a-bb0e-1614a75c4aa4 | 7 116 62 1,634 11.2 1934 a 145,520 2,000 13.7 127 63 1,650 11.3 a Total Population. b Civil Population, 130 The chief Vital Statistics for 1934 for the Wards of the Borough are given in the following Table:— TABLE No. 66. Wards. Population. Births. Deaths under 1. Deaths at all Ages Number. Rate. Number. Rate. Number. Rate. Dockyard 6,547 112 7.1 9 80 93 14.2 St. Mary's 5,797 97 16.7 4 41 80 13.8 River 10,834 166 15.3 13 78 174 16.06 St. |
64d11625-76e7-40b2-8553-ea28e8a3e40b | George's 7,853 155 19.7 9 57 83 10.6 Woolwich 31,031 530 17.0 35 66 430 13.9 Burrage 7,394 109 14.7 4 37 103 13.9 Herbert 8,375 122 14.7 2 16 101 12.1 Glyndon 8,144 116 14.2 7 60 111 13.6 St. Margaret's 11,944 144 12.0 9 62 126 10.5 Central 7,422 102 13.7 8 78 126 16.9 St. |
8747748b-2cbb-4a20-a0c1-098b856a0278 | Nicholas 13,454 202 15.0 22 108 159 11.8 Abbey Wood 11,672 140 12.0 5 35 116 9.9 Plumstead 68,405 935 13 7 57 60 842 12 3 Well Hall 12,278 113 9.2 9 79 94 7.6 Avery Hill 13,268 148 11.1 3 20 130 9.8 Sherard 20,538 274 13.3 23 84 154 7.5 Eltham 46,084 535 11.6 35 65 378 8.2 BOROUGH 145,520 2,000 13.7 127 63 1,650 11.3 If the rates in St. Mary's, River and St. |
6ec670ec-4a13-41f0-808a-76bd4963fdf8 | George's Wards and in Woolwich parish are compared with those of previous years, it must be borne in mind that from 1915 to 1931 these rates were calculated on the civilian population and not on the total population. Births. During the year, 2,349 births were registered in the Borough, 1,177 being males and 1,172 females. Corrected by outward (254 males and 292 females) and inward (96 males and 101 females) transfers, these numbers become 2,000, 1,019 and 981 respectively. The birth rate was 13.7, compared with 12.7 in 1933 and 14.0 in 1932. 131 Illegitimate Births.—The number of illegitimate births registered was 64. There were 16 inward transfers and 7 outward transfers, making a nett figure of 73, equivalent to 36 per 1,000 births. |
06d23fb6-7994-44aa-89ad-f4a1eeb36417 | Natural Increase of Population.—This term means the excess of births over deaths. In 1930 it was 641; in 1931 it was 501; in 1932, 419; in 1933, 223, and in 1934, 350. Notification of Births.—During the year 2,334 births were notified. This is at the rate of 99.4 per cent. of the registered births and compares with 99.6 per cent. last year. The births were notified as shown in the following Table:— TABLE No. 67. British Hospital for Mothers and Babies 786 Midwives 570 St. |
2c08b1b0-4809-4ca0-a8e4-9bd62c64819b | Nicholas Hospital 345 Military Families' Hospital 260 War Memorial Hospital 183 Medical Practitioners 62 Parents 51 Eltham Cottage Hospital 35 Midwives' Homes 9 Other persons 33 In addition to these, 87 notifications were received from the Medical Officer of Health, Lewisham, 44 from the Medical Officer of Health, Greenwich, and 35 from other Medical Officers of Health. Ninety-six still-births were notified. It is known that 1,273 Woolwich births took place in institutions either within or without the Borough, so that the percentage of institutional midwifery for the Borough as a whole was 63.6. The following Table No. 68, shows the number of corrected births each year since 1930; the number of live and still-births notified; the percentage of notified births and the birth rates for the same period for Woolwich, London and England and Wales. TABLE No. 68. Year. No. |
ef33373f-3f33-47b1-b742-4f824fd26a53 | of Births. No. of Live Births Notified. No. of StillBirths. Percentage of Births Notified. Birth Rate. Woolwich. London. England and Wales. 1930 2,188 2,272 74 98 15.5 16.3 15.7 1931 2,155 2,303 84 99 15.1 15.0 15.8 1932 2,054 2,209 78 98 14.0 14.3 15.3 1933 1,857 2,154 59 99 12.7 13.2 14.4 1934 2,000 2,334 75 99 13.7 13.2 14.8 132 Marriages. There were 1,324 marriages (1,248 in 1933). |
37a99016-04b2-4fc0-a630-4d8f3350b997 | The marriage rate was 18.19 as compared with 17.70, 15.79, 17.7 and 14.1 in the four preceding years. Deaths. The total number of deaths registered in the Borough was 1,364. This figure includes 167 non.residents who died in the district, but does not include 453 residents who died outside the Borough. When allowance is made for inward and outward transfers the nett figure of 1,650 is obtained. The death.rate for the year was 11.3, compared with 11.2 in 1933 and 11.1 in 1932. In order to make the local death rate comparable from a mortality point of view with the crude death rate of the country as a whole or with the mortality of any other area, the Registrar General supplies a factor by which the crude death rate should be multiplied, based upon age and sex constitution of the population. |
ec243f0e-7b1e-46e4-8cc3-f31539bc4a67 | This adjusting factor for Woolwich is 1.06, so that the adjusted death rate for 1934 is 12.0. In 1934 the death.rate for England and Wales was 11.8, for London, 11.9, and the mean death.rate for 121 County Boroughs and Great Towns (including London) was 11.8. The seasonal mortality in the four quarters of the year was as follows:—First quarter, 13.7; Second quarter, 10.1; Third quarter, 9.2; Fourth quarter, 11.8. Deaths in Public Institutions.—In tabular form is shown below the number of deaths of Woolwich residents which took place in various institutions during the year. TABLE No. 69. Hospitals or Institutions. |
4a4a4350-4e2f-407f-b39b-f433e5afc410 | Number of Deaths Public General Hospitals 694 Voluntary General Hospitals 120 Mental Hospitals 68 Special Hospitals 29 Infectious Diseases Hospitals 35 Sanatoria and Tuberculosis Institutions 15 Cottage Hospitals and Nursing Homes 32 993 The percentage of institutional deaths to total deaths was therefore 60.18. The following Tables are self-explanatory. 133 TABLE No. 70. Birth Rates, Death Rates and Analysis of Mortality in the Year 1934. Rate per 1,000 Population. Annual Death-rate per 1,000 Population. Rate per 1,000 Live Births. Percentage of Total Deaths. All Causes Typhoid and Paratyphoid Fevers. Smallpox. Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Violence. Diarrhoea and Enteritis (under 2 yrs.). Total Deaths under 1 year. |
d2b9b272-91d8-4177-8771-ddb45ffe0bcf | Certified by Registered Medical Practitioners. Inquest Cases. Certified by Coroner after P.M. No Inquest. Uncertified Causes of I Death. Live Births. StillBirths. |
eea07cf2-867d-4d8e-ab96-4fb703dd7c24 | England and Wales 14.8 0.62 11.8 0.00 0.00 0.09 0.02 0.05 0.10 0.14 0.54 5.5 59 90.4 6.5 2.1 1.0 121 County Boroughs and Great Towns, including London 14.7 0.66 11.8 0.00 0.00 0.12 0.02 0.06 0.11 0.12 0.47 7.4 63 90.5 6.1 2.9 0.5 140 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census 1931). |
efc673b6-7214-4eb1-8286-5d6c48676b5d | 15.0 0.67 11.3 0.00 - 0.07 0.02 0.04 0.09 0.14 0.42 3.6 53 91.2 6.1 1.6 1.1 London 13.2 0.50 11.9 0.00 0.00 0.20 0.02 0.07 0.11 0.12 0.56 12.6 67 87.7 6.3 6.0 0.0 WOOLWICH 13 7 0 51 11.3 — — 0.07 0.02 0.08 0.07 0.08 0.62 4.5 63 86.7 9.2 4.1 — 134 TABLE No. 71. |
07a361b0-776f-4cf2-9c84-b3036fac5be7 | Nett Deaths during the Calendar Year 1934, including Non-Residents in Institutions in the Borough. Causes of Death. Nett Deaths at the subjoined ages of "Residents" whether occurring within or without the district. Deaths in Public Institutions. All Ages. Under 1 year. 1 and under 2 years. 2 and under 5 years. 5 and under 15 years. 15 and under 25 years. 25 and under 35 years. 35 and under 45 years. 45 and under 55 years. 55 and under 65 years. 65 and under 75 years. 75 years and upwards. In Borough. Outlying Institutions. Residents. NonResi dents. All Causes 1,650 127 23 21 58 69 64 105 153 288 368 374 562 150 431 Typhoid and Paratyphoid Fevers - - - - - - - - |
5396ede2-0f23-4c90-9487-04dad90c7d80 | - - - - - - - Measles 10 4 1 2 3 - - - - - - - - - 8 Scarlet Fever 3 — - — 2 1 - - - - - - - 1 3 Whooping Cough 13 3 6 2 2 - - - - - - - 2 - 10 Diphtheria 11 1 2 2 6 - - - - - - - - - 11 Influenza 12 — - - - - - 1 1 4 4 2 1 1 1 Encephalitis Lethargica — — - - - - - - - - - - - - - Cerebro-spinal Fever 1 — - - - 1 - - - - - - - 1 1 Tuberculosis of Respiratory System 120 — — - 2 24 22 30 19 13 10 - 57 20 26 Other |
4b30bf98-06ee-4fb4-b3ab-36264fedb358 | Tuberculous Diseases 26 2 — 4 4 6 4 1 1 2 9 - 11 1 9 Syphilis 9 1 - - - - - - 1 6 1 - 5 - 3 General Paralysis of the Insane, Tabes Dorsalis 5 - - - - - - 1 3 1 - - 1 - 4 Cancer, Malignant Disease 222 1 - 1 - - 1 11 36 60 66 46 74 20 47 Diabetes 17 - - - - 1 1 - 2 4 8 1 8 1 6 Cerebral Haemorrhage, etc. 67 — — — - - - 3 6 18 16 24 22 5 9 Heart Disease 391 — — — 4 6 11 12 27 68 121 142 97 14 73 |
9e437ac9-70fe-407b-956a-fe67fac63d88 | Aneurysm 11 — — - - - 1 - 2 2 6 - 3 1 2 Other Circulatory Diseases 55 1 — — - - - 1 4 14 20 15 8 3 18 Bronchitis 58 4 1 — 1 - - 2 1 8 8 33 6 9 17 Pneumonia (all forms) 126 32 7 2 3 1 3 14 15 25 15 9 40 11 47 Other Respiratory Diseases 14 — — 1 1 1 1 2 3 1 2 2 4 1 4 Peptic Ulcer 18 — - - - - 1 2 5 6 3 1 9 4 7 Diarrhoea, |
67617cf4-8348-4ced-8048-3128d81151a5 | etc 14 9 — - 2 - - - - 2 1 - 6 7 4 Appendicitis 9 — - 1 2 1 - 1 1 1 1 1 3 1 5 Cirrhosis of Liver 4 - - - - - - - 1 l 2 - 1 - 3 Other Diseases of Liver, |
d4af9b1b-850c-4bda-bd9b-d8af85231ffd | etc 7 - - - - - - - 2 3 2 - 4 4 2 Other Digestive Diseases 31 2 1 3 3 2 - 3 2 4 7 4 16 5 11 Acute and Chronic Nephritis 45 — 1 - 1 2 2 2 2 9 17 9 12 1 10 Puerperal Sepsis 2 — - - - 1 1 - - - - - 1 1 1 Other Puerperal Causes 1 - - - - - - 1 - - - - 1 1 - Congenital Debility, Premature Birth, Malformations, |
97e710bf-dfdd-4878-bdf0-f2f4b9a53f61 | etc 61 58 2 - 1 - - - - - - - 29 14 14 Senility 55 - - - - - - - - - 11 44 30 3 115 Suicide 23 - - - - 2 - 4 4 10 2 1 3 1 13 Other Violence 68 3 1 2 5 13 7 5 7 3 9 13 29 13 25 Other defined Diseases 141 6 1 1 16 7 9 3 8 23 34 27 79 13 32 Causes ill.defined or unknown - - - - - - - - - - - - - - - 135 TABLE No. 72. Nett Deaths during 1934, classified by Sex and Wards. Causes of Death. The Borough. Woolwich. Plumstead. Eltham. Males. |
2e2f49c9-4b93-4dc1-8577-ad90c42015ef | Females. Dockyard. St. Mary's. River. St. George's. Burrage, Herbert. Glyndon. St. Margaret's. Central. St. Nicholas. Abbey Wood. Well Hall. Avery Hill. Sherard. All Causes 908 742 93 80 174 83 103 101 1ll 126 126 159 116 94 130 154 Typhoid and Paratyphoid Fever - - - - - - - - - - - - - - - - Measles 6 4 - - - - - - - 1 1 4 2 1 — 1 Scarlet Fever 1 2 1 - - - - - - - - 1 1 — — — Whooping Cough 5 8 — 2 — — 1 2 1 — 1 4 — — — 2 |
2966fbb3-2de1-40c5-827e-f3c220cd70b1 | Diphtheria 6 5 — 1 — — - — 1 3 1 1 — — 2 2 Influenza 6 6 - - - - - 1 — 2 1 2 — — — 6 Encephalitis Lethargica — — — — — — — — — — — — — — — — Cerebro-spinal Meningitis 1 — — 1 — — — — — — — — — — — — Pulmonary Tuberculosis 76 44 7 5 13 14 11 2 7 6 10 6 12 7 9 11 Non-Pulmonary Tuberculosis 15 11 — 3 — 2 1 1 3 1 1 2 2 2 4 4 Syphilis 8 1 2 — 3 — 1 1 1 — 1 — — — — — General Paralysis of the Insane, |
34fd6966-d3d6-4e54-8bb0-5ebc186c37ff | Tabes Dorsalis 5 - - - 1 - 1 - - - 1 - - 1 1 — Cancer 119 103 14 10 27 12 12 15 15 16 20 17 18 18 13 15 Diabetes 8 9 — 1 1 — 1 1 2 4 — 1 1 1 2 2 Cerebral Haemorrhage, etc. 30 37 10 4 7 4 7 5 7 2 4 4 3 5 2 3 Heart Disease 191 200 19 22 47 18 23 28 28 26 31 28 21 25 42 33 Aneurysm 6 5 1 — — — 1 1 4 1 1 1 — — 1 — Other Circulatory Diseases 31 24 1 2 3 1 |
d01d0b04-1860-44ee-92ce-b1a53285b218 | 1 8 3 7 4 4 — 5 12 4 Bronchitis 30 28 2 1 6 1 4 2 4 6 8 8 2 3 3 8 Pneumonia 77 49 6 1 18 8 12 4 7 11 9 11 9 7 10 13 Other Respiratory Diseases 9 5 1 2 2 — — — I 1 1 1 2 1 1 1 Peptic Ulcer 15 3 — 1 2 1 1 3 — — — 1 3 1 3 2 Diarrhoea, etc. |
a32149ea-bdb2-4b68-acb8-c94cda42bd80 | 8 6 2 — 1 — — 1 2 1 — 2 1 — — 4 Appendicitis 4 5 1 — — 1 1 — — 2 1 — 2 1 — — Cirrhosis of Liver 3 1 -— 1 — — — — — — 1 1 — 1 — — Other Diseases of Liver, |
11352d4e-f4af-42c2-a8ff-304b0ac825f5 | etc 3 4 1 — 1 — — 2 — — — 2 — — — 1 Other Digestive Diseases 19 12 2 2 3 2 — — 1 1 2 6 2 1 4 5 Acute and Chronic Nephritis 22 23 4 4 1 2 4 4 4 5 2 6 4 — 4 1 Puerperal Sepsis — 2 — — — 1 — — — — — — — — 1 — Other Puerperal causes — 1 - - - - - - - - - - - - 1 — Congenital Debility, Premature Birth, Malformations, etc. |
2a0531cc-1363-4748-9df4-c2c657e51cfe | 27 34 2 1 5 7 3 1 1 7 4 10 1 5 1 13 Senility 24 31 1 2 13 2 2 3 6 4 3 7 4 2 4 2 Suicide 21 2 1 2 2 1 I 3 2 3 4 — 2 1 — 1 Violence 42 26 6 4 5 4 6 1 2 4 5 11 5 1 3 11 Other Defined Diseases 90 51 9 8 13 2 9 12 9 12 10 17 19 5 7 9 Causes ill-defined or unknown — — — — — - — — — — — — — — — — 136 Causes of Death.—Table No. |
02345ac7-586b-44e1-8477-269c98cf9045 | 71 shows that 391 deaths were due to Heart Disease, 222 to Cancer, 146 to Tuberculosis, 67 to Cerebral Haemorrhage and 55 to diseases of circulation. There were 61 deaths from Congenital Debility and Prematurity. These figures differ but little from those of 1933, in some instances being slightly higher and in some instances slightly lower. There were 126 deaths from Pneumonia compared with 86 in 1933. There were 12 deaths from Influenza, compared with 40 in 1933 and 10 deaths from Measles as against one in 1933. Seventyone per cent. of all deaths occurred in persons over 45 years of age. Respiratory Disease.—The following Table No. |
c86093b4-525c-4282-94c3-23ee9f5a6e4f | 73 shows the number of deaths each year since 1930 from Respiratory diseases, the annual death-rate, the number of deaths under five years of age, and the percentage of deaths occurring in children under five years of age. TABLE No. 73. Year. Bronchitis. Pneumonia. Other Respiratory. Total. DeathRate. Number under 5 years. Percentage under 5 years. |
98832585-78c1-424b-8d52-d432666e1eef | 1930 61 101 19 181 1.3 35 19.3 1931 91 126 20 237 1.7 54 22.8 1932 67 81 21 169 1.2 40 23'6 1933 52 86 16 154 1.0 21 136 1934 58 126 14 198 1.3 47 23.7 Cancer.—The total number of deaths was 222 of which 119 occurred in males and 103 in females. In the following Table No. 74 is shown the number of deaths certified as due to Cancer and Malignant Disease, each year since 1930:— TABLE No. 74. Deaths from Cancer and Malignant Disease. Year. Males. Females. Total. Rate. Percentage of Total Deaths. 1930 107 94 201 1. |
6627548a-394c-4ed4-a9e6-5eb2a7a69ed5 | 42 12.99 1931 125 95 220 1.54 13.30 1932 108 102 210 1.43 12.84 1933 105 103 208 1.42 12.72 1934 119 103 222 1.52 13.45 137 The following Table No. 75, shows the seat of primary disease in all deaths from Cancer (including all other specified malignant tumours). TABLE No. 75. Deaths from Malignant Disease. Seat of Primary Disease. Males. Females. Total. Deaths in Hospital. Lip 1 - 1 1 Tongue 9 2 11 7 Mouth and Tonsil 5 — 5 3 Jaw — 1 1 — Oesophagus 8 1 9 7 Stomach 22 21 43 18 Liver and Gall Bladder 7 5 12 |
fdc4bc1f-8ee7-41e4-bd29-a2eb090aed8d | 6 Intestines 9 12 21 12 Rectum 12 6 18 10 Ovary — 4 4 1 Uterus — 15 15 8 Breast 1 20 21 10 Skin 2 3 5 3 Larynx 3 1 4 2 Lung 10 — 10 7 Bronchus 6 - 6 6 Pancreas 3 - 3 1 Kidney 1 — 1 — Bladder 9 2 11 6 Prostate 6 - 6 4 Abdominal Cavity — 3 3 1 Others and unspecified 2 3 5 3 Sarcoma 3 4 7 5 119 103 222 121 Maternal Mortality.—The Council appointed two delegates to attend the Autumn Conference of the Maternal Mortality Committee held at the Friends' Hall, Euston Road, in November, |
cdfa373b-1d77-4b63-bfb9-5299028d1282 | and agreed to support the following resolutions:— "This Conference welcomes such encouragement to Local Authorities to maintain and develop the Maternity and Child Welfare Services for which they are responsible as is given by Circular 1433, dated October 10th, 1934. This Conference, however, is deeply impressed by the reports it has received of malnutrition among married women especially in areas where prolonged unemployment persists ; it is not satisfied that all Local Authorities are exercising or can exercise, their present powers so as to prevent continuous and increasing deterioration in health among such women; and it therefore urges the Ministry of Health and H.M. Government to consider what additional measures, either administrative or financial, are necessary to correct a growing evil. Further, in view of the reported deterioration in health among women in certain areas, the Conference calls upon Local Authorities to make special 138 arrangements for the setting up of Women's Clinics under the Public Health Acts for the supervision of post-natal and associated ailments." |
08580b6f-5eb2-40f0-b913-ef69c091bf55 | The number of deaths from Puerperal Sepsis was 2, and from other accidents and diseases of pregnancy, 1, making a total of 3 maternal deaths, compared with 6 in 1933. The maternal death rate per 1,000 births was 1.44 as against 3.29 in 1933. The following Table shows the causes of death each year since 1912:— TABLE No. 76. Maternal Mortality, Woolwich, 1912-1934. Year. Abortion. Ectopic Gestation Placenta Previa. Other Puerperal Haemorrhage. Other Accidents of Child Birth. Child Birth with Secondary Causes. Puerperal Eclampsia Puerperal Phlebitis and Embolism Puerperal Fever. Totals. 1912 1 - - - - - 1 1 1 4 1913 1 - - - |
a7d83b23-6bbd-4082-9fc9-f5519f5a2eb4 | 1 - 1 - 2 5 1914 1 - 1 2 - 1 1 1 4 11 1915 1 1 - - 1 - 2 - 3 8 1916 — 1 1 1 4 - 1 - 7 15 1917 - 1 — 2 - 1 2 1 7 14 1918 1 - - 2 1 — 1 1 9 15 1919 - 2 1 2 - - 2 1 5 13 1920 - 1 - - 1 - 1 3 5 11 1921 — - — - - — 3 2 5 10 1922 - — — 1 — - 2 - 3 6 1923 - — - — 1 — 1 - 3 5 1924 - - 2 1 1 — 3 |
dcc047cc-d9e4-4fd2-b250-117dd0640210 | 1 2 10 1925 - - I 2 1 1 1 - 3 9 1926 — 1 — 2 - - - 1 2 6 1927 - 1 - — - - 1 1 3 6 1928 - 2 1 — 1 - 1 - 8 13 1929 2 2 - - 2 1 3 1 3 14 1930 1 - — - - 1 2 - 4 8 1931 - — - - 1 - 1 - 6 8 1932 - — - 1 - - 1 - 4 6 1933 - 1 - - 1 1 - 1 2 6 1934 - - - - - 1 - - 2 3 Totals 8 13 7 16 16 7 31 15 93 206 Inquests. |
1140954a-abb1-48a6-bd70-12006898e57f | —There were 152 inquests held on Woolwich residents during the year, compared with 121 in 1933. Deaths of Children, 1-5 years of age.—The number of deaths of children between 1 and 2 years of age was 23, and between 2 and 5 years, 21. In 1933 these figures were 13 and 24. The causes of death are given in detail in Table No. 71. The following Tables, show the variation in the rate of mortality in these ages in the last five years. These rates have been calculated on the estimated populations at these ages and in stated groups of diseases. 139 TABLE No. 77. Child Mortality (1—2 years). Death-rates per 1,000 estimated age population from stated Groups of Diseases. Period. Estimated mean Population. Infectious Fevers. Tuberculosis. Respiratory Diseases. Diarr- hœal Diseases. |
b6f96562-bffe-4af2-8195-7f34f42a4831 | All other causes. Total Deaths. 1930 2,190 5.48 .91 4.11 1. 37 1.37 13.24 1931 2,071 1.45 1 .45 6.76 .48 3.86 14.0 1932 2,016 6.45 — 1.99 .49 2.48 11.41 1933 1,927 207 — 3.11 1.55 — 6.75 1934 1,726 5.21 — 4.63 — 3.47 13.32 TABLE No. 78. Child Mortality (2—5 years). Death-rates per 1,000 estimated age population from stated Groups of Diseases. Period. Estimated mean Population. Infectious Fevers. Tuberculosis. Respiratory Diseases. Diarrhœal Diseases. |
a32dfce4-a18a-452a-a372-f83a55532f38 | All other causes. Total. Deaths 1930 6,534 1.39 .46 .92 .00 .76 3.53 1931 6,373 .78 .62 .94 .16 2.20 4.70 1932 6,294 .79 .48 .79 — 1.43 3.49 1933 6,188 .97 .80 .48 — 1.62 3.88 1934 5,953 101 .67 •50 — 1.34 3.52 Infant Mortality. The number of deaths of infants under one year of age was 127, compared with 116 in 1933 and 123 in 1932. The rate of infant mortality resulting from these deaths (deaths under 1 year per 1,000 births) was 63, compared with 62 in 1933 and 60 in 1932. |
eed9dc11-a6fc-4d39-b425-cbb4dcb9ebcd | The rates for the different Wards in the Borough are shown in Table No. 66. The rate for the Administrative County of London was 67, and for England and Wales, 59. The following Table No. 79, shows the distribution of infant mortality throughout the year, calculated on a varying year basis. 140 TABLE No. 79. Births. Deaths under 1 year. Rate. First Quarter 499 32 67 Second Quarter 518 31 64 Third Quarter 510 20 40 Fourth Quarter 473 44 88 Causes of Death.—The causes of infant mortality are set forth in Tables Nos. 81 and 82, which show the incidence of mortality from each cause for infants, classified by age, sex and wards. |
0f4c4c91-72ea-4b82-a467-1ead6c3849d1 | It will be noted from these Tables that the chief causes of death were:—Premature Birth, 36; Pneumonia, 32; Diarrhceal Diseases, 9; Congenital Malformation, 9; and injury at birth, 5. The neo-natal mortality rate (deaths under 4 weeks) was 27.5, compared with 33.92 in 1933 and 24.82 in 1932. Of the 55 neo-natal deaths, 34 were certified to be due to Premature Birth; 5 to Injury at Birth; 7 to Atelectasis; 4 to Congenital Malformation and 2 to Pneumonia. The number of deaths occurring in the first week of life was 39. Deaths of Illegitimate Children.—Fourteen illegitimate children died, compared with 13 in 1933 and 12 in 1932. |
35616f41-a3a7-43d3-b584-a8364c774db5 | The infant mortality rate figure for illegitimate children was 191, compared with 63 for legitimate children. Institutional Deaths.—In tabular form is shown below the number of deaths of Woolwich infants which took place in various institutions during the year. These figures are included in those shown in Table No. 69. TABLE No. 80. Hospitals or Institutions. Number of Deaths Public General Hospitals 54 Voluntary General Hospitals 11 Special Hospitals 12 Infectious Diseases Hospitals 6 Cottage Hospitals and Nursing Homes 8 91 Tables are set out in the following pages which classify in various ways causes of infant deaths during 1934. 141 TABLE No. 81. Infant Mortality, 1934. Nett Deaths from stated causes at various Ages under One Year of Age. Causes of Death. Under 1 week. 1-2 weeks. 2-3 weeks. 3-4 weeks. Total under 4 weeks. |