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

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Paddington 1903

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

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70
FOOD SUPERVISION.
Two cases of scarlet fever occurred on premises where milk was sold; 3 milk carriers
were reported ill with infectious diseases (viz., one each of diphtheria, erysipelas, and enteric
fever) and 3 cases occurred in the families of milk carriers (1 of diphtheria and 2 of scarlet
fever). Every precaution was taken to obviate the milk supplies becoming contaminated,
and no spread of infection occurred through that channel.
The supervision of the sale of milk in the Metropolis is in a somewhat confused state
owing to the partial transfer of responsibility effected by the London Government Act, 1899.
Prior to that Act coming into force the County Council was the sole authority dealing with
the milk supply of the Metropolis. By Sec. 28 of the Public Health (London) Act, 1891, the
Local Government Board is empowered to issue an Order to regulate the sale, &c., of milk, and
the London County Council to make By-laws under such Order. The Board has never issued
any Order, and the supervision has been carried out under the Dairies, Cowsheds, and Milkshops
Orders of 1885-99. No regulations or by-laws specially applying to the Metropolis
have been made. The circumstances of the Metropolitan trade are such* as require
special regulations, while those now in use, have been framed to deal with the whole country.
In the sub-division of the jurisdiction between the County and the Borough Councils, to the
former is left the administration of "Orders," and to the latter that of "regulations and
by-laws (non-existing)."
Sources of Milk Supply— From inquiries made by the Inspector it appears that the milk
sold in the Borough is obtained from:—
(a) The two cowsheds in the Borough ; and
(b) 1,051 farms, situated in the (16) counties of
Bedford Cornwall Hertford Somerset
Berks Derby Northampton Stafford
Buckingham Dorset Middlesex Warwick
Cheshire Gloucester Oxford Wilts

At the time of the inquiry (1901) there were 157 vendors on the Register, 17 less than at the end of 1903. The 82 milkshops obtained their supplies from:—

Shops.
Wholesale firms in the Borough (entirely)35
Wholesale firms in the Borough and from farms direct10
Wholesale firms outside the Borough13
From (206) farms direct17
From (9) farms direct, and the (2) cowsheds in the Borough7

At these milkshops, the Inspector reports that the provision made for the cleansing of
cans and receptacles is adequate, and that the premises are well kept and in good sanitary
condition. The counter-pans at 80 shops are of chinaware in 77 shops, iron in 3 shops, while
at the remaining (2) shops, no counter-pan is used, the milk for sale over the counter being
kept in a " churn." At 57 (out of 82) of the shops, he found the counter-pan covered with
muslin at the time of his visit, but he states that in the summer "practically the whole of
the utensils " are covered, to exclude flies and dirt.

Milk is also sold at 75 " miscellaneous " shops, the supplies being obtained from :—

Shops.
Milk vendors (13), supplied by local wholesale firms29
„ (8), supplied by farmers direct19
„ (10), outside the Borough16
Wholesale firms (2) in the Borough9
„ „ (1) outside the Borough1

* The total consumption of milk in the Metropolis is approximately 63 million gallons per ann., of which only
1¾—2 million gallons are " produced " within the Metropolis.