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

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St Pancras 1893

[Report of the Medical Officer of Health for St. Pancras, London, Borough of]

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to the Medical Officer of Health upon their registration the following, namely
—Cholera (however qualified), Choleraic Diarrhoea, Dysentery, Dysenteric
Diarrhoea, Diarrhœa, Enteric Catarrh, Enteritis, and Gastro-Enteritis.
(2) Power was given, should occasion arise, to make such compensation as
may seem reasonable to the owner of any article infected by Cholera or by
Choleraic Diarrhoea that may require to be destroyed.
(3) Power was also given to send stools or portion of intestine in any
doubtful case of Choleraic disease to a skilled Bacteriologist for examination.
(4) Authority was given to communicate to Medical Practitioners in and
adjoining the Parish as to the sending of stools or portion of intestine for
examination, and to request them to notify Choleraic diseases, that is, Cholera
and Choleraic Diarrhcea, and at the same time to forward to them a copy of
the precautions prepared for the prevention of Cholera.
(5) In case any Medical Attendant named on the list attended a suspected
case of Cholera, he was to be paid a fee of 5s, it being understood that he
would then direct the patient to the Parish Doctor, or to his regular Medical
Attendant, if necessary.
Scarlet Fever Milk Epidemic.—On the 1st November, I reported to your
Health Committee, that on the 31st October, it came to my knowledge that
eight cases of Scarlet Fever had arisen in the course of a week amongst customers
of a certain milk vendor at Highgate. I was also informed that cases
were occurring in Hornsey, the adjoining Parish. I proceeded to Hornsey,
and had an interview with the Medical Officer of Health, who stated that he
had had eleven cases of Soarlet Fever notified to him recently, who had
obtained milk from Mr. Z , of Highgate, the same vendor as supplied the cases
in Saint Pancras.
I inspected the premises of Mr. Z., and the cows appeared to be in good
health. He stated that the milk from his own cows supplied a quality of milk
called "Nursery Milk," and that none of the names of those who had fallen ill
with Scarlet Fever were supplied exclusively with this quality of milk. His
ordinary milk he obtained from a farmer, Mr. Y, of Hendon. One of Mr. Y's
milkmen was found on October 21st, to be suffering from Scarlatina, and was
removed ou the 22nd to Hospital. In Hendon three cases of Scarlet Fever
had occurred amongst the customers of two milkmen supplied by Mr. Y.
Upon hearing this statement, I warned Mr. Z. not to supply milk in Saint
Pancras from Mr. Y's farm at Hendon. I then proceeded to Hendon, to Mr.
Y.'s farm. There I learned that the County Veterinary Inspector had been
over to the farm, and had ordered five cows with sore teats and inflammatory
symptoms to be isolated, and the milk from these cows to be stopped from sale.
I informed Mr. Y. that I had warned Mr Z. of Highgate not to sell his milk
in Saint Pancras, as it had evidently spread disease, whether due to the infected
milkmen or infected cows I could not say, and I warned him not to send
infected milk into Saint Pancras for the purpose of sale as human food.
Your Committee instructed me to engage a Veterinary Surgeon and to take
him with me to the Dairies mentioned. I ascertained that Professor Axe had
been retained to act for Mr. Y., and I retained Professor Penberthy to act on
behalf of the Vestry, In order to obtain a signature to the Order, I called