Report for the year ended 31st December 1920 of the Medical Officer of Health for the Port of London

Port of London 1920

Published: 1921
Author: Willoughby, Willoughby Mason.
Pages: 66
Tables: 73

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STAFF. List of Officers forming the Staff of the Port of London Sanitary Authority, 31st December, 1920.

Office. Name of Officer. Date of Appointment to Present Position.
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TABLE I.—MEDICAL INSPECTION—GRAVESEND. From 1st January to 31st December, 1920.

Jan. Feb. March April May June July Aug Sept. Oct. Nov. Dec. Total.
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TABLE II.—INFECTIOUS DISEASE.

Disease. 1911. 1912. 1913. 1914. 1915. 1916. 1917. 1918. 1919. Mean annual number for 10 years ending 31st December, 1920. 1920.
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TABLE III. Return of the number of cases of Infectious Disease notified to the Ministry of Health during the year 1920, and of Deaths from the diseases notified. This Table includes all cases actually introduced or occurring within the Port, but does not include cases reported as having occurred on vessels during the voyage, but which had either recovered or been removed from the vessel before arrival at Gravesend.

Notified. Deaths.
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TABLE IV.—P lague (including suspected cases).
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TABLE V.— Cholera.

Date. 1920. Name of Vessel, Port of Registry, and Official No. Where from. No. of Caes. How dealt with.
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TABLE VI.— Yellow Fever.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE VIL—T yphus.

Date. 1920. Name of Vessel, Port of Registry and Offiicial No. Where from. No. of Cases. How dealt with.
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TABLE VIII.—S mall-pox.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE IX. —E nteric Fever.

Date. 1920. Name of Vessel, Port of Registry, and Official No. Where from. No. o1 Cases How dealt with.
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E nteric F ever— continued.

Date. Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
1920. Brought forward 28
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TABLE X. —DlPHTHERIA.

Date. Name of Vessel, Port of Registry and Official No. Where from. No. o Cases How dealt with.
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TABLE XI.—Scarlet Fever.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XII.—M easles.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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Measles— continued.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XIII.—German Measles.

Date. 1920. Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
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TABLE XIV.—Continued Fever.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. How dealt with.
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TABLE XV.—C hicken-pox.

Date. 1920. Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with
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TABLE XVI.—Cerebro-spinal Meningitis.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XVII.—Malaria.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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Malaria—continued.

Date. 1920 Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
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TABLE XVIII.—Pulmonary Tuberculosis.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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Pulmonary Tuberculosis—continued.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XIX.—Influenza.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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Influenza— continued.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XX.—Pneumonia.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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Pneumonia—continued.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XXI.—D ysentery.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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Dysentery— continued.

Date. 1920. Name of Vessel, Port, of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XXII.—E rysipelas.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XXIII.—M umps.

Date. 1920. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XXIV.—Gastro-Enteritis.

Date. 1920 Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XXV.—V enereal Diseases.

Date. 1920. Ship. Case (nature of). Passenger or Crew Rating. Advise given.
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Venereal Diseases—continued.

Date. Ship. Case (nature of). Passenger or Crew Rating. Advice given.
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TABLE XXVI.—Miscellaneous Diseases, &c., 1920.

Disease. No. of Cases. Disease. No. of Cases.

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TABLE XXVII. Vessels and Premises Disinfected, from 1st January to 31st December, 1920.

Month.	Reason for Disinfection.																	Total number of Disinfections.
Month.	Cerebro-spinal Meningitis.	Chicken-pox.	Cholera.	Continued Fever.	Diphtheria.	Enteric Fever.	Frysipelas.	Malaria	Measles.	Influenza.	Plague.	Remittent Fever.	Scarlet Fever,	Small-pox.	Pulmonary Tuberculosis, icc.	Precautionary Measure.	Vessels Fumigated and Sprayed.	Total number of Disinfections.

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TABLE XXVIII. Number of Disinfections of Effects, Bedding, &c., from 1st January to 31st December, 1920.

Month.	Reason for Disinfection.														Hospital Bedding, &c.	Total Effects.	Number of times Stearn Disinfector was use.	Disinfected by Fumigation.
Month.	Cholera.	Chicken-pox.	Cerebrospinal Meningitis.	Continued Fever.	Diphtheria.	Enteric Fever.	Malaria.	Measles.	Pulmonary Tuberculosis, &c.	Plague.	Influonza.	Scarlet Fever.	Small-pox	Precautionary Measure.	Hospital Bedding, &c.	Total Effects.	Number of times Stearn Disinfector was use.	Disinfected by Fumigation.

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TABLE XXIX.—Return of Rats caught and destroyed during 1920. The entire cost of destroying these rats has been borne by the Shipowners and Port of London Authority.

Jan. Feb. Mar. April. May. June. July. Aug. Sept. Oct. Nov. Dec. Totals.
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TABLE XXX. —R at Fumigations.

Date. 1920. Name of Vessel. Where fumigated. No. of rats reported caught after fumigation.
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TABLE XXXI.—Disinfestation of Vessels.

Date. Ship's Name. Ports at which Disinfestation is alleged to have taken place. Gas used. Places alleged to have been Disinfested.
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Disinfestation of Vssels—continued.

Date. Ship's Name. Ports at which Disinfestation is alleged to have taken place. Gas used. Places alleged to have been Disinfested.
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Disinfestation of Vessels—continued.

Date. Ship's Name. Ports at which Disinfestation is alleged to have taken place. Gas used. Places alleged to have been Disiufested.
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Disinfestation of Vessels—continued.

Date. Ship's Name. Porta at which Disinfestation is alleged to have taken place. Gas used. Places alleged to have been Disinfested.
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Disinfestation of Vessels— continued.

Date. Ship's Name. Forts at which Disinfestation is alleged to have taken place. Gas used. Places alleged to have been Disinfested.
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TABLE XXXII.—Hospital. Number of Casks Admitted, Cost of Maintenance, &c. Patients remaining in Hospital on 31st December, 1919 ... 6

Admitted. Discharged. Died. Remaining under treatment.

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TABLE XXXIII. Quantity and Description of Unsound Food Seized and Destroyed for the Year ending 31st December, 1920.

	Original packages.		Sundry quantities by weight.				Loose Articles.		Approximate Total weight of Goods destroyed.
MEAT—	No.	Description.	Tons.	cwts.	qrs.	lbs.	No.	Description.	Tons.	cwts.	qrs.	lbs.

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TABLE XXXIV.—Description of Meat Destroyer.

Year.	Beef.				Mutton.				Veal, Poke, Offal.				Tinned.				Smoked and \| Salted, &c.				Total.
	Tons	acts.	qrs.	lit.	Tons	CWtS.	qrs.	lbs. /	Tons	cwts.	qrs.	lbs.	Tons	cwts.	qrs	lbs.	Tons	cwts.	qrs	lbs.	Tons	cwts.	qrs.	lbs.

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The goods were disposed of as follows, only those which could not be used for some useful purpose being actually destroyed :—
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PUBLIC HEALTH (FOREIGN MEAT) REGULATIONS, 1908. During the year Notices were served under Articles III. (5), IV. (1) of the above-mentioned Regulations, for the exportation of the following meat : —

Date of Arrival. Nams of Vessel. Wherei from. Where ljing. Description and quantity in respect of which Notices were served.
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The consignments showing upwards of 2 per cent, diseased were as follows :—

Number o£ Tongues Examined. Number found Diseased. Percentage of those Examined.
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Particulars are given below of the five worst results obtained :—

Number of Carcases Examined. Number found to be Tuberculous. Percentage of Carcases found to be Tuberculous.
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The pork seized and destroyed during the year was as follows :—

From. Tuberculous Unsound.
Carcases. Carcases. Pieces. Bags. By weight.
cwts. qrs. lbs.
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Offal.—The offal seized as unfit for human consumption was as follows :—

Tons. Cwts. Qrs. Lbs.
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Meat (Smoked and Salted) :—

Toiis. Cwts. Qrs. Lbs.
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Fish.—The fish seized and destroyed consisted of :—

Tons. Cwts. Qrs. Lbs.
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Fruit (Green).—A considerable increase is shown of this class of goods seized, the total being 543 tons 2 cwts. 3 qrs. 7 lbs., as compared with 6 tons of the preceding year

Tons. Cwts. Qrs. Lbs.
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Fruit (Dried).—Most of the goods included under this heading were old stock, chiefly dates, which had been lying in the dock for some considerable time :—

Tons. Cwts. Qrs. Lbs.
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Fruit (Tinned and Bottled).—89 tons 2 cwts. 3 qrs. 1 lb. of goods of this class were seized and destroyed, as compared with 17 cwts. 2 qrs. 16 lbs. in 1918 :—

Tons. Cwts. Qrs. Lbs.
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Jam and Marmalade.—373 cases, 501 tins, weighing 11 tons 18 cwts. 2 qrs. 1 lb., were seized and destroyed.

Tons. Cwts. Qrs. Lbs.
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—The only goods of this class consisted of:—

Tons. 0 wts. Qrs. Lbs.
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Provisions.—The total quantity of these goods disposed of as unfit for human consumption is more than double the total for the previous year, and is due to several consignments of condensed milk which arrived in a bad condition :—

Tons. Cwts. Qrs. Lbs.
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Biscuits and Confectionery.—Practically the whole of these goods came from a vessel which had been damaged by fire :—

Tons. Cwts. Qrs. Lbs.

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TABLE XXXV.— General Summary , and Analysis, of the Sanitary Inspections of Vessels, &c., in the Port of London, for the year ended 31st December, 1920.

Foreign.						Coastwise.						Inland Navigation.													Shore Premises.			Sick Seamen referred to Hospital. \|	Water Barges.
Steam.			Sail.			Steam.			Sail.			Steam.			Sail.				Lighters (uninhabited).			Canal Boats.			Shore Premises.				Water Barges.
Inspected.	Defective.	To be Cleaned.	Inspected.	Defective.	To be Cleaned.	Inspected.	Defective.	To be Cleaned.	Inspected.	Defective.	To be Cleaned.	Inspected.	Defective.	To be Cleaned.	Inspected.		Defective.	To be Cleaned.	Inspected.	Defective.	To be Cleaned.	Inspected.	Defective.	To be Cleaned.	Inspected.	Defective.	To be Cleaned.		No. in District in good condition. 31st December, 1920.	Now Barges	Condemned.	\| Use Discontinued.	No. in District 81st Deeember, 1920.\|

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COMPARATIVE TABLE.

Total number of Inspections of vessels from—	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.	1920.	Yearly average for the 10 years ending 31st December, 1920.

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TABLE XXXVI. NUMBER OF NUISANCES ON VESSELS REPORTED AND DEALT WITH during the year ended 31st December, 1920.

Description of Nuisances. January. February. March. April. May. June. July. August. September. October. November. December. Totals.
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NUMBER OF NUISANCES IN THE RIVER REPORTED AND DEALT WITH during the year ended 31st December, 1920.
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TABLE XXXVII. NUMBER OF NUISANCES ON SHORE PREMISES REPORTED AND DEALT WITH during the year ended 31st December, 1920.

Description of Nuisances. January. February. March. April. May. June. July. August. September. October. November. December. Totals.
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SUMMARY.

Smoke. Structural. Offensive Cargoes. Drainage, Sewage, &c. Miscellaneous. Totals.
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In each case written notice was sent to the owners of the barges concerned:—

Date. Name of Vessel. Infringement.
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TABLE OF CANAL BOATS CARRYING CHILDREN ON BOARD.

Year. No. of boats. No. of boats with children. No. of children. Average No. of children per boat. Average No. of boats with children.
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TABLE XL. SUMMARY OF CANAL BOATS FOR THE YEAR ENDED 31 ST DECEMBER, 1920.

January. February. March. April. May. Jane. July. August. September. October. November. December. TOTAL total for the year
1915. 1916. 1917. 1918. 1919.

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APPENDIX. RETURN OF RATS EXAMINED FUR EVIDENCE OF PLAGUE DURING YEAR ENDED 31 ST DECEMBER, 1920.

DOCK.	Number from each Dock.	Found Dead.	Trapped.	Found Dead.				Trapped.				Infected.	Non-Infected.	Infected.				Non-Infected.				Infected.		Non-Infected.
				M.D.	M.R.	M.A.	M.M.	M.D.	M.R.	M.A.	M.M.			M.D.	m.R.	M.a.	m.m.	M.D.	M.R.	M.A.	m.M.	Found Dead.	Trapped.	Found Dead.	Trapped.

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ADMINISTRATION OF THE PORT OF LONDON PUBLIC HEALTH (LONDON) ACT, 1891. Dr. REVENUE ACCOUNT for the Year ended 31st March, 1921. Cr.

£ s. d. £ s. d. £ s. d. £ s. d. £ s. d.

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

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Port of London 1920

73 tables in this report

STAFF. List of Officers forming the Staff of the Port of London Sanitary Authority, 31st December, 1920.

TABLE I.—MEDICAL INSPECTION—GRAVESEND. From 1st January to 31st December, 1920.

TABLE II.—INFECTIOUS DISEASE.

TABLE IV.—P lague (including suspected cases).

TABLE V.— Cholera.

TABLE VI.— Yellow Fever.

TABLE VIL—T yphus.

TABLE VIII.—S mall-pox.

TABLE IX. —E nteric Fever.

E nteric F ever— continued.

TABLE X. —DlPHTHERIA.

TABLE XI.—Scarlet Fever.

TABLE XII.—M easles.

Measles— continued.

TABLE XIII.—German Measles.

TABLE XIV.—Continued Fever.

TABLE XV.—C hicken-pox.

TABLE XVI.—Cerebro-spinal Meningitis.

TABLE XVII.—Malaria.

Malaria—continued.

TABLE XVIII.—Pulmonary Tuberculosis.

Pulmonary Tuberculosis—continued.

TABLE XIX.—Influenza.

Influenza— continued.

TABLE XX.—Pneumonia.

Pneumonia—continued.

TABLE XXI.—D ysentery.

Dysentery— continued.

TABLE XXII.—E rysipelas.

TABLE XXIII.—M umps.

TABLE XXIV.—Gastro-Enteritis.

TABLE XXV.—V enereal Diseases.

Venereal Diseases—continued.

TABLE XXVI.—Miscellaneous Diseases, &amp;c., 1920.

TABLE XXVII. Vessels and Premises Disinfected, from 1st January to 31st December, 1920.

TABLE XXVIII. Number of Disinfections of Effects, Bedding, &amp;c., from 1st January to 31st December, 1920.

TABLE XXIX.—Return of Rats caught and destroyed during 1920. The entire cost of destroying these rats has been borne by the Shipowners and Port of London Authority.

TABLE XXX. —R at Fumigations.

TABLE XXXI.—Disinfestation of Vessels.

Disinfestation of Vssels—continued.

Disinfestation of Vessels—continued.

Disinfestation of Vessels—continued.

Disinfestation of Vessels— continued.

TABLE XXXII.—Hospital. Number of Casks Admitted, Cost of Maintenance, &amp;c. Patients remaining in Hospital on 31st December, 1919 ... 6

TABLE XXXIII. Quantity and Description of Unsound Food Seized and Destroyed for the Year ending 31st December, 1920.

TABLE XXXIV.—Description of Meat Destroyer.

The goods were disposed of as follows, only those which could not be used for some useful purpose being actually destroyed :—

PUBLIC HEALTH (FOREIGN MEAT) REGULATIONS, 1908. During the year Notices were served under Articles III. (5), IV. (1) of the above-mentioned Regulations, for the exportation of the following meat : —

The consignments showing upwards of 2 per cent, diseased were as follows :—

Particulars are given below of the five worst results obtained :—

The pork seized and destroyed during the year was as follows :—

Offal.—The offal seized as unfit for human consumption was as follows :—

Meat (Smoked and Salted) :—

Fish.—The fish seized and destroyed consisted of :—

Fruit (Green).—A considerable increase is shown of this class of goods seized, the total being 543 tons 2 cwts. 3 qrs. 7 lbs., as compared with 6 tons of the preceding year

Fruit (Dried).—Most of the goods included under this heading were old stock, chiefly dates, which had been lying in the dock for some considerable time :—

Fruit (Tinned and Bottled).—89 tons 2 cwts. 3 qrs. 1 lb. of goods of this class were seized and destroyed, as compared with 17 cwts. 2 qrs. 16 lbs. in 1918 :—

Jam and Marmalade.—373 cases, 501 tins, weighing 11 tons 18 cwts. 2 qrs. 1 lb., were seized and destroyed.

—The only goods of this class consisted of:—

Provisions.—The total quantity of these goods disposed of as unfit for human consumption is more than double the total for the previous year, and is due to several consignments of condensed milk which arrived in a bad condition :—

Biscuits and Confectionery.—Practically the whole of these goods came from a vessel which had been damaged by fire :—

TABLE XXXV.— General Summary , and Analysis, of the Sanitary Inspections of Vessels, &amp;c., in the Port of London, for the year ended 31st December, 1920.

COMPARATIVE TABLE.

TABLE XXXVI. NUMBER OF NUISANCES ON VESSELS REPORTED AND DEALT WITH during the year ended 31st December, 1920.

NUMBER OF NUISANCES IN THE RIVER REPORTED AND DEALT WITH during the year ended 31st December, 1920.

TABLE XXXVII. NUMBER OF NUISANCES ON SHORE PREMISES REPORTED AND DEALT WITH during the year ended 31st December, 1920.

SUMMARY.

In each case written notice was sent to the owners of the barges concerned:—

TABLE OF CANAL BOATS CARRYING CHILDREN ON BOARD.

TABLE XL. SUMMARY OF CANAL BOATS FOR THE YEAR ENDED 31 ST DECEMBER, 1920.

APPENDIX. RETURN OF RATS EXAMINED FUR EVIDENCE OF PLAGUE DURING YEAR ENDED 31 ST DECEMBER, 1920.

ADMINISTRATION OF THE PORT OF LONDON PUBLIC HEALTH (LONDON) ACT, 1891. Dr. REVENUE ACCOUNT for the Year ended 31st March, 1921. Cr.

TABLE XXVI.—Miscellaneous Diseases, &c., 1920.

TABLE XXVIII. Number of Disinfections of Effects, Bedding, &c., from 1st January to 31st December, 1920.

TABLE XXXII.—Hospital. Number of Casks Admitted, Cost of Maintenance, &c. Patients remaining in Hospital on 31st December, 1919 ... 6

TABLE XXXV.— General Summary , and Analysis, of the Sanitary Inspections of Vessels, &c., in the Port of London, for the year ended 31st December, 1920.