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1cbbe80a-8729-48b2-b55c-18026ef01136 | 1932 2,016 6.45 – 1.99 0.49 2.48 11.41 1933 1,927 2.07 – 3.11 1.55 – 6.75 1934 1,726 5.21 – 4.63 – 3.47 13.32 1935 1,879 1.59 – 1.59 0.53 1.59 5.30 1936 1,942 2.58 1.54 3.09 – 4.63 11.84 TABLE No. 80. Child Mortality (2—5 years). Death-rates per 1,000 estimated age population from stated Groups of Diseases. d. Estimated mean Population. Infectious Fevers. Tuberculosis. Respiratory Diseases. Diarrhoeal Diseases. All other causes. Total Deaths. |
36cb84b0-9ba4-43e0-88ff-81ac326d8839 | 1932 6,294 0.79 0.48 0.79 – 1.43 3.49 1933 6,188 0.97 0.80 0.48 – 1.62 3.88 1934 5,953 1.01 0.67 0.50 – 1.34 3.52 1935 5,623 0.88 0.35 1.06 – – 2.29 1936 5,478 1.83 0.18 0.91 – 0.91 3.83 Infant Mortality. The number of deaths of infants under one year of age was 121, compared with 91 in 1935 and 127 in 1934. |
4dea9554-1817-4687-9f38-9f1fd6acb1e7 | The rate of infant mortality resulting from these deaths (deaths under 1 year per 1,000 births) was 59, compared with 44 in 1935 and 63 in 1934. The rates for the different Wards in the Borough are shown in Table No. 68. The rate for the Administrative County of London was 66, and for England and Wales, 59. The following Table No. 81 shows the distribution of infant mortality throughout the year, calculated on a varying year basis. 148 TABLE No. 81. Births. Deaths under 1 year. Rate. First Quarter 446 30 67 Second Quarter 521 32 61 Third Quarter 497 27 54 Fourth Quarter 553 32 58 Causes of Death.—The causes of infant mortality are set forth in Tables Nos. 83 and 84, which show the incidence of mortality from each cause for infants classified by age, sex and wards. |
3377f01e-f8a9-470c-9fd5-fdc28a1db08d | It will be noted from these Tables that the chief causes of death were: Pneumonia, 27; Diarrhoea, 25; Premature birth, 20; Congenital malformation, 14, and Atelectasis, 7. The number of deaths occurring in the first week of life was 29. Deaths of Illegitimate Children.—Eight illegitimate children died, compared with 9 in 1935 and 14 in 1934. The infant mortality rate figure for illegitimate children was 138, compared with 58 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. 71. TABLE No. 82. Hospitals or Institutions. Number of Deaths. |
dd8d8823-c477-4916-9bad-3009441febfb | Public General Hospitals 60 Voluntary General Hospitals 11 Special Hospitals 13 Infectious Diseases Hospitals 14 98 Tables are set out in the following pages which classify in various ways the causes of infant deaths during 1936. 149 TABLE No. 83. Infant Mortality, 1936. 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 1 month and under 3 months. 3 months and under 6 months. 6 months and under 9 months. 9 months and under 12 months. Total deaths under 1 year. Measles . . . . . . . 2 . 2 Whooping Cough . . . . . 3 . . . 3 Diphtheria and Croup . . . . . 1 . . . |
c7fff067-7996-4c67-8e30-0d23d15a73f4 | 1 Tuberculous Diseases . . . . . . . . . . Syphilis . . . . . . 1 . . 1 Bronchitis . . . . . 1 1 . . 2 Pneumonia . . . . . 5 7 12 3 27 Diarrhoea . . . . . 6 10 8 1 25 Rickets . . . . . . . . 1 1 Injury at Birth 2 . . 1 3 . . . . 3 Atelectasis 7 . . . 7 . . . . 7 Congenital Malformation 4 1 1 2 8 1 1 4 . 14 Premature Birth 15 2 1 . 18 2 . . . 20 Atrophy, Debility and Marasmus . . 2 . 2 . . . . 2 Convulsions 1 . . . 1 . |
bdb708c7-ccb0-4ea8-a8ed-9783c0b41b50 | .. 1 .. .. 2 Other Causes .. 1 1 2 4 2 2 3 .. 11 29 4 5 5 43 21 23 29 5 121 Nett Births registered during the calendar year Legitimate, 1,959; Illegitimate, 58. Nett Deaths registered during the calendar year Legitimate 113; Illegitimate 8. 150 TABLE No. 84. Nett Infant Deaths, classified by Sex and Wards. Causes of Death. The Borough. Woolwich. Plumstead. Eltham. Males. Females. Dockyard. St. Mary's. River. St. George's. Burrage. Herbert. Glyndon. St. Margaret's. Central. St. Nicholas. Abbey Wood Well Hall. Avery Hill. |
33fb0287-4a44-4075-bac5-136398f14450 | Sherard. Measles 1 1 – 1 – – – – – – – – 1 – – – Whooping Cough 1 2 – – – – – – – – – – 1 – 1 1 Diphtheria and Croup – 1 – – – – – – – – – 1 – – – – Syphilis 1 – – – – – – – – – – 1 – – – – Bronchitis 1 1 – – – – – – 1 – – – – – – 1 Pneumonia 17 10 3 1 4 1 2 1 6 – 1 4 1 – – 3 Diarrhoea 13 12 – 1 5 1 3 – – 1 2 4 7 – – 1 Rickets – 1 – 1 – – – – – – – – – – – – Injury at Birth 1 |
7ca0ee1d-665e-4b8e-8d0a-6ffe86c216c7 | 2 – – – – – – – – – – – 1 – 2 Atelectasis 4 3 – – – 1 1 1 1 1 – 1 – 1 – – Congenital Malformation 9 5 – – 1 1 – 1 – 1 – 3 4 1 – 2 Premature Birth 12 8 2 1 1 2 1 2 – 1 1 2 1 – 1 5 Atrophy, |
fbed9751-c9e0-4616-9111-438d4e4ff2a4 | Debilitv and Marasmus 1 1 – – 2 – – – – – – – – – – – Convulsions 1 1 – – – – – 1 – – – – – – – 1 Other Causes 7 4 – 1 – 1 1 3 1 – 1 2 1 – – – 69 52 5 6 13 7 8 9 9 4 5 18 16 3 2 16 151 APPENDIX. METEOROLOGICAL OBSERVATIONS TAKEN AT THE ROYAL OBSERVATORY, GREENWICH, DURING THE YEAR 1936. Week ending. Temperature of the Air. Departure from average mean air temperature for 65 years. Average temperature 4 feet below ground. Number of days on which rain fell. Rainfall in inches' Highest during week. Lowest during week. Mean temperature. |
def7a8ff-d0f8-42c1-b1c9-0f7e7af8abdd | Jan. 4 50.9 35.2 44.6 + 6.0 44.8 6 1.18 „ 11 56.1 34.1 45.8 + 7.8 45.2 6 0.99 „ 18 410 24.8 33.4 —4.8 44.6 3 0.48 „ 25 49.0 25.1 38.7 —0.1 43.0 5 0.58 Feb. |
cd996862-8658-4a31-9631-75044869b27c | 1 52 .1 36.9 45.6 + 6.0 43.1 7 1.26 „ 8 45.5 24.6 34.7 —4.8 43.4 1 0.10 „ 15 42.8 19.4 33.2 —5.8 41.7 1 0.12 „ 22 54.3 29.8 42.2 + 2.6 41.0 5 0.89 „ 29 47.4 29.4 37.6 —2.6 41.7 5 0.26 Mar. |
c6a2e4a3-c378-42b3-a8f0-846d31c41083 | 7 51.6 28.0 38.7 —2.0 41.7 5 0.19 „ 14 60.4 32.3 43.4 + 2.3 42.3 3 0.10 „ 21 65.3 31.3 38.9 + 3.9 42.9 - 0.00 „ 28 65.3 38.8 50.8 + 8.1 44.1 3 0.41 Apr. 4 63.8 35.5 48.4 + 3.2 45.8 5 0.66 „ 11 52.2 34.3 41.7 —4.4 45.7 1 0.03 „ 18 53.8 29.2 40.7 —6.2 45.2 2 0.13 „ 25 62. |
e1eb0a5d-44b0-4064-99a3-ecf1d9bbb161 | 0 28.3 44.6 —4.0 45.1 5 0.72 May 2 63.1 36.7 49.9 + 0.9 46.4 2 0.26 „ 9 79.6 41.7 53.9 + 3.4 48.0 - 0.00 „ 16 75.0 42.1 57.7 + 5.4 49.7 1 0.07 „ 23 74.6 39.0 55.1 + 1.2 51.4 4 0.26 „ 30 67.9 33.7 52.8 —3.2 52.1 1 0.04 June 6 68.4 40.0 51.0 -6.9 52.2 6 0.89 „ 13 75.4 51. |
aa62fb6f-77a5-4955-9252-56a132589f7d | 0 59.1 +0.9 52.9 2 0.48 „ 20 85.3 48.3 64.0 + 4.9 54.5 2 0.87 , 27 87.8 55.1 67.4 + 6.3 56.8 4 0.81 July 4 76.3 56.1 62.9 + 1.2 58.0 5 0.54 „ 11 76.9 51.3 62.0 —0.5 58.7 4 0.93 „ 18 77.8 52.2 61.9 — 1.4 58.9 6 0.71 „ 25 71. 2 47.7 59.7 —3.3 59.0 5 0.56 Aug. |
738e5c8f-57ae-4876-aad1-c6fc1b4ec4d9 | l 73.0 46.6 58.7 —3.6 58.9 5 0.55 „ 8 70.1 50.4 59.0 —3.1 58.8 4 0.13 „ 15 81.5 47.7 61.2 — 1.2 58.9 3 0.35 „ 22 82.9 51.3 64.7 + 3.0 59.5 1 0.06 „ 29 84.6 46.0 63.9 + 3.3 60.0 - 0.00 Sep. |
9822232b-1a5f-4d46-be82-f7b859a01da1 | 5 82.8 54.2 63.6 + 3.9 60.0 3 0.71 „ 12 76.9 52.3 60.6 —2.0 59.8 4 0.39 „ 19 72.0 47.5 58.5 + 1.2 59.5 3 0.40 „ 26 72.3 48.8 59.7 + 4.1 59.2 5 1.46 152 APPENDIX—continued. Week ending. Temperature of the Air. Departure from average mean air temperature for 65 years. Average temperature 4 feet below ground. Number of days on which rain fell. Rainfall in inches. Highest during week. Lowest during week. Mean temperature. Oct. |
3c8a91c0-34a9-4b71-baf6-f5f633a55bf9 | 3 58.9 36.1 50.1 —4.2 58.4 2 0.20 „ 10 62.6 34.0 45.8 — 6.4 56.4 3 0.05 „ 17 67.2 36.0 51.9 + 1.8 54.9 2 0.06 „ 24 61.7 42.0 51.3 + 2.7 54.3 3 0.14 „ 31 63.1 30.3 48.8 + 1.4 53.7 6 1.55 Nov. |
7a246188-e73b-40aa-80ee-6d91d3a72c99 | 7 53.9 34.8 45.6 —0.7 52.2 6 0.76 „ 14 55.0 31.9 46.1 + 2.0 51.5 6 1.52 „ 21 56.1 35.7 46.0 + 3.5 50.5 5 0.65 „ 28 45.8 32.9 38.0 —3.8 49.7 1 0.02 Dec. |
40e43ada-de96-4dd7-9b08-6c4e4fce4bf4 | 5 54.6 32.4 45.8 + 4.7 48.9 3 0.30 „ 12 45.0 25.7 35.9 —4.9 47.9 3 0.37 „ 19 55.2 28.0 45.6 + 5.3 46.9 6 1.09 „ 26 51.9 30.8 42.6 + 4.1 47.0 3 0.08 |
9fda6d8b-e1f8-445c-b5b0-593db6129e7e | woo 38 Metropolitan Borough of Woolwich ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR WOOLWICH 1938 BY J. MACMILLAN, D.S.O.. M.C., M B., D.P.H. Medical Officer of Health WOOLWICH : The Kentish Independent Printing Works (T.U.) 41, Wellington Street, S.E.18 HEALTH COMMITTEE. At 31st December, 1938. The Worshipful the Mayor (Councillor T. Watt, J.P.) Councillor C. H. Darby (Chairman). Councillor A. H. Gilder (Vice-Chairman). Alderman: Mrs. E. Brooks. Councillors: J. W. Andrews D. B. Lister Miss M. Crout, J.P. S. W. Lister G. S. Dean Mrs. E. L. Reeves. Mrs. |
20a52e00-bfa7-4078-b870-44a4edb20a4b | L. E. Driver E. G. Stevenson G; E. Greenwood H. Vaughan C. J. Keedy Miss G. E. Walters, J.P MATERNITY AND CHILD WELFARE COMMITTEE. Comprising the Members of the Health Committee. Alderman Mrs. E. Brooks (Chairman). Councillor Miss G. E. Walters, J.P. (Vice-Chairman). 3 TABLE OF CONTENTS PAGE Health Committee 2 Maternity and Child Welfare Committee 2 Preface 6 I.—GENERAL STATISTICS. Area 9 Population 9 Inhabited Houses 10 Rateable Value, etc 10 Physical Features of the Area 10 Social Conditions 11 Sickness and Invalidity 11 II.—VITAL STATISTICS. |
4af322af-bac7-44a6-bf33-5d28a47b5f0c | Annual Statistics (including those of Wards) 12 Births 14 Marriages 16 Deaths 16 Deaths from Cancer 21 Maternal Mortality 21 Child Mortality 22 Infant Mortality 23 III.—GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Public Health Officers of the Authority 27 Clinics and Treatment Centres 32 Institutional Provision for Mothers or Children 33 Ambulance Facilities 34 Professional Nursing in the Home 34 Midwifery and Maternity Services 35 Health Visiting 35 Infant Life Protection 36 Hospitals 36 Orthopaedic Treatment 36 Dental Treatment 36 Adoptive Acts, By-laws and Regulations in force in the District 37 Laboratory Facilities 37 Vaccination 37 Supply of Insulin 39 School Medical Service (l.C.C.) 39 IV.—HEALTH PROPAGANDA. |
ff2bb10d-24ff-4835-b320-bee9337742f6 | National Health Campaign 42 Health Film Displays for School Children 42 Health Film Displays for Adults 43 Informal Talks 43 Cookery Classes 43 Central Council for Health Education 44 " Better Health " 44 Health Services Booklet 44 Health and Happiness for Baby 44 Leaflets 44 Posters 45 Bookmarks 45 London County Council Midwifery Scheme 45 4 V.—SANITARY ADMINISTRATION. |
44c3f03f-760c-4c51-ab6d-0191fdd4c491 | PAGE Staff 46 Water Supply 46 Drainage 46 Removal and Disposal of Refuse 46 Complaints 47 Sanitary Inspection of the Area 47 Shops Act, 1934 49 Smoke Abatement 49 Public Baths and Washhouses 49 Eradication of Bed-Bugs 50 Factories Act 53 The Rats and Mice (Destruction) Act, 1919 55 Fouling of Footways by Dogs 55 Nuisance from Pigeons 55 Rag and Bone By-laws 56 Rag Flock Act 56 Mortuaries 56 Cemeteries 56 Offensive Trades 57 Removal of Infirm and Diseased Persons 57 Pharmacy and Poisons Act, 1933 57 Legal Proceedings 58 VI.—HOUSING. |
34b4cdea-b6a1-451f-ad28-c9afc60ff411 | Statistics 59 Overcrowding 61 Inspection of Houses 61 Underground Rooms 62 Re-housing of Old People 63 New Houses 63 Council's Houses 63 Increase of Rent and Mortgage Interest (Restrictions) Acts 64 Tents and Vans 64 Houses Let in Lodgings 64 Common Lodging Houses 64 Clearance Areas 64 VII.—PREVALENCE AND CONTROL OF INFECTIOUS DISEASE. |
783a6adc-2336-40b1-94a9-4abd8063fcc4 | General Reference Notifications and Deaths Diphtheria 81 Scarlet Fever 82 Puerperal Fever and Puerperal Pyrexia 84 Erysipelas 85 Malaria 85 Enteric Fever 85 Dysentery 85 Anterior Poliomyelitis 85 Encephalitis Lethargica 86 Smallpox 86 Cerebro-spinal Meningitis 86 Whooping Cough 86 Zymotic Enteritis 87 Ophthalmia Neonatorum 87 Measles 88 Pneumonia 89 Tuberculosis 90 Arrangements for Disinfection and Disinfestation 103 5 VIII.—INSPECTION AND SUPERVISION OF FOOD. |
c8da0436-e4a1-4e07-a450-d0dfa4944b30 | PAGE General Reference 105 Milk Supply 105 Meat Supply 107 Registered Premises 110 Other Food Premises 110 Unsound Food 112 Merchandise Marks Act, 1926 112 Agricultural Produce (Grading and Marking) Acts 112 Sophistication of Food 113 Adulterated Samples—Action Taken 121 Other Legal Proceedings 123 Nutrition 123 Chemical and Bacteriological Examination of Food 123 Food Poisoning 123 IX.—MATERNITY AND CHILD WELFARE. General Reference 125 Staff 126 Public Health (London) Act, Part xii 127 The Work of the Health Visitors 127 Infant Life Protection 128 The Work of the Welfare Centres 129 Toddlers' Clinics 134 Artificial Sunlight Clinic 137 Ear, Nose and Throat Clinic 139 Provision of Maternity Outfits 139 Compensation to Midwives 140 Payment of Midwives' Fees 140 Administration of the Public Health (Puerperal Fever and Puerperal Pyrexia) Regulations, |
1bb944ac-5d16-4392-9d51-8a8b77dbf3b3 | 1926 140 Obstetric Complications in Private Practice 141 Home Helps 141 Boarding out of Children 141 Expenses of Mothers Breast-feeding their Babies in Hospital 14> Treatment of Minor Ailments 141 Dental Treatment 142 Orthopaedic Treatment for Children under Five years of Age 143 Provision of Nursing Assistance 144 Children's Beds 144 Institutional Midwifery 145 Ante-Natal Treatment and Emergencies 145 Convalescent Home Treatment for Children under Five years of age 145 Convalescent Home Treatment for Expectant and Nursing Mothers 145 Supply of Milk, etc. to Necessitous Mothers and Children 145 Blind Persons Act, 1920 146 Widows', Orphans' and Old Age Contributory Pensions Act, 1925 146 Salaried Midwives Scheme 146 APPENDIX. Meteorological Table 147 6 PREFACE. To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. Mr. |
12cc3979-ebf8-43be-8cdb-5b92b93b4cc2 | Mayor, Ladies and Gentlemen, I have the honour to submit the Thirty-Eighth Annual Report on the health of the Metropolitan Borough of Woolwich. The Report, in accordance with the instructions of the Council follows the outline indicated by the Ministry of Health, in Circular 1728, in order to ensure uniformity in the presentation of Annual Reports of Medical Officers throughout the country. The principal vital statistics for the year are as follows:—the birth rate was 13.6, a decrease of 0.6 on that of 1937 ; the infantile mortality rate was 50, compared with 40 in the previous year and 59 in 1936 ; the neo-natal mortality rate "(deaths under four weeks per thousand births) was 23.8 as against 17.41 the previous year. The number of maternal deaths was 1, the rate for the year per thousand births being 0.47, as against 1.35 in 1937. |
0c9fa032-592a-424f-a630-2bb0d36bc0f6 | This is the lowest maternal mortality rate this Borough has ever known. The population of the Borough is estimated by the Registrar General to be 150,900, an increase of 1,500 on 1937. This is the total population and includes non-civilians, and it is on this figure that the vital statistics of the Borough are calculated. Progress in health education is reported fully in Section IV. The Council co-operated whole-heartedly in the second half of the National Health Campaign during the first three months of 1938, as they had done in the first half at the end of 1937. There is every reason to believe that the Campaign did much to stimulate public interest in the Council's health services. The Chief Sanitary Inspector and his staff have had a busy year—doing good solid work in environmental hygiene—in the improving of housing conditions, in the abatement of nuisances, in food control, and in preventing the spread of infectious disease. |
b63c4a3a-a0c3-4b75-bfa7-9042f4b75425 | 7 It is now five years since the intensive policy with regard to the elimination of unhealthy dwellings began. In that time 71 areas, comprising 667 houses, have been represented by me in Woolwich. An additional four areas, comprising 538 houses, have been represented by officers of the London County Council. The number of persons rehoused or to be rehoused in all is 5,611. Detailed information with regard to each of these areas is given in this year's annual report, or has been given in reports of previous years. There remain other clearance areas to be dealt with both by the London County Council and by the Borough Council, but the housing situation is very much better than it was five years ago. It is not possible to give such definite information with regard to overcrowding. A large number of the known cases of overcrowding have been abated in diverse ways, but one cannot be sure that there is not overcrowding elsewhere. |
7ddf705c-90cb-460e-be0d-bdf0eebf5a3e | Only after another housing survey, similar to that carried out in 1936, can it be definitely stated that the overcrowding position is definitely improved. Compared with 1937, there was an increase in the incidence of scarlet fever, 507 as against 428, and a decrease in the incidence of diphtheria, 264 as against 297. There were 4 deaths from scarlet fever and 8 from diphtheria. There were fewer notifications of enteric fever, 6 compared with 17, and of dysentery, 50 compared with 81. Measles was present in epidemic form. The number of notifications of tuberculosis received during the year, including duplicates, was 248, compared with 264 in 1937. At the end of the year there were 751 persons suffering from pulmonary tuberculosis, and 152 persons suffering from non-pulmonary tuberculosis, that is in all 903 persons (928 in 1937) living in the Borough. |
0f5b8e3e-d713-43f4-a7ad-95dffef5134a | The number of deaths from tuberculosis during the year was 128, compared with 119 in 1937. There is nothing which calls for comment in the supervision of the food supplies during the year. This work proceeded in very much its usual way. There was, however, an increase of over eight thousand in the number of animals killed at the abattoir in Shooters Hill. It is not generally known that nearly half of the private slaughterhouse work in London is done in Woolwich. A very interesting commentary on the examination of food and drugs has been prepared by the Public Analyst and will be found in Section VIII. It is pleasing to record the increased interest taken by mothers in the Council's toddlers clinics. Nearly 400 more children were examined last year than in any previous year. It is clear from what is happening that the very complete scheme of the Council for dealing with the care and comfort of the toddler is being appreciated in the Borough. The machinery for remedying defects discovered has been improved. |
61cfde06-7370-4084-ac4d-496bbcab11c3 | The salaried midwives scheme of the London County Council came into operation at the beginning of the year and the Borough Council are helping as much as they can through their ante-natal clinics and through the provision of their ancillary services. 8 Since my last report, the following staff changes have taken place:— Dr. W. Cowie, public vaccinator, resigned his appointment on the 5th January, 1938. Miss A. Carey, appointed as a health visitor in 1933, resigned her appointment on the 31st January, 1938. Miss P. H. Newbury, woman sanitary inspector, commenced duty on the 1st February, 1938. Mr. W. E. McLelland, sanitary inspector, commenced duty on the 1st February, 1938. Mr. S. E. Birdsall, F.R.C.S., was appointed Consultant to the Ear, Nose and Throat Clinic on the 2nd February, 1938. |
1917a63c-5cc5-48cf-a829-6672d23ca6e7 | Miss L. Berry, health visitor, commenced duty on the 14th February, 1938. Miss G. B. Day, health visitor, commenced duty on the 16th February, 1938. Mr. J. B. Blaikley, F.R.C.S., was appointed obstetric consultant on the 23rd February, 1938. Mr. A. L. Gunn, F.R.C.S., was appointed obstetric consultant on the 23rd February, 1938. Mr. A. L. Walker, F.R.C.S., was appointed obstetric consultant on the 23rd February, 1938. Mr. J. Lewington, temporary clerk, was appointed to Grade "A" from the 1st April, 1938. Miss M. W. Clifton, Clerk Grade "A," commenced duty on the 28th December, 1938. |
b3b05b29-7785-4243-84ec-4125b8f79690 | Air raid precautions have thrown a great deal of extra work upon the Department; representatives of all branches of the Department's work have been engaged in teaching or in organisation. During the latter half of the year the Department had to work under very great pressure, but I am very glad to be able to say that all have given their services ungrudgingly and unsparingly. In conclusion I desire to express my gratitude to the Chairman and Members of the Committees on Health, and, indeed, to all Members of the Council, for the interest they have taken in the work of the Department, and for their continued kindliness, confidence and support. I take this opportunity also of placing on record my sincere appreciation of the work of every member of the Staff and how much I owe to them personally. I am, Mr. Mayor, Ladies and Gentlemen, Your Obedient Servant, J. MACMILLAN, Medical Officer of Health. 9 SECTION I. GENERAL STATISTICS. Akea. |
0ee5c49e-8628-4e26-9be5-d4b9e8ab15f6 | The area of the Borough is 8,282 statute acres. Parts of the River Ward, where there were 3,529 inhabitants at the time of the Census in 1931, are situate on the North side of the River Thames. The Borough was originally divided into three parishes—Woolwich, Plumstead and Eltham. The acreage of Woolwich parish is 1,135, and of its wards as follows:—Dockyard, 139; St. Mary's, 99; River, 572; St. George's, 325. The acreage of Plumstead parish is 3,387; and its wards as follows:—Burrage, 184; Herbert, 245; Glyndon, 302; St. Margaret's, 552; Central, 115; St. Nicholas, 1,207; Abbey Wood, 782. |
7e8db2d6-6dcb-4eeb-a309-fa31230d336e | The acreage of Eltham parish is 3,760, and its wards as follows:—Well Hall, 687; Avery Hill, 1,824 ; Sherard, 1,249. The number of persons per acre in 1931 was 17.7; in the Administrative County of London the corresponding figure was 58.7. The present figures for each of the wards in the Borough are as follows :—Dockyard, 43.8; St. Mary's, 54.7; River, 16.7; St. George's, 22.1; Burrage, 37.1; Herbert, 36.3; Glyndon, 24.9; St. Margaret's, 24.7; Central, 59.7; St. Nicholas, 10.8; Abbey Wood, 16.2; Well Hall, 16.5; Avery Hill, 9.3; Sherard, 19.8. |
01ccf0d3-cfc7-4b83-babb-7a251ae1e280 | Population. The Registrar General estimates the population of the Borough at the middle of the year as 150,900, an increase of 1,500 on the previous year. This figure has been used in calculating rates for the purposes of this report. It should be noted that it includes non-civilians, the pre-war practice in this respect having been 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 from the records of the Treasurer's Department if 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 1938 is shown in the following Table No. 1. 10 TABLE No. 1. Wards. Population. Dockyard 6,092 St. Mary's 5,415 River 9,538 St. |
c8c49529-ff42-4cf7-9127-75d36c331a52 | George's 7,180 Burrage 6,831 Herbert 8,997 Glyndon 7,521 St. Margaret's 13,643 Central 6,862 St. Nicholas 13,060 Abbey Wood 12,701 Well Hall 11,344 Avery Hill 17,010 Sherard 24,706 In the old parishes the estimated populations are therefore:— Woolwich 28,225 Plumstead 69,615 Eltham 53,060 Inhabited Houses. The number of inhabited houses at the time of the Census in 1931 was 29,870. These were occupied by 38,176 families. At the end of 1938, according to the rate books, the number of inhabited houses was 35,023. Rateable Value, Etc. The rateable value of the Borough in October, 1938, was £1,250,133, and the sum represented by a penny rate at that date was £5,021. |
a2b662d0-e157-4bad-8bf0-e27c0182facf | 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. At a little lower level, on the Woolwich and Plumstead side, there is the 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. 11 Social Conditions. |
5e6f620f-b774-42ab-acdd-f1c30da7ce00 | In my Annual Report for 1936 I published a Table taken from the Census Returns of 1931 which set out under generalised headings the total number of males and females engaged in occupations at ages of 14 years and upwards. There was little unemployment in Woolwich during the year. Sickness and Invalidity. There have been no causes of sickness or invalidity which have been specially noteworthy in the area during the year. I am unacquainted with any conditions of occupation which appear to have had a prejudicial effect on health and I have no evidence, statistically or otherwise, that unemployment has exercised any significant influence on the health or physique of children or adults. 12 SECTION II. 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. 2. Live Births—Legitimate 1,987 Live Births—Illegitimate 72 2,059 Birth Rate per 1, |
aa5b8533-201a-4f56-8a3f-5c4808df09a5 | 000 population 13.6 Still-births 60 Still-births—Rate per 1,000 total births 28.3 Deaths 1,576 Death Rate per 1,000 population 10.4 Deaths from puerperal causes:— (a) From Sepsis — (6) From other causes 1 Death rate from puerperal causes per 1,000 total births 0.47 Death Rate of Infants one year of age:— (a) All Infants 50 (b) Legitimate Infants 49 (c) Illegitimate Infants 69 Deaths from Cancer (all ages) 245 Deaths from Measles (all ages) 4 Deaths from Whooping Cough (all ages) 1 Deaths from Diarrhoea (under 2 years of age) 19 13 The chief Vital Statistics since 1911 are given in the following Tables. TABLE No. 3. Year. Population estimated to middle of each Year. |
202512a0-cf19-4970-a4ab-52e5ae40f086 | Births. Nett Deaths belonging to the District. Nett. Under 1 year. At all Ages. Number. Rate. Number. Rate per 1,000 Nett Births. Number. Rate. (1) (2) (3) (4) (5) (6) (7) (8) 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 1,549 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. |
e3389929-79c9-4f57-bb54-1f7edcf1341f | 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 26.9 224 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, |
79dd22fa-8553-4f30-9668-5cc900d6f28f | 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 1.0 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 10.2 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 16.1 114 50 1,554 11. |
813895a9-d888-45e4-bea4-f98fabc661d0 | 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 12.7 116 62 1,634 11.2 1934 a 145,520 2,000 13.7 127 63 1,650 11.3 1935 a 146,400 2,053 14.0 91 44 1, |
be32285c-f814-4bee-8f3e-86b8759a1ee7 | 500 10.2 1936 a 146,500 2,017 13.8 121 59 1,649 11.2 1937 a 149,400 2,125 14.2 86 40 1,660 11.1 1938 a 150,900 2,057 13.6 102 50 1,576 10.4 a Total Population. b Civil Population. 14 The chief Vital Statistics for 1938 for the Wards of the Borough are given in the following Table— TABLE No. 4. Wards. Population. Births. Deaths under 1. Deaths at all ages Number Rate. Number Rate. Number Rate. Dockyard 6,092 99 14.6 3 30 68 11.2 St. |
1d41b787-18cf-4147-9296-fc6892bc0118 | Mary's 5,415 78 14.4 4 51 52 9.6 River 9,538 138 14.5 8 58 109 11.4 St. George's 7,180 127 17.7 6 47 47 6.5 Woolwich 28,225 442 15.7 21 48 276 9.8 Burrage 6,831 91 13.3 5 55 99 14.5 Herbert 8,997 158 17.6 8 50 106 11.8 Glyndon 7,521 107 14.2 3 28 97 12.9 St. Margaret's 13,643 191 14.0 13 68 169 12.4 Central 6,862 111 16.2 2 18 105 15.3 St. |
c8d7e08f-69d3-408f-92a8-e435239076b5 | Nicholas 13,060 219 16.8 11 50 179 13.7 Abbey Wood 12,701 152 12.0 13 85 132 10.4 Plumstead 69,615 1,029 14 .8 55 53 887 12.7 Well Hall 11,344 115 10.1 4 35 96 8.5 Avery Hill 17,010 161 9.5 8 49 152 8.9 Sherard 24,706 310 12.5 14 45 165 6.7 Eltham 53,060 586 11.0 26 44 413 7.8 BOROUGH 150,900 2,057 13.6 102 50 1,576 10.4 If the rates in St. Mary's, River and St. |
0dfe022d-939e-4593-8c2e-154d4f2d4439 | 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. The nett births for the year were 2,059, 1,032 being males and 1,027 females. In addition there were 60 still-births, 36 being males and 24 females. The nett number of illegitimate births was 74, 2 of these being still-births. The birth rate was 13.6 compared with 14.2 in 1937 and 13.8 in 1936. The birth rate for England and Wales was 15.1, for London 13.4, and the mean birth rate for the 126 great towns, including London, was 15.0. 15 Natural Increase of Population.— This term means the excess of births over deaths. |
e962571b-296d-4ab2-b0e5-cc1af2bd43d8 | In 1934 it was 350: in 1935, 553; in 1936, 368; in 1937, 465, and in 1938, 483. Notification of Births.— During the year 2,290 live births were notified. This is at the rate of 98.7 per cent, of the registered births and compares with 100.4 per cent, last year. The births were notified as shown in the following Table :— TABLE No. 5. British Hospital for Mothers and Babies 831 Midwives 532 St. Nicholas Hospital 411 Military Families Hospital 192 Woolwich War Memorial Hospital 185 Eltham Cottage Hospital 59 Medical Practitioners 39 Parents 9 Midwives Homes 6 Other Persons 26 TABLE No. 6. Year. No. of Births. No. of Live Births. Notified. No. of StillBirths Notified. |
9619a4f8-7cd4-40bd-9fe1-960bdbdc68e8 | Percentage of Births Notified. Birth Rate. Woolwich. London. England and Wales. 1934 2,000 2,334 75 99 13.7 13.2 14.8 1935 2,053 2,405 81 99 14.0 13.3 14.7 1936 2,017 2,349 55 99 13.8 13.6 14.8 1937 2,125 2,423 75 100 14.2 13.4 14.9 1938 2,059 2,290 69 99 13.6 13.4 15.1 In addition to these, 152 notifications were received from the Medical Officer of Health, Lewisham; 102 from the Medical Officer of Health, Greenwich; and 60 from other Medical Officers of Health; 589 births were transferred to other areas. |
a68ee6d5-bf7a-4ac2-8c67-92c6fd369be8 | Sixty-nine still-births were notified; 21 of which were transferred to other areas. It is known that 1,414 Woolwich births took place in institutions, either within or without the Borough, so that the percentage of institutional midwifery for the Borough was 68.7. The following Table No. 6 shows the number of corrected births each year since 1934, 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. 16 Marriages. There were 1,576 marriages (1,496 in 1937). The marriage rate was 20.88, as compared with 20.0, 19.4, 17.9 and 18.19 in the four preceding years. Deaths. The total number of deaths registered in the Borough was 1,223. |
edc4db79-128b-4dfe-b3ee-b3f0314367ba | This figure includes 179 non-residents who died in the district but does not include 532 residents who died outside the Borough. When allowance is made for these inward and outward transfers, the nett figure of 1,576 is obtained. The death rate for the year was 10.4, compared with 11.1 in 1937, and 11.2 in 1936. 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 the age and sex constitution of the population. The proportion of old people to young and of men to women varies considerably in different parts of the country, and these proportions affect the crude death rate. |
1768c53d-4999-4bae-ae0e-bccffd9980f1 | The death rate is higher among old people and among young people than it is in the middle periods of life, and at all ages the death rate for men is higher than it is for women. The population of Woolwich differs from that of London in that it is a younger population. Death rates in Woolwich from tuberculosis are relatively higher and death rates from cancer relatively lower because of this fact, and the general death rate compares favourably with Boroughs where a large percentage of the population consists of older people. In order to obtain a proper comparison an adjusting factor has been introduced by the Registrar General and in the case of Woolwich it is higher than 1.0 because of the favourable distribution of the population as to age and sex. |
a7167343-9faa-4f99-871e-fcf50f45152d | When the crude death rate for Woolwich (10.4) is multiplied by this adjusting factor (1.06), the adjusted death rate for 1938 is found to be 11.0, and it is this figure which should be used when comparing the death rate of Woolwich with that of other districts. In 1938 the death rate for England and Wales was 11.6, for London 11.4, and the mean death rate for the 126 County Boroughs and Great Towns, including London, was 11.7. The seasonal mortality in the four quarters of the year was as follows:— First quarter, 13.2; Second quarter, 9.5; Third quarter, 9.0; Fourth quarter, 9.9. Deaths over 45 years of Age.— The number of deaths which occurred at 45 years of age and over was 1,199 or 75.4 per cent, of the total deaths. |
82f4ce8c-346d-439f-81c4-22c58bc7adcc | 17 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. 7. Hospitals or Institutions. Number of Deaths. Public General Hospitals 754 St. Nicholas 446 Lewisham 135 St. Alfege's 81 Lambeth 21 St. George's in the East 18 Voluntary General Hospitals 111 War Memorial 28 Miller 18 Guys 9 Infectious Diseases Hospitals 37 Brook 20 Park 6 Mental Hospitals 33 Tooting 12 Bexley 11 Special Hospitals 12 Cottage Hospitals and Nursing Homes 41 Sanatoria and Tuberculosis Institutions 6 994 As the total number of deaths was 1,576, the percentage of institutional deaths to total deaths was 63.1. The following Tables Nos. 8 and 9, classify the nett deaths by age, by sex, and by wards. |
92aa23d6-dcfe-487f-818f-9e8141d8f96b | They show also the number of deaths in public institutions in the Borough of residents and non-residents and of residents in public institutions outside the Borough. 18 TABLE No. 8. Nett Deaths during the calendar year 1938, 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. NonResid'ts. |
5ca414e4-c415-4c97-92d3-a305df33997e | All Causes 1576 102 7 13 33 57 74 91 130 315 334 420 502 157 492 Typhoid and Paratyphoid Fevers 1 . . . . . . 1 . . . . . . 1 Measles 4 . 1 2 . . . . . . . . . 3 Scarlet Fever 4 . . 1 2 1 . . . . . . . . 4 Whooping Cough 1 . . . . . . . . . 1 Diphtheria 8 . 1 3 4 . . . . . . . 1 . 7 Influenza 6 . . . . 1 1 1 1 Encephalitis Lethargica 3 . . . . . . 1 1 . 1 . 1 . 1 Cerebrospinal Meningitis . . . . . . . . . . . . . . |
a5a6414b-e3a6-4a7d-a113-4481f19a0c90 | . Tuberculosis of the Respiratory System 117 . . . 2 23 29 14 14 26 8 1 47 23 34 Other Tuberculous diseases 11 . 2 3 2 . . 1 . . 1 . 9 Syphilis 3 . . . . . . 1 . 2 . . 1 1 1 General Paralysis of the Insane, Tabes Dorsalis 5 . . . . . . 1 1 3 . . . . 4 Cancer 245 . . . . 5 18 36 83 55 48 86 19 75 Diabetes 22 . . . . . 1 . . 5 10 6 6 3 8 Cerebral Haemorrhage, etc. 68 . . . . . 1 . |
17d1cea7-c1a9-4283-8450-594ad622954a | 7 14 26 20 25 4 17 Heart Disease 456 1 3 5 11 24 78 124 210 116 21 106 Aneurysm 7 . . . . . . . 2 2 3 . 1 . . Other Circulatory diseases 51 . . . . . . I 1 15 11 23 4 2 25 Bronchitis 40 2 . . . 1 . 2 2 4 11 18 8 . 10 Pneumonia 96 18 2 3 2 1 6 11 9 17 12 15 32 10 31 Other Respiratory diseases 21 2 . . . . . I 2 2 6 8 7 2 7 Peptic Ulcer 21 . . . . . |
aac52e96-9417-4057-baa9-73e91f6ef0a1 | 1 5 4 6 2 3 15 2 3 Diarrhoea, under 2 years 19 18 1 . . . . . . . . 3 . 15 Appendicitis 11 . . . 3 2 . 1 2 2 i 8 6 2 Cirrhosis of Liver 2 . . . . . . . . 1 1 . 1 1 1 Other Liver diseases 4 . . . . . 1 . 1 . 1 I . 1 3 Other Digestive diseases 39 . . 1 3 1 4 2 4 6 7 u 18 6 12 Acute and Chronic Nephritis 38 . . . . 1 4 6 4 8 9 6 19 2 10 Puerperal Sepsis . . . . . . . . . . . . . . . |
e10eb753-26cc-47cd-8672-0367731f5ba9 | Other Puerperal Causes 1 . . . . . . 1 . . . . . 1 1 Congenital Debility, Premature Birth, etc. 53 53 .. .. .. .. .. .. .. .. .. .. 21 11 15 Senility 22 .. .. .. .. .. .. .. 3 isj 8 1 7 Suicide 21 .. .. .. .. 2 2 1 3 8 3 2 4 2 2 Violence 58 .. .. 1 5 10 5 6 4 6 9 12 25 16 21 Other defined Diseases 118 5 2 3 7 9 8 6 11 25 28 14 44 23 55 Causes ill-defined or unknown . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19 Nett Deaths during 1938, classified by Sex and Wards. Causes of Death. |
20251cb5-fcd4-42c4-9afd-8bd96d1cfd8f | The Borough. Woolwich. Plumstead. Eltham. Males. 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 874 702 68 52 109 47 99 106 97 169 105 179 132 96 152 165 Typhoid and Paratyphoid Fevers. . — 1 - - - - - - - - - - - - - 1 Measles 1 3 — 1 — 1 - - - - - 1 - - - 1 Scarlet Fever 1 3 — — 1 — — — — — — 2 1 — — — Whooping Cough — 1 - - - |
c1bace52-7b3e-43d8-9dd0-2baaf7b3d471 | - 1 - - - - - - - - - Diphtheria 3 5 — — 1 1 3 1 1 - - - - - - 1 Influenza 2 4 — — — — 1 1 — 1 — 1 1 — 1 — Encephalitis Lethargica 2 1 - - - - - - - 2 - 1 -- - - - Cerebrospinal Meningitis — — — — — — — — — — — — — — — — Tuberculosis of Respiratory System 71 46 2 5 8 8 7 10 8 6 8 13 11 3 11 17 Other Tuberculous Diseases 7 4 — — — 1 — 1 — — — — 1 2 2 4 Syphilis 3 — — — — — . |
a493242b-e52b-41fb-85e5-1b270e5619b0 | — 1 — — — 2 — — — — General Paralysis of the Insane, Tabes Dorsalis 4 1 1 1 - 1 - - - - - - 1 - 1 — Cancer 139 106 10 8 13 4 9 21 12 29 21 30 20 14 30 24 Diabetes 10 12 2 — — — 3 2 4 3 3 1 1 1 — 2 Cerebral Haemorrhage, etc. |
c2e2a901-273c-429e-b50a-300890368673 | 36 32 2 — 7 — 4 6 8 5 2 9 6 3 7 9 Heart Disease 234 222 25 18 32 9 35 33 28 51 35 52 33 28 41 36 Aneurysm 4 3 1 — — — 2 — — — — 2 1 — — 1 Other Circulatory Diseases 34 17 2 2 3 1 2 1 3 9 2 6 6 4 7 3 Bronchitis 17 23 3 — 2 1 4 1 2 4 2 11 3 2 2 3 Pneumonia 58 38 3 4 10 3 4 7 7 9 4 8 8 4 8 17 Other Respiratory Diseases . . |
5368b0b7-11aa-4e87-b290-0bed0a6baced | 12 9 2 — 3 — 2 — 1 1 1 1 3 3 2 2 Peptic Ulcer 19 2 — — 2 — 2 — 2 4 2 4 2 1 — 2 Diarrhoea (under 2 years) 9 10 — — 2 1 2 2 1 1 1 1 5 1 — 2 Appendicitis 9 2 — — 1 — 1 — 2 — 1 2 3 — — 1 Cirrhosis of Liver 1 1 - - - - - - - - - - — 1 1 — Other Diseases of Liver, etc. |
fcf795f1-4bc4-4fc9-8128-1b65bf3e0666 | 1 3 - - - - - - - - - 1 - 2 1 — Other Digestive Diseases 21 18 1 1 4 2 1 2 4 5 3 3 4 4 2 3 Acute and Chronic Nephritis 17 21 2 — 1 — 1 2 1 4 3 6 2 4 7 5 Puerperal Sepsis - - - - - - - - - - - - - - - - Other Puerperal causes — 1 - - - - - - - - - - - - - 1 Congenital Debility, Premature Birth, etc. |
ea1d2ff6-f92e-422a-a625-4bc592424b1f | 28 25 2 1 1 1 1 5 2 10 1 6 6 3 8 6 Senility 11 11 1 2 5 1 — 1 — 4 1 2 2 — 2 1 Suicide 19 2 — 1 1 - 1 2 2 2 3 — 1 4 2 2 Violence 40 18 1 4 4 4 4 3 3 6 3 5 3 6 5 7 Other Defined Diseases . . 61 57 8 4 8 8 9 4 6 13 9 9 8 6 12 14 Causes ill-defined or unknown — — — — — — - - - - - - - - - 20 Causes of Death.—Table No. |
adf2e0a9-7319-44fc-90b4-ab29ddefdcf4 | 8 shows that 456 deaths were due to heart disease, 245 to cancer, 128 to tuberculosis, 96 to pneumonia, 68 to cerebral haemorrhage, and 38 to nephritis. There were 53 deaths from congenital debility and prematurity. Respiratory Diseases.—The following Table No. 10 shows the number of deaths each year since 1934 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. 10. Year. Bronchitis. Pneumonia. Other Respiratory. Total. DeathRate. Number under 5 years. Percentage under 5 years. |
03463bce-258d-4c8f-a440-96956d691747 | 1934 58 126 14 198 1.3 47 23.7 1935 45 84 15 144 0.98 31 21.5 1936 72 101 21 194 1.1 41 21.1 1937 56 105 11 172 1.0 19 11.4 1938 40 96 21 157 1.0 27 17.2 Cancer.—The total number of deaths was 245 of which 139 occurred in males and 106 in females. In the following Table No. 11 is shown the number of deaths certified as due to Cancer and Malignant Disease, each year since 1934 :— TABLE No. 11. Year. Males. Females. Total. Rate. Percentage of Total Deaths. |
eceec36b-b610-4bdb-9bd6-d4bb4d803424 | 1934 119 103 222 1.52 13.45 1935 106 107 213 1.45 14.20 1936 133 126 259 1.57 15.71 1937 123 122 245 1.64 14.75 1938 139 106 245 1.62 15.55 21 The following Table No. 12 shows the seat of primary disease in all deaths from Cancer, including all other specified malignant tumours. TABLE No. 12. Seat of Primary Disease. Males. Females. Total. Deaths in Hospital. Tongue 2 - 2 - Mouth 4 2 6 6 Jaw — — — — Pharynx 1 1 2 2 Oesophagus 8 1 9 8 Stomach 22 9 31 20 Liver and Gall Bladder 3 2 5 1 |
ba616113-77b9-4bec-b931-a3d10d7ff3ba | Pancreas 10 1 11 9 Intestines 14 15 29 19 Rectum 18 10 28 22 Larynx 2 3 5 2 Lung 15 7 22 12 Bronchus 3 — 3 2 Ovary — 6 6 4 Uterus — 10 10 6 Breast — 26 26 15 Kidney 1 2 3 1 Bladder 4 2 6 5 Prostate 13 — 13 10 Skin 6 2 8 3 Others and unspecified 5 3 8 5 Sarcoma 8 4 12 9 139 106 245 161 No knowledge is available as to the extent to which use is made of increased facilities now provided in National Radium Centres and no local investigations have been undertaken in pursuance of the suggestions contained in the Ministry's circulars of previous years. |
2668ea8b-0322-40d8-9d51-22d16fed1f34 | Investigations are not made into cancer deaths. Maternal Mortality.—The number of deaths from Puerperal Sepsis was nil, and from other accidents and diseases of pregnancy one, making a total of one maternal death compared with three in 1937. The maternal death rate per 1,000 births was 0.47 as against 1.35 in 1937. In the last two years there have not been any deaths from Puerperal Sepsis. 22 The Table which follows would appear to show a steady lowering of the maternal mortality rate in this Borough:— TABLE No. 13. Maternal Mortality, Woolwich, 1912-1938. Year. Abortion. Ectopic Gestation Placenta Praevia. Other Puerperal Haemorrhage. Other Accidents of ChildBirth. ChildBirth with Secondary Causes. |
bf638e01-6a68-44b5-9a5d-bc4339bac15e | Puerperal Eclampsia Puerperal Phlebitis and Embolism Puerperal Fever. Totals. 1912 1 - - - - - 1 1 1 4 1913 1 - - - 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 - - - - - - |
0e8e42c9-de2e-4f76-a045-12f73a8e9a7f | 3 2 5 10 1922 - - - 1 - - 2 - 3 6 1923 - - - - 1 - 1 - 3 5 1924 - - 2 1 1 - 3 1 2 10 1925 - - 1 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 — |
4fb8d3f0-bc20-42ac-9e8b-d1a926547202 | 1 - - 1 1 - 1 2 6 1934 — - - - - 1 - - 2 3 1935 - - - 1 - - - 1 1 3 1936 - 1 - - - 1 - 1 2 5 1937 - - - 1 - - 1 1 - 3 1938 - - - 1 - - - - - 1 Totals 8 14 7 19 16 8 32 18 96 218 Inquests.—There were 115 inquests held on Woolwich residents in 1938, compared with 129 in 1937. An additional 111 deaths were certified by the coroner after post-mortem but without inquest. Deaths of Children, 1-5 years of age.—The number of deaths of children between 1 and 2 years of age was 7, and between 2 and 5 years, 13. |
ba4c5848-ea57-4dd4-83bb-d5bbc3480343 | In 1937 these figures were 21 and 44. The causes of death are given in detail in Table No. 8. 23 The following Tables show the variation in the rate of mortality at these ages in the last five years. These rates have been calculated on the estimated population at these ages and from stated groups of diseases. TABLE No. 14. 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. Diarrhoeal Diseases. All other Causes. All Causes. |
26ee1b7e-b24d-4de5-aa91-0012caa00b42 | 1934 1,726 5.21 — 4.63 — 3.47 13.32 1935 1,879 1.59 — 1.59 0.53 1.59 5.30 1936 1,942 2.58 1.54 3.09 — 4.63 11.84 1937 1,902 1.05 1.05 1.52 — 1.05 4.73 1938 2,032 0.49 0.49 0.98 0.49 0.98 3.44 TABLE No. 15. 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. Diarrhoeal Diseases. All other causes. |
3ab4c16f-a740-4f97-8315-dd47f0db433c | All Causes. 1934 5,953 1.01 0.67 0.50 — 1.34 3.52 1935 5,623 0.88 0.35 1.06 — — 2.29 1936 5,478 1.83 0.18 0.91 — 0.91 3.83 1937 5,504 0.91 0.18 0.36 — 0.73 2.18 1938 5,685 0.88 — 0.53 — 0.88 2.29 Infant Mortality. The number of deaths of infants under one year of age was 102, compared with 86 in 1937 and 121 in 1936. The rate of infant mortality (deaths under 1 year per 1,000 births) was 50, compared with 40 in 1937 and 59 in 1936. |
06fb25fd-3f93-4c99-bc1e-ef7954d4f674 | The deaths in the different Wards in the Borough are shown in Table No. 19. The rate for the Administrative County of London was 57; for England and Wales, 53; and for the 126 County Boroughs and Great Towns, including London, was 57. 24 The following Table No. 16 shows the distribution of infant mortality throughout the year, calculated on a varying year basis. TABLE No. 16. Births. Deaths under 1 year. Rate. First Quarter 534 36 69 Second Quarter 520 20 38 Third Quarter 417 19 38 Fourth Quarter 474 23 49 Causes of Death.—The causes of infant mortality are set forth in Tables Nos. 18 and 19, which show the incidence of mortality from each cause for infants classified by age, sex and wards. |
2d8699f5-9b4c-4044-8ead-11f94de06e10 | It will be noted from these Tables that the chief causes of death were:—Premature birth, 23; Diarrhoea, 18; Pneumonia, 18; Congenital Malformation, 14. The number of deaths occurring in the first week of life was 34. Deaths of Illegitimate Children.—Five illegitimate children died, compared with 8 in 1937 and 8 in 1936. The infant mortality rate figure for illegitimate children was 69, compared with 49 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. 7. TABLE No. 17. Hospitals or Institutions. Number of Deaths. |
0623a8b9-0426-4f5e-8d10-b7d10b45efa1 | Public General Hospitals 39 Voluntary General Hospitals 9 Special Hospitals 10 Cottage Hospitals and Nursing Homes 2 Infectious Diseases Hospitals 16 76 Tables which classify in various ways the causes of infant deaths in 1938, are set out on the following two pages. 25 TABLE No. 18. Infant Mortality, 1938. 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 1 month and under 3 months. 3 months and under 6 months. 6 months and under 9 months. 9 months and under 12 months. Total deaths under 1 year. Measles . . . . . . 1 . . 1 Whooping Cough . . . . . . . . 1 1 Tuberculous Diseases . . . . . 1 . 1 . |
a76516df-8167-4718-9e0c-db6aece6f52a | 2 Bronchitis . . . . . 2 . . . 2 Pneumonia . 1 1 . 2 5 5 4 2 18 Diarrhoea . 1 . . 1 8 5 3 1 18 Injury at Birth 5 1 . . 6 . . . . 6 Atelectasis 3 . . . 3 1 . . . 4 Congenital Malformation 2 2 2 2 8 4 2 . . 14 Premature Birth 21 1 1 23 . . . . 23 Icterus 2 1 1 1 5 . . . . 5 Other Causes 1 . . . 1 . 4 2 1 8 34 7 5 3 49 21 17 10 5 102 Nett Births registered during the calendar year Legitimate, 1,985 ; Illegitimate, |
e500b314-c729-403a-b03b-4d4f72dc9eaa | 72. Nett Deaths registered during the calendar year Legitimate, 97 ; Illegitimate, 5. 26 TABLE No. 19. Nett Infant Deaths, classified by Sex and Wards. Causes of Death. The Borough. Woolwich. Plumstead. Eltham. Males. Females. Dockyard. St. Mary's. River. 1 St. George's. Burrage. Herbert. Glyndon. St. Margaret's. Central. St. Nicholas. Abbey Wood Well Hall. Avery Hill. Sherard. Measles - 1 - 1 - - - - - - - - - - - Whooping Cough - 1 - - - - 1 - - - - - - - - - Tuberculous Diseases 2 - - - - 1 - - - - - - - - 1 |
cfe2e9b1-ba72-4774-9105-e12d9da16d6b | Bronchitis — 2 - - 1 - - - - - - - 1 - - - Pneumonia 9 9 - 2 4 2 - 1 - 1 - 3 1 — - 4 Diarrhoea 9 9 - - 2 1 2 2 1 1 1 1 4 1 - 2 Injury at Birth 6 — 1 — — — - - - 1 - - - 1 1 2 Atelectasis 1 3 - - - - - 1 - 1 - - - - 2 - Congenital Malformation 4 10 1 - 1 - 1 3 - 3 1 2 1 - 1 - Premature Birth 15 8 - - - 1 - 1 2 3 - 4 5 1 3 3 Other Causes 4 4 1 - - 1 1 - - 1 |
0b139a83-d450-43a3-8112-ed2abb5ec100 | - 1 1 1 - 1 Icterus 2 3 — 1 — — — — — 2 — — — — 1 1 52 50 3 4 8 6 5 8 3 13 2 11 13 4 8 14 27 SECTION III. GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. i. Public Health Officers of the Authority. (a) In tabular form are shown below the names, qualifications and appointments of all Medical and Dental Officers employed by, or discharging duties for the Council, either whole or part time, or in a consultative capacity, at the 31st December. TABLE No. 20. Year appointed. Name. Qualifications. Appointment. 1921 Blackmore, F. J. C. M.R.C.S., L.R.C.P Assistant Medical Officer of Health and Tuberculosis Officer. 1931 Proudfoot, M. E. |
8f1ae38c-1431-4a7c-a8d4-71370228aee2 | M.B., Ch.B. Assistant Medical Officer (General Purposes). 1931 Saunders-Jacobs, E. V. M.A., M.B., B.S., M.R.C.S., L.R.C.P., B.Sc., D.P.H. Assistant Medical Officer (General Purposes). 1934 Smith, F. E. M.B., Ch.B., D.P.H. Assistant Medical Officer (General Purposes). 1927 Lynham, J. E. A. B.A., M.D., D.M.R.E. Consultant, Artificial Sunlight Clinic. 1927 Taylor, H. G. .. F.R.C.S Consultant under Puerperal Fever Regulations, Obstetric Consultant (1931). 1938 Blaikley, J. B. . . F.R.C.S., M.C.O.G. Obstetric Consultant. 1938 Gunn, A. L. F.R.C.S., M.C.O.G. Obstetric Consultant. |
3bdeb80a-0869-4c31-9e3b-b99e728457b5 | 1938 Walker, A. L. F.R.C.S., F.C.O.G. Obstetric Consultant. 1938 Birdsall S. E. F.R.C.S Consultant, Ear, Nose and Throat Clinic. 1930 Emslie, M. M.B., Ch.B. Medical Officer, Toddlers' Clinic (part-time). 1934 Smith, W. M.A., M.D., B.Ch Medical Officer, Schick Testing Clinic. (part-time). 1937 Alcock, O. H. M.B., B.S Medical Officer, Infant Welfare Centres (part-time). 1937 Morton, J. M. M.B., Ch.B., D.P.H. Medical Officer, Infant Welfare Centres (part-time). 28 TABLE No 20—continued.. Year appointed. Name. Qualifications. Appointment. 1937 Waghorn, K. M. |
8daea607-0a0b-4ac2-91f8-b38a8347c023 | M.R.C.S., L.R.C.P... Medical Officer, Infant Welfare Centres (part-time). 1937 Holmes, L. M.B., B.S., M.R.C.S., L.R.C.P. Anaesthetist, Dental Clinics. 1930 Brews, R. V. L.R.C.P.I. and L.M., L.R.C.S.I. and L.M. Public Vaccinator (parttime). 1930 Wise, H. M. M.B., M.R.C.S., L.R.C.P. do. 1930 Milton, E. F. M.D., B.S.. do. 1930 Blackall, G. M.B., B.A.O., D.P.H. do. 1930 Power, F. J. L.R.C.P.I. and L.M., L.R.C.S.I. and L.M. do. 1934 Mair, A. M.D., D.P.H. |
33286682-2513-4d20-a481-aec01b895e4e | do. 1932 Elvy, D. M. L.D.S. Dental Surgeon (part-time). 1937 Jones, O. N. H. L.D.S. do. 1937 Wade, H. L.D.S. do. The deputies for the above Public Vaccinators are respectively : Dr. N. E. Sampey, Dr. E. C. Wise, Dr. W. T. Milton, Dr. R. W. Wood, Dr. R. Lewys-Lloyd, Dr. H. M. Wise. Dr. W. Cowie, a public vaccinator, gave notice to terminate his appointment on the 5th January, 1938. He was the public vaccinator for the district comprising that part of the Borough lying between the Greenwich boundary and a line drawn through the middle of Hill Street, Francis Street, Henry Street, and Chapel Street. |
28de7864-eb9c-44fa-b2d3-74687d29b2ed | This was a very small district and the Council decided to add it to Dr. Wise's district. This alteration received the approval of the Ministry of Health. (b) In tabular form are shown below the dates of appointment, names and qualifications of the Public Analyst, Sanitary Inspectors, Health Visitors, Vaccination Officer, Tuberculosis Staff and Clerical Staff employed by the Council on 31st December. Mr. A. Edgcombe Brown, B.Sc., F.I.C., the Public Analyst for Greenwich, acts as Public Analyst for this Borough during the temporary absence of Mr. H. Amphlett Williams. 29 TABLE No. 21. Year appointed. Name. Qualifications. Appointment. 1933 Williams, H. Amphlett . . A.C.G.F.C., F.I.C. Public Analyst (part time). 1909 Shaw, H. Cert. Royal San. Inst.; Cert. San. Insp., Exam. |
78598136-d597-484e-aab4-a23c34b95195 | Board; Cert. San. Insp. Assocn.; Cert. Meat and other foods; Cert. San. Science, R.S.I. Chief Sanitary Inspector. (1928) 1901 Tedham, W. Cert. Royal San. Inst., Cert. Meat and other foods. Sanitary Inspector. 1920 Pendrill, H. W. Cert. San. Insp., Exam. Board; Cert. Advanced Inspectors, R.S.I.; Cert. Meat and other foods ; Cert. Smoke Insp., R.S.I. Sanitary Inspector. 1921 Harris, C. V. Cert. San. Insp., Exam. Board; Cert. Royal San. Inst.; Cert. Meat and other foods. Sanitary Inspector. 1922 Couch, C. J. Cert. San. Insp., Exam. Board; Cert. Royal San. |
a3de2fea-a7b4-4558-bbca-c0ac6e74fe71 | Inst.; Cert. Meat and other foods; Cert. Smoke Insp., R.S.I.; Cert. Advanced Inspectors, R.S.I. Sanitary Inspector. 1925 Pindar, E. B. Cert. San. Insp., Exam. Board; Cert. Royal San. Inst.; Cert. Meat and other foods. Sanitary Inspector. 1928 Andrew, F. A. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods. Sanitary Inspector. 1929 Hemingway, F. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods. Sanitary Inspector. 1930 Kersey, H. M. Cert. San. Insp., Exam. Joint Board ; Cert. Meat and other foods ; Cert. Smoke Insp., R.S.I. Sanitary Inspector. |
e3547798-8144-487b-811d-cb14d0f4382f | 1931 Hoines, F. J. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods. Sanitary Inspector. 1933 Lewis, E. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods; Cert. Smoke Insp., R.S.I.; Cert. San. Science, R.S.I. Sanitary Inspector. 1935 Sumner, G. R. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other Foods. Sanitary Inspector. 1935 Wheal, W. F. R. Cert. San. Insp., Exam. Joint Board ; Cert. Meat and other foods. Sanitary Inspector. 30 TABLE No. 21—continued. Year appointed. Name. Qualifications. Appointment. 1938 McLelland, W. E. Cert. San. |
f7ca996b-54d1-4559-9207-b156e14600f5 | Insp., Exam. Joint Board; Cert. Meat and other food. Sanitary Inspector. 1935 Tyers, Miss M. F. Cert. San. Insp.,Exam Joint Board; Cert. General Hospital Training; C.M.B.; Health Visitors' Cert.; C.S.M.M.G.; Diploma in Nursing, University of London. Woman Sanitary Inspector (1936). 1938 Newbury, Miss P. H. Cert. San. Insp., Exam. Joint Board. Woman Sanitary Inspector. 1918 Garsido, Mrs. M. Cert. San. Insp., Exam. Board; C.M.B. ; Health Visitors' Cert. Health Visitor and Sanitary Inspector. 1919 Burnett, Miss W. Cert. San. Insp. Exam. Board; C.M.B.; Health Visitors' Cert., Board of Education. Health Visitor. 1919 Tibbits, Miss E. Cert. |
9c0d4333-c84a-485a-a20a-1c46efca7b63 | San. Insp., Exam. Board; Health Visitors' Cert., Board of Education. Health Visitor. 1919 Ware, Miss C. Cert. San. Insp.. Exam. Board; C.M.B.; Health Visitors' Cert., Board of Education. Health Visitor and Sanitary Inspector. 1920 Morgan, Miss F. Cert. General Hospital Training; C.M.B.; Health Visitors' Cert.; Maternity and Child Welfare Cert. Health Visitor. 1922 Seccombe, Miss W. Cert. General Hospital Training; C.M.B.; Health Visitors' Cert. Health Visitor. 1927 Farrell, Miss E. V. Cert. General Hospital Training; C.M.B.; Heliotherapy Cert.; Health Visitors' Cert., Board of Education. Health Visitor and Artificial Sunlight Nurse. 1930 Frederick, Miss F. E. Cert. General Hospital Training; C.M.B.; Health Visitors' Cert. Health Visitor. |