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

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Holborn 1926

Report for the year 1926 of the Medical Officer of Health

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30
carried out in the absence of a bacteriological laboratory. In cases where dirt has
been found in any considerable quantity further samples have been obtained and
submitted to the Borough Analyst for examination.
In the five years 1922-26, 455 samples were examined for dirt in the Public
Health Department. In 13 of these dirt was disclosed, ranging from a trace up to
17 parts per 100,000 by volume. During the same period 23 samples were submitted
to the Borough Analyst, 21 being certified as containing dirt, the amount ranging
from a trace up to 2.2 parts per 100,000. It will, therefore, be seen that in the
five years of routine work seven per cent. of the samples examined gave evidence
of the presence of dirt.
This examination for dirt cannot, of course, be compared for efficiency with
bacteriological examination. In the same five years (1922-26), 103 samples were
submitted for bacteriological examination for (1) tubercle bacilli, (2) organisms per
c.c. at 37° C., and (3) minimal volume containing B. coli. Ten samples showed
definite evidence of tuberculous infection, whilst amongst the organisms found in
addition to tubercle bacilli and B. coli were B. fæcalis alkaligenes, B. enteritides
sporogenes and streptococci.

The number of organisms found on bacterial counts, as will be seen from the following table, ranged from 9,760 to 25,000,000 per c.c.

Date of Examination.Number of organisms per c.c. grown at 37° C for 24 hours.
Year.Month.
1922November9,760
1923,,11,750
1922,,12,600
,,,,14,940
1925,,21,700
1923,,28,000
,,,,32,000
1924,,33,100
,,,,37,250
1925,,44,000
,,,,51.000
1924,,51,250
1925,,52,400
1923,,55,000
1924,,57,650
1922December86,000
1926,,90,000
1925November96,000
1926October125,000
1923November240,000
1922December279,000
1924November328,400
1922December352,000
1923November420,000
1924,,423,000
1926,,3,900,000
,,July5,600,000
1925November11,250,000
1926August25,000,000