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

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Holborn 1895

Report of the Medical Officer of Health for the half-year ending December, 1895

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23
Glasgow, a well known pathologist, states "that of the total deaths under
ten years of age amongst the mass of the people about a third are due to
tuberculosis," and that the usual seat of the disease at that age points to
food as the medium of infection.
In all cases of tuberculosis amongst animals that I have examined the
lymphatic glands have been more or less affected with the disease; they are
also generally much enlarged. It is therefore important that all Meat
Inspectors should have a practical knowledge of the position of these glands
as a means of confirming the diagnosis in cases where there has been much
" stripping " of the pleura and peritoneum.
These glands are also much affected in other diseases, eg., swine fever,
and puerperal fever after calving, lambing, etc.
BAKEHOUSES.
All the bakehouses have been inspected by Mr. Bennett and myself. All
the sanitary defects have been attended to.
"The Factory and Workshops Act, 1895," which came into force on
January 1st, 1896, enacts in Section 27 (3) the new provision that "A place
" underground shall not be used as a bakehouse unless it is so used at the
" commencement of this Act . . . ."
COW-HOUSE AND SLAUGHTER-HOUSES.
The cow-house has been inspected several times, and the licence again
renewed by the County Council. It is a portion of the ground floor of the
tenements called Union Terrace ; the remaining parts of the ground floor are
used as stables. The cow-house is in the midst of an insanitary area that I
am reporting details of to the Board.
I must also call your attention to the fact that tuberculosis is very frequent
in cows kept in town cow-houses, and that the consumption of milk thus
contaminated is especially liable to produce tuberculosis in children, men
and animals.
The two slaughter-houses, one at the back of 29, Red Lion Street, and
the other in the Yorkshire Grey Yard, have been inspected by me, and the
licences again renewed by the County Council.
Dairies and milkshops are under the supervision of the London County
Council.