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2684d988-8734-4590-9276-62ef2ad9f10b | βCONTACTS examined during the year:β (a) Definitely tuberculous 9 6 2 4 β 4 1 β 9 10 3 4 26 (b) Diagnosis not completed β β β β β β β β β 1 β β 1 (c) Non-tuberculous β β β β β β β β 98 139 91 104 432 C.βCASES written off the Dispensary Register as:β (a) Recovered 29 17 1 β 7 21 3 3 36 38 4 3 81 (b) Non-tuberculous (including any such cases previously diagnosed and entered on the Dispensary Register as tuberculous) β β β β β β β β 248 330 190 196 964 D. |
8afe9c98-c3b0-4c8c-87ad-30892e560a86 | βNUMBER OF CASES on Dispensary Register on December 31st:β (a) Definitely tuberculous 389 312 18 18 46 47 26 24 435 359 44 42 880 (b) Diagnosis not completed β β β β β β β β β 1 β β 1 135 Table No. 75βcontinued. Return showing the work of the dispensaries for 1935. 1. Number of cases on Dispensary Register on January 1st 969 2. Number of cases transferred from other areas and cases returned after discharge under Head 3 in previous years Nil 3. Number of cases transferred to other areas, cases not desiring further assistance under the scheme, and cases " lost sight of 87 4. Cases written off during the year as Dead (all causes) 120 5. Number of attendances at the Dispensary (including Contacts) 5,276 6. |
702cd2d4-ed52-4116-b349-df3b530a2e57 | Number of Insured Persons under Domiciliary Treatment on the 31st December 233 7. Number of consultations with medical practitioners:β (a) Personal 84 (b) Other 1,095 8. Number of visits by Tuberculosis Officers to homes (including personal consultations) 401 9. Number of visits by Nurses or Health Visitors to homes for Dispensary purposes 4,941 10. Number of:β (a) Specimens of sputum, etc., examined 555 (b) X-ray examinations made in connection with Dispensary work. 681 11. Number of " Recovered " cases restored to Dispensary Register, and included in A (a) and A (b) above 1 12. Number of " T.B. plus " cases on Dispensary Register on December 31st 330 Number of Dispensaries for the treatment of Tuberculosis (excluding centres used only for special forms of treatment). |
a0dc20f3-f5fb-4534-9bcd-672bc0dbfbd0 | Provided by the Council 2 Provided by Voluntary Bodies Nil (g) The Examination of Home Contacts.βOn receipt of a primary notification every effort is made to induce people living in the same house to present themselves for medical examination. In many cases, however, it is very difficult to persuade them to do so. If the tuberculosis visitor fails to secure the attendance of the contacts a visit is made by one of the medical staff. During the year 431 contacts were examined. The importance of such examinations may be illustrated as follows:β 136 (Π°) Of the 242 newly notified patients for the year, 39 or 16.1 per cent. showed contact within the family circle at the time of notification or within the previous five years. (b) During the year 259 children were tested by means of the Mantoux intradermal test, and as will be seen from the following table, those children in contact with notified cases showed a very much higher percentage of positive results than where no such contact existed. |
356d409b-647f-425e-8574-664a0658ee03 | TABLE No. 76. Contacts. 0β5 years. 5β10 years. 10β15 years. Total. Percentage. Positive result 17 39 39 95 61.2 Negative result 12 35 13 60 28.8 Non-contacts. Positive result 2 10 8 20 19.2 Negative result 29 38 17 84 80.8 (h) Work for the Ministry of Pensions.βThis work has practically ceased, only one report having been asked for and supplied during the year. (i) Extra N ourishment.βExtra 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. |
750da5cf-36da-4cbf-b52c-840a36aab99d | The expenditure on this service is limited to Β£2 per 1,000 of the population. (j) X-ray Examinations.βThe past two years have shown a very marked increase in the use of X-ray examinations in connection with the diagnosis and treatment of tuberculosis. This has been general throughout the whole country, and indicates the very great importance, indeed the absolute necessity, of the procedure if the diagnosis and treatment of tuberculosis are to be carried out efficiently. The increasing use of major surgery in the treatment of the disease necessitates the examination of post-sanatorium patients at more frequent intervals. The number of examinations in 1935 was 681. The patients referred by the tuberculosis officer are X-rayed at the War Memorial Hospital. In addition patients admitted to St. Nicholas Hospital are X-rayed and on discharge the films are sent to the tuberculosis officer for filing with the patients' case records. |
edd6e02f-71ef-4f46-86a5-f08812fcad83 | X-ray figures in London are not strictly comparable with other parts of the country as screening and films are also undertaken at the hospitals where patients receive their artificial pneumothorax refills. 137 (k) Co-operation with London County Council Local Hospital.βThe Tuberculosis Officer is deemed to be an Honorary Consultant for tuberculosis at St. Nicholas Hospital. The appointment still continues to be subject to review each year. He attends at the hospital once weekly and sees there all cases in the tuberculosis wards and such cases in other wards as may be referred to him for an opinion by the medical staff. Nowadays patients in all stages of the disease are admitted to hospital in the first instance, and the Tuberculosis Officer's advice is sought as to whether a particular case should be transferred to a sanatorium or remain in hospital, or be sent to a colony. It can confidently be said that it is a good thing for the Service that the Tuberculosis Officer should act in this capacity at the local hospital. |
a656e6c3-9762-453a-9a1b-b2f4c7791278 | (I) Finsen Light Treatment.βIn 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. 0d. is paid for each attendance. No such treatment was given during 1935. (m) Artificial Pneumothorax.βThis treatment consists of collapsing the diseased lung, or portion of the lung and so resting it. This is done by introducing 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. The lung is kept collapsed for a period varying from 2 to 5 years. In 1921 the Council agreed to pay 10s. 6d. |
3af86090-4a07-4c68-9e1d-242ea7403957 | for refills at Brompton Hospital in the case of patients recommended by the tuberculosis officer for this treatment, but since that date payments have been made in respect of patients treated at other voluntary hospitals and at London County Council general hospitals. The number of patients who received this particular treatment during the year was 45, and the number of refills given was 621. (n) Dental Treatment.βDental treatment is carried out under the Council's scheme at the School Clinic, Brewer Street. During the year 24 cases received treatment, the number of attendances being 40. The only charge made to patients is in connection with the supply of dentures, and then patients are assesged according to their means. Dentures were supplied in ten cases at a cost of Β£31 17s. 0d., and payments by patients amounted to Β£13 6s. Od. In assessing patients due regard is given to dental benefits they may be entitled to from approved societies. |
a2fe3ec6-07a5-4f7a-a76f-d60820c7a8eb | (o) Home Nursing.βArrangements have been made with all the local nursing associations whereby the cost of home nursing of patients certified by the tuberculosis officer to require it, is defrayed by the Borough Council. During the year 1,962 such visits were made, and the cost to the Council was Β£122 12s. 6d. (p) Co-operation with the School Medical Service.βThere 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 138 culous 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. |
9f185a2e-4d93-4608-83cb-61f53bbe59a6 | Other children, whose condition is unsatisfactory, are referred to the School Clinic for the treatment of minor ailments and dental caries, or to the School Care Organiser, with a recommendation as to the provision of milk and cod liver oil to be given at school. (q) Co-operation ivith Local Practitioners.βDuring the year the tuberculosis officer saw at home in consultation with general practitioners 84 persons in whom the question of diagnosis of tuberculosis was raised, and a further 321 at the dispensary at the request of local practitioners. (r) Woolwich Tuberculosis Care Committee.βAt the end of the year the Committee was constituted as follows:β Bodies. Representatives. Woolwich Borough Council Alderman Mrs. E. Brooks, Councillors R. Campbell, Mrs. L. E. Driver, S. Crown, J.P., G. Greenwood, and C. J. Keedy. Trade Unions Mr. W. H. Fairchild, Mr. E. Ware. |
af99bd87-2463-4128-8cf5-4d017d917027 | 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. T. Moran. London Insurance Committee Mr. S. H. Brown. Panel Committee for the County of London Dr. H. M. Wise. British Red Cross Society Mr. J. O'Connell. War Pensions Committee. Mr. A. R. Loader. Woolwich Invalid Children's Aid Association Mrs. J. B. Great Rex. Late Tuberculosis Dispensary Committee. . Mr. W. Dashwood, Mr. |
b3a2f5c9-4815-4574-901f-72347c30e1d4 | 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. The Committee undertakes all care and after-care work in the Borough with regard to tuberculosis, and helps by the provision of clothing to necessitous patients entering institutions; by aiding in the purchase of surgical apparatus and nursing requisites; by assisting patients' relatives to visit them whilst in institutions, and in many other ways. It also assesses patients under the Council's Dental Scheme, and supervises the provision of additional nourishment. For many years the members have felt it desirable to provide occupation for patients discharged from sanatoria, and who are either unfit for work, or unable to obtain employment. |
8439826a-e639-4376-ad56-08f0ee0e9939 | Many of these patients have been doing a certain amount 139 of work in the workshops attached to the sanatoria, and it seemed very desirable to provide some means for continuing this occupational therapy. The opportunity came their way when the Council placed at the disposal of the Committee two workshops adjoining the dispensary. These were fitted up as carpentry shops by the Committee. This occupational therapy centre was opened on October 31st, but there were initial difficulties to be overcome, and it is very satisfactory to record that the few patients who began on October 31st have shown the keenest interest in the project, and have attended with great regularity. (s) Institutional Treatment.βThe following Table, No. 77, shows the number of admissions to special hospitals, sanatoria, public general hospitals, institutions and training colonies. TABLE No. 77. Admissions to Hospitals, etc. Special Hospitals. Sanatoria. Public General Hospitals. Training Colonies. |
f41377e8-3378-48dc-9301-090e292f29bc | Insured 116 71 99 9 Uninsured 45 25 52 1 Children 28 7 4 β 189 103 155 10 These figures refer to 328 patients and the monthly admissions were as follows:β January 37 May 51 September 47 February 32 June 28 October 37 March 33 July 45 November 40 April 46 August 32 December 29 It is now the practice of the London County Council to pay the travelling expenses of necessitous patients suffering from tuberculosis, admitted to certain hospitals; and the Woolwich Borough Council agreed to advance any such monies to such patients, the amounts so advanced to be re-imbursed in due course by the County Council. Arrangements for Disinfection and disinfestation and the Extent of Their Use. |
238ecd73-fa10-48c9-b39b-f3c55467afab | Disinfection.βThe 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. 140 The heavy demand on the Station owing to the work of bug eradication continued 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 42 such disinfections were carried out, and charges amounting to Β£10 4s. 0d. were paid. In tabular form is shown below the amount of disinfection which was carried out during the year. TABLE No. 78. |
28ca04e2-cf3b-4c6f-a657-3a8e87d28aad | Rooms disinfected after ordinary fevers 932 β ,, ,, tuberculosis 177 ,, β β verminous cases 1,481 ,, β β for other reasons 13 Articles disinfected 51,975 Disinfestation.βIn 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. 79, shows the number of persons cleansed each year since 1931. TABLE No. 79. Year. Children. Adults. Grand Total. Boys. Girls. Total. Males. Females. Total. |
8e066bff-2c83-4d6d-acf3-c0cbe33c487d | 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 1935 603 1,818 2,421 10 3 13 2,434 A report on the disinfestation of bug-infested premises will be found in the Housing Section. 141 SECTION VIII. GENERAL STATISTICS. TABLE No. 80. |
7387cf6d-e508-4fe5-97c8-a9e9aa06a601 | Area (acres) 8,282 Population estimated to middle of 1935 146,400 Population, Census 1931:β 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, 1935) Β£1,122,197 Sum represented by a penny rate (April, 1935) Β£4,575 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. |
758b7e7b-1d04-41c0-b6c9-c1bfc54b7bfc | 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. Population. The Registrar General estimates the population of the Borough at the middle of the year as 146,400, an increase of 880 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. |
544821ca-db2d-4bd6-aeb3-27eec5480fef | 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 1935 is shown in the following Table, No. 81. 142 TABLE No. 81. Wards. Population. Dockyard 6,351 St. Mary's 5,574 River 10,491 St. George's 7,656 Burrage 7,135 Herbert 8,802 Glyndon 7,880 St. Margaret's 12,069 Central 7,188 St. |
bd77a1eb-ad01-4807-919e-0d8a868e55a9 | Nicholas 13,125 Abbey Wood 12,429 Well Hall 11,783 Avery Hill 14,167 Sherard 21,749 In the old parishes the estimated populations are therefore:β Woolwich 30,072 Plumstead 68,629 Eltham 47,699 Compared with last year these figures shew substantial increases in Eltham, particularly in Avery Hill and Sherard Wards, and smaller increases in Abbey Wood, Herbert and St. Margaret's Wards. The number of persons per acre, in 1931, was 17.7; it is now estimated to be slightly less: 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 under: Dockyard, 45.7; St. Mary's, 56.3; River, 18.3; St. |
96f74e83-1223-4926-92f5-9bdd6086bee4 | George's, 23.5; Burrage, 38.7; Herbert, 35.9; Glyndon, 26.1; St. Margaret's, 21.8; Central, 62.5; St. Nicholas, 10.8; Abbey Wood, 15.8; Well Hall, 17.1; Avery Hill, 7.7; Sherard, 17.4. 143 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. A similar Table taken from the Industry Table Report of the Registrar General was prepared and printed in my Annual Report for 1934. Briefly, in round figures, 12,000 male persons are engaged in the manufacture of metals, machines, etc. |
dfe13d1d-0d63-4af5-8ea3-774fe2e25be7 | ; 11,000 males in public administration and defence; 8,000 males in commerce and finance; 3,000 in building and decorating, and 2,000 in the manufacture of chemicals, dyes, etc. Nearly 4,000 women are employed in personal service, nearly 4,000 in commerce and finance, and 2,500 in the manufacture of metals, machines, etc. Most of the inhabitants of Woolwich work, the proportion of those unoccupied and retired being relatively very small. Sickness and Invalidity. There was no unusual or excessive mortality during the year which calls for any comment under this head. 144 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:β TABLE No. 82. |
69f31dc5-c1e8-479b-8a66-09ce5bde88a7 | BirthsβLegitimate 1,989 BirthsβIllegitimate 64 2,053 Still-births 85 Still-birthsβRate per 1,000 total births 41.4 Birth Rate 14.0 Deaths 1,500 Death Rate 10.2 Percentage of total deaths occurring in public institutions 60.9 Number of women dying in, or in consequence of, Child Birth:β (a) From Sepsis 1 (b) From other causes 2 Deaths of Infants under one year:β (a) Legitimate 82 (b) Illegitimate 9 Infantile Mortality Rate 44 Deaths from Measles (all ages) 1 Deaths from Whooping Cough (all ages) 2 Deaths from Diarrhoea (under 2 years of age) 21 145 The chief Vital Statistics since 1901 are given in the following Table :ββ’ TABLE No. 83. Year. Population estimated to middle of each Year. |
0a009754-f89f-41ab-b84b-c7e58a773840 | 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) (b) (7) (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. |
4e6619db-a9f4-425d-8320-e9617f9c8bda | 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 1,549 12. |
0b145ce5-edd7-40c5-bb56-0df317ea5415 | 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 o 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, |
95d14470-ce25-4e49-89c2-6aad46f01222 | 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 10.2 b 141,900 1927 a 144, |
2b425a85-c6a2-48d4-ab01-c51e0a04f018 | 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 11.0 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. |
ffcdb465-08bc-4418-9ed6-f57c47b34f75 | 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 1,500 10.2 a Total Population. b Civil Population. 146 The chief Vital Statistics for 1935 for the Wards of the Borough are given in the following Table :β TABLE No. 84. Wards. Population. Births. Deaths under 1. Deaths at all ages Number. Rate. Number. Rate. Number. Rate. Dockyard 6,351 117 18.4 7 60 76 12.0 St. Mary's 5,574 81 14.6 8 98 79 14.2 River 10,491 152 14.5 9 59 151 14.4 St. |
5fca37ba-5f7a-4349-bd5a-b23dfc262919 | George's 7,656 141 18.5 4 28 74 9.7 Woolwich 30,072 491 16.3 28 57 380 12.6 Burrage 7,135 101 14.2 3 30 102 14.3 Herbert 8,802 129 14.7 4 31 88 10.0 Glyndon 7,880 120 15.3 3 25 124 15.8 St. Margaret's 12,069 137 11.4 2 14 129 10.7 Central 7,188 135 18.9 5 37 103 14.4 St. |
1072167d-81ab-4380-bc9b-61dcc56ef9ab | Nicholas 13,125 168 12.8 14 83 155 11.8 Abbey Wood 12,429 221 17.8 11 49 105 8.4 Plumstead 68,629 1,011 14.9 42 41 806 11.7 Well Hall 11,783 116 9.9 4 34 76 6.4 Avery Hill 14,167 136 9.6 7 51 107 7.6 Sherard 21,749 299 13.7 10 33 131 6.0 Eltham 47,699 551 11.5 21 38 314 6.6 BOROUGH 146,400 2,053 14.0 91 44 1,500 10.2 If the rates in St. Mary's, River and St. |
47736bd4-4ee4-4ae0-8752-47dee109811c | 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 2,414 births were registered in the Borough, 1,242 being males and 1,172 females. Corrected by outward (292 males and 302 females) and inward (129 males and 104 females) transfers, these numbers become 2,053, 1,079 and 974 respectively. The birth rate was 14.0, compared with 13.7 in 1934 and 12.7 in 1933. 147 Illegitimate Births.βThe number of illegitimate births registered was 59. There were 15 inward transfers and 10 outward transfers, making a nett figure of 64, equivalent to 31 per 1,000 births. |
ce9e7d46-2b8a-4aad-9246-9708be9d29e9 | Natural Increase of Population.βThis term means the excess of births over deaths. In 1931 it was 501; in 1932, 419; in 1933, 223; in 1934, 350; and in 1935, 553. Notification of Births.βDuring the year 2,405 live births were notified. This is at the rate of 99.6 per cent. of the registered births and compares with 99.4 per cent. last year. The births were notified as shown in the following Table:β TABLE No. 85. British Hospital for Mothers and Babies 794 Midwives 531 St. |
0a1facba-7320-4a2b-9280-5eefbf5a546c | Nicholas Hospital 447 Military Families' Hospital 231 War Memorial Hospital 206 Medical Practitioners 63 Parents 59 Eltham Cottage Hospital 30 Midwives' Homes 25 Other persons 19 In addition to these, 102 notifications were received from the Medical Officer of Health, Lewisham; 73 from the Medical Officer of Health, Greenwich; and 32 from other Medical Officers of Health; 552 births were transferred to other areas. One hundred and two still-births were notified, 21 of which were transferred to other areas. It is known that 1,388 Woolwich births took place in institutions either within or without the Borough, so that the percentage of institutional midwifery for the Borough was 67.6. The following Table, No. 86, shows the number of corrected births each year since 1931; 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. |
41f74f14-b887-4fc6-9bc3-62fc9fdd23af | TABLE No. 86. Year. No. of Births. No. of Live Births. Notified. No. of StillBirths Notified. Percentage of Births Notified. Birth Rate. Woolwich. London. England and Wales. 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 1935 2,053 2,405 81 99 14.0 13.3 14.7 148 Marriages. |
601c2601-c0cf-4c07-b07a-e6507236f5fb | There were 1,315 marriages (1,324 in 1934). The marriage rate was 17.9 as compared with 18.19, 17.70, 15.79 and 17.7 in the four preceding years. Deaths. The total number of deaths registered in the Borough was 1,238. This figure includes 156 non-residents who died in the district but does not include 418 residents who died outside the Borough. When allowance is made for inward and outward transfers, the nett figure of 1,500 is obtained. The death-rate for the year was 10.2, compared with 11.3 in 1934 and 11.2 in 1933. |
32f52764-ca94-4b0d-b6f6-0f4f90370bf1 | 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. This adjusting factor for Woolwich is 1.06 so that the adjusted death rate for 1935 is 10.8. In 1935 the death-rate for England and Wales was 11.7, for London, 11.4, 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:β First quarter, 11.9; Second quarter, 10.7; Third quarter, 8.6; Fourth quarter, 9.8. |
64c3efca-d0c9-4497-ac00-ad6d15a2806a | Deaths in Public Institutions.βIn tabular form is shown below the number of deaths of Woolwich residents which took place in various institutions during the year:β TABLE No. 87. Hospitals or Institutions Number of Deaths. 1. Public General Hospitals 663 2. Voluntary General Hospitals 115 3. Mental Hospitals 55 4. Cottage Hospitals and Nursing Homes 31 5. Special Hospitals 23 6. Infectious Diseases Hospitals 18 7. Sanatoria and Tuberculosis Institutions 9 914 The percentage of institutional deaths to total deaths was therefore 60.9. The following Tables are self-explanatory:β 149 TABLE No. 88. Birth Rates, Death Rates and Analysis of Mortality in the Year 1935. Rate per 1,000 Population. Annual Death.rate per 1,000 Population. Rate per 1,000 Live Births. Percentage of Total Deaths. |
d66ebf63-d4d4-4abc-a57a-d5c699243cba | All Causes Typhoid and Paratyphoid Fevers. Smallpox. Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Violence. Diarrhoea and Enteritis (under 2 yrs) Total Deaths 1 under 1 year. Certified by Registered Medical Practitioners. Inquest Cases. Certified by Coroner after P.M. No Inquest. Uncertified Causes of Death. Live Births. Still. Births. England and Wales 14.7 0.63 11.7 0.00 β 0.03 0.01 0.04 0.09 0.18 0.54 5.6 57 90.4 6.4 2.2 10 121 County Boroughs and Great Towns, including London. 14.8 0.61 11.8 0. |
a19edece-9d44-4318-910f-f4ba725163e8 | 00 β 0.04 0.01 0 .05 0.09 0.16 0.52 7.6 62 90.9 5.8 2.8 0.5 140 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census 1931). 14.8 0.64 11.2 0.00 β 0.03 0.01 0.03 0.09 0.18 0.53 4.8 55 91.9 5.5 1.6 1.0 London 13.3 0.44 11.4 0.00 β 0.00 0.01 0.04 0.06 0.11 0.55 11.3 58 87.7 6.3 5.9 0.1 WOOLWICH 14.0 0. |
29248089-5efe-4e84-860c-4140308eef37 | 57 10.2 β β 0.00 0.01 0.01 0.08 0.16 0.46 8.7 44 85.8 8.6 5.6 β 150 TABLE No. 89. Nett Deaths during the Calendar Year 1935, 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. |
6b04de53-ebe8-45c7-a15b-cd3c168e05fa | Nondents. All Causes 1,500 91 10 13 34 63 83 83 136 264 347 376 530 137 384 Typhoid and Paratyphoid Fevers β β β β β β β β β β β β β β β Measles 1 β β 1 β β β β β β β β β β 1 Scarlet Fever 2 β β 1 1 β β β β β β β β β 2 Whooping Cough 2 1 1 β β β β β β β β β β β 2 Diphtheria 13 β 2 3 8 β β β β β β β β β 11 Influenza 23 β β β β 2 2 2 3 5 5 4 8 3 2 Encephalitis Lethargica 1 β β β β β β β β 1 β β β β 1 Cerebro-Spinal Fever |
8e846dbf-2894-40bf-90ab-b991833bd2d5 | 1 β β β β 1 β β β β β β β 1 1 Tuberculosis of Respiratory System 121 β β β 1 26 26 25 17 16 7 3 49 11 31 Other Tuberculous Diseases 15 1 β 2 2 3 3 1 1 2 β β 7 3 5 Syphilis 5 β β β β β β β 2 2 1 β 2 1 1 General Paralysis of the Insane, Tabes Dorsalis 7 β β β β β 1 1 3 2 β β β β 5 Cancer, Malignant Disease 213 β β β 2 3 5 14 25 52 74 38 82 19 51 Diabetes 15 β β β β 1 1 β β 3 10 β 8 1 3 Cerebral Haemorrhage, etc. 76 β β β β |
3f4db295-cf9c-413d-87e3-08773aa41743 | β β 1 4 24 25 22 28 1 17 Heart Disease 362 β β β 2 3 8 12 19 63 108 147 98 12 57 Aneurvsm 10 β β β β β β β 3 3 3 1 4 β 2 Other Circulatory Diseases 43 β β β β β β β 1 6 14 22 6 3 19 Bronchitis 45 1 β 1 β 1 β β 3 8 14 17 9 3 9 Pneumonia (all forms) 84 20 3 5 1 β 4 5 15 11 9 11 38 11 19 Other Respiratory Diseases 15 1 β β β β β 2 2 1 3 6 6 1 4 Peptic Ulcer 18 β β β β β 2 β 2 7 7 β |
00a27889-6e6f-49f4-9c75-ea62f3d33889 | 4 4 9 Diarrhoea, etc. 21 14 1 β β β 2 β β β 3 1 10 3 6 Appendicitis 7 β β β 1 1 2 β 1 1 β 1 4 5 3 Cirrhosis of Liver 2 β β β β β 1 β β β β 1 2 β β Other Diseases of Liver, etc. |
5f385144-1f9d-4624-8c87-aa99c922fc38 | 7 β β β β β 1 β 1 2 1 2 4 β 2 Other Digestive Diseases 39 1 1 β 1 2 1 2 6 9 7 9 21 6 11 Acute and Chronic Nephritis 48 β β β β 2 3 3 10 10 12 8 14 7 13 Puerperal Sepsis 1 β β β β β β 1 β β β β β β 1 Other Puerperal Causes 2 β β β β β 1 1 β β β β β 2 1 Congenital Debility, Premature Birth, Malformation, etc. |
223fd93c-74ad-45e7-b2fa-a9f81751cc7d | 42 41 β β β β β 1 β β β β 19 13 6 Senility 51 β β β β β β β β β 9 42 19 β 26 Suicide 9 β β β β 1 2 3 1 1 β 1 3 β 2 Other Violence 68 5 β β 5 8 11 3 6 7 8 15 24 8 21 Other Defined Diseases 130 6 2 β 10 9 7 6 11 28 27 24 61 19 40 Causes III-Defined, or Unknown 1 β β β β β β β β β β 1 β β β 151 TABLE No. 90. Nett Deaths during 1935, classified by Sex and Wards. Causes of Death. the Borough. Woolwich. Plumstead. Eltham. Males. Females. Dockyard. |
55de5f24-1db4-4d31-a90c-26dfd4fa47cd | 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 791 709 76 79 151 74 102 88 124 129 103 155 105 76 107 131 Typhoid and Paratyphoid Fevers - - - - - - - - - - - - - - - - Measles β 1 - - - - - - - - - - - - - 1 Scarlet Fever β 2 - - - - - - - - - - 1 1 β β Whooping Cough 2 - - - - - - - - - - - 1 β β 1 Diphtheria 4 9 1 3 1 β β β 2 β 1 1 1 β β 3 |
551ff6f3-8d86-4c60-a124-03172a87f631 | Influenza 9 14 1 3 1 1 3 1 1 2 1 1 4 1 2 1 Encephalitis Lethargica 1 β β β β β β β β β β β β 1 β β Cerebro-Spinal Meningitis 1 β β β β 1 β β β β β β β β β β Tuberculosis of Respiratory Systems 81 40 3 9 21 10 5 1 16 4 8 8 10 4 4 18 Other Tuberculous Diseases 8 7 2 1 β 1 1 1 β β 2 2 β 1 β 4 Syphilis 4 1 β β β β β 1 1 β β 1 β 2 β β General Paralysis of Insane, |
0ce1127b-ae0b-497e-9785-0eec66b34304 | Tabes Dorsalis 7 - - - - - - - - 3 2 1 1 β β β Cancer 106 107 9 5 24 11 14 6 28 22 15 24 6 14 19 16 Diabetes 7 8 1 β 1 1 β 2 1 3 1 2 2 β β 1 Cerebral Haemorrhage, etc. 30 46 4 7 6 2 5 12 4 4 5 12 4 3 4 4 Heart Disease 173 189 21 21 33 16 32 24 28 38 24 30 24 18 31 22 Aneurysm 6 4 β β β β 3 β 1 2 1 β β 2 1 - Other Circulatory Diseases 19 24 2 1 3 1 4 1 2 |
8bc87bc4-44f1-4e8c-86af-5515f83de0bb | 5 4 4 3 6 6 1 Bronchitis 24 21 2 2 8 2 2 1 3 4 8 9 2 1 β 1 Pneumonia 54 30 6 6 10 5 3 3 8 4 2 11 7 4 5 10 Other Respiratory Diseases 10 5 1 1 2 β 2 β 1 3 β 2 β 2 β 1 Peptic Ulcer 17 1 1 1 2 1 1 β β 5 1 β 2 1 β 3 Diarrhoea, etc. |
bc825ed7-4f9f-4e5c-af1b-5c2902728839 | 11 10 2 1 4 1 β 1 3 3 1 1 1 β β 3 Appendicitis 2 5 - - - - - 1 β 2 β 1 1 1 β 1 Cirrhosis of Liver 2 β β β 1 β β 1 β β β β β β β - Other Diseases of Liver, etc. |
6d0e341b-5a9a-44f5-a038-1d034d542af5 | 1 6 β 1 β β β 2 β 2 β 2 β β β β Other Digestive Diseases 21 18 1 1 3 1 5 5 6 3 1 3 2 1 4 3 Acute and Chronic Nephritis 28 20 2 1 4 β 3 8 β 4 5 1 4 4 7 5 Puerperal Sepsis β 1 1 β β β β β β β β β β β - β Other Puerperal causes β 2 - - - - - - - - - - - - 1 1 Congenital Debility, Premature Birth, Malformations, etc. |
6d642948-3879-420f-84e7-be670118fe6d | 21 21 2 4 2 3 1 4 1 1 2 8 4 2 6 2 Senility 27 24 4 2 3 2 6 2 2 5 2 11 2 1 5 4 Suicide 5 4 β 1 2 β 1 β 2 β 2 β β β β 1 Violence 43 25 5 2 7 7 4 2 3 5 2 8 8 3 4 8 Other Defined Diseases 66 64 5 6 12 8 7 9 11 5 13 12 15 3 8 16 Causes ill-defined or unknown 1 β β β 1 β β β β - - - - - - - 152 Causes of Death.β Table No. |
ccbac571-2f9f-437a-858c-8720b18f4647 | 89 shows that 362 deaths were due to Heart Disease, 213 to Cancer, 136 to Tuberculosis, 76 to Cerebral Haemorrhage, and 43 to diseases of circulation. There were 42 deaths from Congenital Debility and Prematurity. These figures differ but little from those of 1934, in some instances being slightly higher and in some instances slightly lower. There were 84 deaths from Pneumonia compared with 126 in 1934. Seventy-four per cent, of all deaths occurred in persons over 45 years of age. Respiratory Disease.β The following Table, No. 91, shows the number of deaths each year since 1931 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. 91. Year. Bronchitis. Pneumonia. Other Respiratory. Total. |
f89bfce8-8bd4-4b1f-a9cb-437ec7d47bf1 | DeathRate. Number under 5 years. Percentage under 5 years. 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 13.6 1934 58 126 14 198 1.3 47 23.7 1935 45 84 15 144 0.98 31 21.5 Cancer.β The total number of deaths was 213 of which 106 occurred in males and 107 in females. In the following Table, No. 92, is shown the number of deaths certified as due to Cancer and Malignant Disease, each year since 1931:β TABLE No. 92. Deaths from Cancer and Malignant Disease. Year. Males. Females. Total. Rate. |
05ffc889-1e74-4096-91a4-33ff0ae79d18 | Percentage of Total Deaths. 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 1935 106 107 213 1.45 14.20 153 The following Table, No. 93, shows the seat of primary disease in all deaths from Cancer, including all other specified malignant tumours. TABLE No. 93. Deaths from Malignant Disease. Seat of Primary Disease. Males. Females. Total. Deaths in Hospital. Lip - - - - Tongue 5 β 5 4 Mouth 3 1 4 2 Jaw 2 1 3 2 Oesphagus 15 3 18 11 Stomach 15 10 25 15 Liver |
562251e4-b41f-482b-b041-2b1787f3e4ac | and Gall Bladder 7 4 11 6 Pancreas 1 4 5 4 Intestines 10 20 30 18 Rectum 13 6 19 15 Ovary β 5 5 3 Uterus β 11 11 7 Breast - 25 25 14 Skin 1 1 2 2 Thyroid 1 1 2 1 Larynx 1 β 1 β Pharynx 2 β 2 1 Lung 7 7 14 9 Bladder 2 1 3 1 Prostate 9 - 9 8 Others and unspecified 5 5 10 5 Sarcoma 7 2 9 6 106 107 213 134 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. |
02c1662c-9fce-43f3-bb27-25a5713247a2 | Investigations are not made into cancer deaths. Maternal Mortality.β The number of deaths from Puerperal Sepsis was 1, and from other accidents and diseases of pregnancy, 2, making a total of 3 maternal deaths, compared with three in 1934. The maternal death rate per 1,000 births was 1.46 as against 1.44 in 1934. 154 The Table which follows would appear to show a steady lowering of the maternal mortality rate in this Borough:β TABLE No. 94. Maternal Mortality, Woolwich, 1912-1935. Year. Abortion. Ectopic Gestation Placenta Praevia. Other Puerperal Haemorrhage. Other Accidents of Child Birth. Child Birth with Secondary Causes. Puerperal Eclampsia Puerperal Phlebitis and Embolism Puerperal Fever. Totals. 1912 1 - |
8ef26592-d7b1-4d38-98fb-432e0f91cfd4 | - - - - 1 1 1 4 1913 1 - - β 1 β 1 - 2 5 1914 1 - 1 2 β 1 1 1 4 11 1915 1 1 - - 1 β 2 - 3 8 1916 - 1 1 1 4 β 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 - |
07e85308-d28c-42fb-8633-9cf18398cfc8 | 3 5 1924 - - 2 1 1 β 3 1 2 10 1925 - - 1 2 1 1 1 β 3 9 1926 - 1 - 2 - - β 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 - - β - 1 2 β 4 8 1931 - - - - 1 - 1 - 6 8 1932 - - - 1 - - 1 - 4 6 1933 - 1 - - 1 1 - 1 2 6 1934 - - - - - 1 - - 2 3 1935 - - - 1 - |
db341b1c-82f8-460f-b187-406c4bb30d89 | - - 1 1 3 Totals 8 13 7 17 16 7 31 16 94 209 Inquests.β There were 129 inquests held on Woolwich residents during the year, compared with 152 in 1934. Deaths of Children, 1β5 Years of Age.β The number of deaths of children between 1 and 2 years of age was 10, and between 2 and 5 years, 13. In 1934 these figures were 23 and 21. The causes of death are given in detail in Table No. 89. 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 populations at these ages and in stated groups of diseases. 155 TABLE No. 95. Child Mortality (1β2 years). Death-rates per 1,000 estimated age population from stated Groups of Diseases. Period. |
1adfd2f5-b993-4833-9762-0d22c78f3272 | Estimated mean Population. Infectious Fevers. Tuberculosis. Respiratory Diseases. Diarrhoeal Diseases. All other Causes. Total Deaths. 1931 2,071 1.45 1.45 6.76 0.48 3.86 14.0 1932 2,010 6.45 β 1.99 0.49 2.48 11.41 1933 1,927 2.07 β 3.11 1.55 β 6.75 1934 1,726 5.21 β 4.63 β 3.47 13.32 1935 1,879 1.59 β 1.59 0.53 1.59 5.30 TABLE No. 96. Child Mortality (2β5 years). Death-rates per 1,000 estimated age population from stated Groups of Diseases. Period. |
dce9785b-3160-4d72-9571-065430ae0553 | Estimated mean Population. Infectious Fevers. Tuberculosis. Respiratory Diseases. Diarrhoeal Diseases. All other causes. Total Deaths. 1931 6,373 0.78 0.62 0.94 0.16 2.20 4.70 1932 6,294 0.79 0.48 0.79 β 1.43 3.49 1933 6,188 0.97 0.80 0.48 β 1.62 3.88 1934 5,953 1.01 0.67 0.50 β 1.34 3.52 1935 5,623 0.88 0.35 1.06 β β 2.29 Infant Mortality. The number of deaths of infants under one year of age was 91, compared with 127 in 1934 and 116 in 1933. |
d9ac990c-ffa5-4f43-870a-0e7f2e5d1a80 | The rate of infant mortality resulting from these deaths (deaths under 1 year per 1,000 births) was 44, compared with 63 in 1934 and 62 in 1933. The rates for the different Wards in the Borough are shown in Table No. 84. The rate for the Administrative County of London was 58, and for England and Wales, 57. The following Table, No. 97, shows the distribution of infant mortality throughout the year, calculated on a varying year basis. 156 TABLE No. 97. Births. Deaths under 1 year. Rate. First Quarter 532 31 59 Second Quarter 538 27 50 Third Quarter 510 12 26 Fourth Quarter 473 21 44 Causes of Death.β The causes of infant mortality are set forth in Tables Nos. 99 and 100, which show the incidence of mortality from each cause for infants, classified by age, sex and wards. |
ec3595d4-1ec0-4ad1-a686-673797cf4158 | It will be noted from these Tables that the chief causes of death were: Pneumonia, 20; Premature Birth, 18; Diarrhoea, 14; and Debility and Marasmus, 7. The number of deaths occurring in the first week of life was 40. Deaths of Illegitimate Children.β Nine illegitimate children died, compared with 14 in 1934 and 13 in 1933. The infant mortality rate figure for illegitimate children was 140, compared with 44 for legitimate children. Institutional Deaths.β 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. 87. TABLE No. 98. Hospitals or Institutions. Number of Deaths. |
20cd2520-755f-4d88-a436-84dc3f257bba | Public General Hospitals 41 Voluntary General Hospitals 4 Special Hospitals 11 Infectious Diseases Hospitals 2 Cottage Hospitals and Nursing Homes 4 62 Tables are set out in the following pages which classify in various ways the causes of infant deaths during 1935. 157 TABLE No. 99. Infant Mortality, 1935. 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 . . . . . . . . . . Scarlet Fever . . . . . . . . . . Whooping Cough . . . . . . . 1 . 1 Diphtheria and Croup . . . . |
fefc92da-0264-4e03-8fbf-54621458f38f | . . . . . . Meningococcal Meningitis . . . . . . . . . . Tuberculous Meningitis . . . . . . . 1 . 1 Abdominal Tuberculosis . . . . . . . . . . Other Tuberculous Diseases . . . . . . . . . . Syphilis . . . . . . . . . . Bronchitis . . . . . 1 . . . 1 Pneumonia . 2 1 1 4 7 6 3 . 20 Diarrhoea . 1 . 1 2 6 5 1 . 14 Injury at Birth 3 . . . 3 . . . . 3 Icterus Neonatorum 4 1 . . 5 . . . . 5 Atelectasis 2 . . . 2 . . . . 2 Congenital Malformation 1 . . 1 2 4 . . . |
414a096f-4b31-4324-8640-ce8ede9c5d42 | 6 Premature Birth 13 3 . 1 17 . 1 . . 18 Atrophy, Debility and Marasmus 1 1 . . 2 3 1 1 . 7 Violence 3 . . . 3 1 1 . . 5 Convulsions . . . . . . . . . . Other Causes . . . . . 2 5 . 1 8 27 8 1 4 40 24 19 7 l 91 Nett Births registered during the calendar year Legitimate, 1,989; Illegitimate, 64. Nett Deaths registered during the calendar year Legitimate, 82; Illegitimate, 9. 158 TABLE No. 100. Nett Infant Deaths, classified by Sex and Wards. Causes of Death. The Borough. Woolwich. Plumstead. Eltham. Males. Females. Dockyard. |
2d3329fd-dadc-4217-8376-e078bc74ff56 | St. Mary's. River. St. George's. Burrage. Herbert. Glyndon. St. Margaret's. Central. St. Nicholas. Abbey Wood Well Hall. Avery Hill. Sherard. Measles - - - - - - - - - - - - - - - - Scarlet Fever - - - - - - - - - - - - - - - - Whooping Cough 1 - - - - - - - - - - - 1 - - - Diphtheria and Croup - - - - - - - - - - - - - - - - Meningococcal Meningitis - - - - - - - - - - - - - - - - Tuberculous Meningitis - 1 - - - - - - - - - - - - - 1 Abdominal Tuberculosis - - - - - - - - - - - - - - - - |
1cfe1d94-da5c-4445-a8ba-674d4a020683 | Other Tuberculous Diseases - - - - - - - - - - - - - - - - Syphilis - - - - - - - - - - - - - - - - Bronchitis - 1 - - - - 1 - - - - - - - - - Pneumonia 12 8 2 3 3 - - - - - - 6 1 1 1 3 Diarrhoea 7 7 1 1 3 1 - - 2 1 1 1 1 - - 2 Injury at Birth 2 1 β - - - - 1 - - - - - - 2 - Icterus Neonatorum 4 1 - - 1 - - - - - - 2 - - 1 1 Atelectasis - 2 - - - - 1 - - - - 1 - - - - Congenital Malformation 1 5 1 1 1 2 1 |
2a9d3230-9923-4a8a-9863-21bf567604bc | Premature Birth 9 9 2 3 - 1 - 2 1 - 1 2 - 2 3 1 Atrophy, Debility and Marasmus 5 2 - 1 - 1 - - - 1 1 - 3 - - - Violence 3 2 1 - 1 - 1 - - - - - 1 1 - - Convulsions - - - - - - - - - - - - - - - - Other Causes 6 2 1 β β β β β β β 2 β 3 - β 2 50 41 7 8 9 4 3 4 3 2 5 14 11 4 7 10 159 APPENDIX. METEOROLOGICAL OBSERVATIONS TAKEN AT THE ROYAL OBSERVATORY, GREENWICH, DURING THE YEAR 1935. Week ending. Temperature of the Air. |
8b598c19-438a-43f7-b6c1-277d048c2b32 | 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. Jan. 5 53.7 37.9 48.3 +9.8 48.5 4 0.42 β 12 46.1 26.8 36.7 -1.3 47.6 4 0.32 β 19 52.0 31.7 42.4 +4.1 46.4 2 0.07 β 26 49.8 32.6 41.8 +2.9 46.0 5 0.32 Feb. |
9aae1685-0ebf-40c3-a2ae-a6e3e89dbcd4 | 2 56.8 25.4 38.6 β1.0 45.1 4 0.29 β 9 52.8 28.3 39.5 +0.1 44.9 3 0.27 β 16 56.0 32.9 45.7 +6.6 44.3 4 0.38 β 23 52.1 31.1 45.1 +5.5 45.1 3 0.44 Mar. |
317b2ba0-2933-44dc-8ab4-1aafcdfcee27 | 2 51.6 29.9 40.6 +0.4 45.0 4 1.02 β 9 52.6 29.1 39.4 β1.5 44.5 3 0.22 β 16 56.8 31.2 39.9 β1.5 43.7 - 0.00 β 23 67.0 33.7 49.8 +7.8 44.3 3 0.37 β 30 60.8 36.3 48.0 +4.6 45.7 1 0.01 Apr. 6 56.9 30.7 42.0 -3.8 46.1 6 0.39 β 13 60.0 32.8 48.4 +2.4 46.1 6 1.49 β 20 63.2 34.2 48. |
75aff07e-cebf-432c-8a9e-ef9784d4e3de | 3 +0.7 47.1 7 0.66 β 27 63.6 39.6 48.7 +0.0 48.0 2 0.37 May 4 67.0 35.2 50.9 +1.5 48.4 1 0.07 β 11 75.7 43.6 55.0 +4.0 49.7 β 0.00 β 18 55.9 28.2 43.5 -9.3 50.2 4 0.39 β 25 69.0 33.9 51.3 β3.2 49.9 4 1.00 June 1 71.2 44.4 55.2 β1.3 51.0 2 0.18 β 8 70.0 47.1 56.4 β1.7 52.3 6 0. |
1d327891-e94e-4dd7-a082-39c35e284c39 | 81 β 15 75.8 40.1 57.3 β1.0 53.4 6 0.99 β 22 82.7 49.3 61.6 +1.9 54.6 5 0.57 β 29 83.9 50.6 68.4 +7.0 56.9 1 0.39 July 6 78.5 55.3 66.6 +4.7 58.5 1 0.33 β 13 87.1 47.4 67.7 +5.0 59.3 1 0.01 β 20 86.6 51.1 66.5 +3.2 59.9 3 0.21 β 27 82.8 54.0 66.3 +3.5 59.9 - 0.00 Aug. |
33cb3fbf-29ba-48a0-b6fb-6b594f7c5eef | 3 81.2 45.6 62.0 -0.2 60.3 - 0.00 β 10 87.7 48.9 68.6 +6.4 60.2 β 0.00 β 17 84.0 45.1 63.1 +0.7 60.5 1 0.08 β 24 90.9 54.1 67.9 +6.5 60.5 3 1.17 β 31 76.4 42.0 59.1 β1.2 60.4 3 0.93 Sep. |
f4c0b533-b8d2-479a-bba3-369029a2bded | 7 74.4 45.5 60.0 +0.5 59.9 4 0.85 β 14 76.7 42.4 58.8 +0.6 59.2 1 0.03 β 21 73.4 49.1 59.5 +2.7 58.8 6 0.50 β 28 73.6 38.1 56.3 +1.0 58.4 4 0.86 160 APPENDIXβ 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. |
440dd132-e99c-4564-99cc-4ed969ad6ef6 | 5 60.7 42.0 52.2 -1.5 57.7 7 1.67 β 12 61.6 39.0 50.8 -0.8 56.3 4 1.03 β 19 63.2 40.9 54.3 +4.6 55.2 3 0.07 β 26 54.5 28.0 43.0 β5.1 54.3 1 0.04 Nov. |
da2d0d6d-2c23-4dfe-9145-684d53670024 | 2 62.4 41.1 54.3 +7.1 53.0 5 0.55 β 9 62.8 34.6 47.3 +1.6 52.8 6 0.98 β 16 54.3 38.1 45.8 +2.2 51.4 6 1.08 β 23 51.9 34.5 44.9 +2.7 50.3 5 1.03 β 30 56.0 29.4 43.1 +1.6 49.2 2 0.34 Dec. |
9dbc10de-4d19-4859-b7b2-9baff43bf666 | 7 48.5 30.4 38.3 β2.9 47.9 5 0.30 β 14 46.5 29.5 39.3 β1.3 46.5 4 0.18 β 21 45.1 27.0 34.9 β5.0 45.5 3 0.17 β 28 52.0 20.2 40.5 +2.0 44.1 5 0.95 |
e0d378af-c9eb-4f3a-ae83-8820ab10341b | Woo 36 Metropolitan Borough of Woolwich ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR WOOLWICH 1936 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 PUBLIC HEALTH AND HOUSING COMMITTEE. At 31st December, 1936. The Worshipful the Mayor (Councillor Miss M. Crout, J.P.). Councillor Mrs. E. L. Reeves (Chairman). Councillor Mrs. L. E. Driver ( Vice-Chairman). Aldermen: Mrs. E. Brooks. Sir Ernest Kemp, J.P. E. H. Reeves. Councillors: E. Brown. |
66f34ac2-a8c6-44cc-b24b-435c2c455cd8 | C. H. Darby J. B. Fyson A. H. Gilder G. E. Greenwood C. J. Keedy F. R. Moore H. Vaughan Miss G. E. Walters, J.P. W. J. Wood MATERNITY AND CHILD WELFARE COMMITTEE. Comprising the Members of the Public Health and Housing Committee. Councillor Miss G. E. Walters, J.P. (Chairman). Alderman Mrs. E. Brooks (Vice-Chairman). 3 TABLE OF CONTENTS. page Public Health and Housing Committee 2 Maternity and Child Welfare Committee 2 Preface 6 I.βGENERAL PROVISION OF HEALTH SERVICES. |
a3ea69ab-9218-4583-a6ed-a1b3ff69395b | Public Health Officers 11 Laboratory Facilities 15 Clinics and Treatment Centres 15 Ambulance Facilities 16 Professional Nursing in the Home 17 Hospitals 18 Midwifery and Maternity Services 19 Institutional Provision for Mothers and Children 19 Health Visiting 19 Infant Life Protection 19 Supply of Insulin 19 Vaccination 20 Adoptive Acts, By-laws and Regulations in Force in the District 21 Orthopaedic Treatment 22 School Medical Service (L.C.C.) 22 II.βHEALTH PROPAGANDA. General Reference 25 Health Services Booklet 25 Health Week 25 The Cinema and Health Education of School Children 26 Talks to Selected Audiences 27 Cinema Projector 27 Films 27 Cookery Classes 27 Central Council for Health Education 27 "Better Health" 28 Posters 28 III.βMATERNITY AND CHILD WELFARE. General Reference 30 Staff 31 Public Health (London) Act, Part XII. |
3cf9fec1-9ffb-4abf-b079-31dfdda09b31 | 31 The Work of the Health Visitors 32 Infant Life Protection 32 The Work of the Welfare Centres 34 Artificial Sunlight Clinic 37 The Care and Comfort of the Pre-School Child 38 Toddlers' Clinic 40 Provision of Maternity Outfits 46 Compensation to Midwives 46 Payment of Midwives' Fees 46 Administration of the Public Health (Puerperal Fever and Puerperal Pyrexia) Regulations, 1926 46 Obstetric Complications in Private Practice 46 Home Helps 46 Boarding-out of Children 47 Treatment of Minor Ailments 47 Dental Treatment 47 Orthopaedic Treatment for Children under Five Years of Age 48 Provision of Nursing Assistance 49 Children's Beds 49 Institutional Midwifery 50 4 page Ante-Natal Treatment and Emergencies 50 Convalescent Home Treatment for Children under Five Years of Age 50 Convalescent Home Treatment for Expectant and Nursing Mothers 50 Supply of Milk, etc. |
8af48347-1c6f-4d15-82a4-b1d29228c89c | to Mothers and Children 50 Blind Persons Act, 1920 51 Widow's, Orphans' and Old Age Contributory Pensions Act, 1925 51 IV.βSANITARY ADMINISTRATION. |
7a59c375-37c1-42cd-98ae-ea933ab2f096 | Staff 52 Water Supply 52 Drainage 52 Removal and Disposal of Refuse 53 Complaints 53 Sanitary Inspection of the Area 53 Shops Act, 1934 55 Smoke Abatement 56 Public Baths and Washhouses 56 Eradication of Bed-Bugs 57 Factory and Workshop Acts 59 The Rats and Mice (Destruction) Act, 1919 61 Fouling of Footways by Dogs 61 Nuisance from Pigeons 61 Rag and Bone By-laws 61 Rag Flock Act 62 Mortuaries 62 Cemeteries 63 Offensive Trades 63 Removal of Infirm and Diseased Persons 63 Children's Sandpits 64 Pharmacy and Poisons Act, 1933 64 Legal Proceedings 64 v.βINSPECTION AND SUPERVISION OF FOOD. |
4791c330-997b-48a6-b6b2-6c8db3102bf8 | General Reference 66 Milk Supply 66 Meat Supply 69 Registered Premises 70 Other Food Premises 71 Unsound Food 71 Merchandise Marks Act, 1926 72 Agricultural Produce (Grading and Marking) Acts 72 Sophistication of Food 73 Adulterated SamplesβAction taken 79 Other Legal Proceedings 81 Food Poisoning 81 Public AnalystβAlteration in Terms of Appointment 85 Chemical and Bacteriological Examination of Food 85 Nutrition 85 By-laws 85 VI.βHOUSING. Statistics 86 Overcrowding 88 Inspection of Houses 91 Clearance Areas 91 Hutment Dwellings 98 Re-housing of Old People Living Alone 99 New Houses. 99 Council's Housing Schemes 100 100 Increase of Rent and Mortgage Interest (Restrictions) Acts 100 Tents and Vans 100 Houses let in Lodgings 100 Common Lodging Houses 5 VII.βPREVALENCE AND CONTROL OF INFECTIOUS DISEASE. |
59c7b8fd-cb3b-43ea-9886-03da3f90f4a6 | page General Reference 101 Notifications and Deaths 102 Diphtheria 107 Scarlet Fever 108 Puerperal Fever and Puerperal Pyrexia 111 Enteric Fever 111 Erysipelas, Malaria and Dysentery 111 Anterior Poliomyelitis 111 Encephalitis Lethargica 112 Smallpox. 112 Cerebro-spinal Meningitis 112 Whooping Cough 112 Ophthalmia Neonatorum 113 Zymotic Enteritis 114 Measles 114 Pneumonia 115 Tuberculosis 117 Arrangements for Disinfection and Disinfestation 129 VIII.βGENERAL STATISTICS. Physical Features of the Area 131 Population 131 Social Conditions 132 Sickness and Invalidity 134 IX.βVITAL STATISTICS. |
f22f1dff-050e-49cb-af71-e6d980965381 | Annual Statistics (including those of Wards) 135 Births 137 Marriages 139 Deaths 139 Deaths from Cancer 144 Maternal Mortality 145 Child Mortality 146 Infant Mortality 147 APPENDIX. Meteorological Table 151 6 PREFACE. To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. Madam Mayor, Ladies and Gentlemen, I have the honour to submit the Thirty-sixth 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 order to ensure uniformity in the presentation of Annual Reports of Medical Officers throughout the country. During the year much consideration was given to the needs of the toddler and it was decided to increase, from the beginning of April, 1937, the facilities already provided for his care and comfort. |
386a88ab-06fa-44c1-87c8-b67204b00ff0 | The number of toddlers sessions is to be doubled, following-up is to be more complete and additional provision is to be made for the treatment of defects discovered. The clinics of the school medical service are to be used for this purpose but when this is not possible other arrangements are to be made. Orthopaedic cases, for example, will continue to be sent to the Remedial Clinic of the Woolwich Invalid Children's Aid Association. A new Ear, Nose and Throat Clinic is to be established, where medical and hygenie treatment chiefly, but if necessary surgical treatment also, will be available. Parliament has decided that the salaried midwives' service to which I referred in last year's report is to be administered by the London County Council whose scheme had not been made public at the end of the year. It is not yet known to what extent, or in what ways, the existing maternity services of the Metropolitan Borough Councils are to be utilised. Progress in slum clearance still continues. |
9b02e0a4-dfe8-43cc-b838-fd1fbce8857f | An additional twelve areas were represented during the year bringing the total number of areas dealt with since the commencement of the programme up to 34. In these 34 areas were 293 houses occupied by 1,156 persons. Three official representations have been made by medical officers of the London County Council. Details will be found in the housing section of the Report. In the matter of overcrowding progress has also been made. Landlords have been provided, as a result of a systematic survey, with information as to the "permitted number" of persons who may occupy a dwelling and the position of all known overcrowded families has been investigated. It is difficult to know what is happening with regard to overcrowding. At the end of 1935, 683 families were known to be living in overcrowded dwellings in the Borough. In 414 cases 7 crowding no longer exists. |
d2914dd9-47e5-4181-87e9-92032dcf13e6 | It has not been possible to ascertain in what way this happened in all cases as 165 families have moved to unknown addresses. Overcrowding has been abated in the other cases partly by reduction in the size of families occasioned by marriage or death, partly by the adjustment of accommodation in the same house, and partly by transfer to municipally owned houses. The 1936 survey, however, disclosed that a further 261 families were overcrowded. At the end of a year in which there was no systematic effort at abatement there was less overcrowding. Compared with 1935, the incidence of infectious disease showed an increase, due mainly to the presence of a measles epidemic. There were fewer cases of diphtheria (176 as against 313), of scarlet fever (609 as against 634), of erysipelas (68 as against 78), and of puerperal pyrexia and puerperal fever (28 as against 45). |
885410aa-4d52-41d8-9e4c-283e6677aae4 | There was an increase in the number of cases of ophthalmia neonatorum (26 as against 17), epidemic diarrhoea (63 as against 5), and enteric fever (12 as against 9). The number of cases of measles rose from 656 to 2,060. The number of notifications of tuberculosis received during the year was 253, compared with 242 in 1935. At the end of the year there were 789 persons suffering from pulmonary tuberculosis, and 179 persons suffering from other forms of tuberculosis, that is in all 968 persons (975 in 1935), living in the Borough. The number of deaths from tuberculosis during the year was 116 compared with 136 in 1935. |
a193f274-140d-43e4-af97-10b8e51691fa | The principal vital statistics for the year are as follows:βthe birth rate was 13.8, a decrease of 0.2 on that of 1935; the infant mortality rate was 59, compared with 44 in the previous year and 63 in 1934; the neo-natal mortality rate (deaths under four weeks per thousand births) was 21.81, as against 19.5. The number of maternal deaths was 5, two more than in 1935, the rate for the year per thousand births being 2.47. The population of the Borough is estimated by the Registrar General to be 146,500 at the middle of the year, an increase of 100 on 1935. This is the total population and includes non-civilians, and it is on this figure that the rates of the Borough are calculated. |
040d30b6-f493-4c3b-8f23-1e80281456cc | For many years the Council have been very active in securing open spaces for the perpetual enjoyment of the citizens of Woolwich and numerous small areas have been acquired by them from time to time. The Council have always regarded the "Green Belt" as of the greatest importance, and when larger areas were on the market the County Council were urged to purchase these and generous financial assistance was given by the Borough Council. Because of this policy Woolwich is now more fortunate than most London Boroughs in its extent of public open spaces. The County Council own 700 acres of such space in Woolwich to-day and the Borough Council about 200 acres in no fewer than 143 areas of varying size, from a small shrubbery to extensive playing fields. 8 In all our towns, there are here and there, derelict plots of landβused only too often as convenient dumps for shooting rubbish surreptitiously. Sometimes the owner cannot be found ; often he is only too willing to sell a piece of land he cannot develop. |
b5984cc8-0ea7-412a-bec8-485b18dd9b78 | Such areas in this Borough have been acquired by the Council as opportunity offered and have been changed from eyesores to small beauty spots at very little cost. In recent years considerable thought has been given by the Borough Council to beautifying its open spaces and to developing them in a manner most suitable for encouraging the young, the adolescent, the middle-aged and the aged, to spend more time in the open air. Such spaces when properly developed, can be used for play by those sufficiently active to enjoy it, and for providing a restful and pleasing atmosphere for those of maturer years. The Council's open spaces ma3T be divided into five classes:β (a) Large Formal Gardens. There are two of theseβWell Hall Pleasaunce, opened in 1933, and one other in process of developmentβRockcliff Gardens, Plumstead. In each of these the land has been laid out according to its possibilities and full advantage has been taken of the natural features in the development. |
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