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

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London County Council 1898

[Report of the Medical Officer of Health for London County Council]

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Temporary shelter.—For this purpose a room has been provided at the parish store depot. But
little use has been made of it, and it is now used as an office. The room is furnished with crockery
and cooking utensils, and has a fireplace. There is no sleeping or bathroom accommodation.
Streatham and Tooting Sub-Dislrict—
(a) Articles of clothing.—By contract as in case of Clapham.
(b) Rooms.—Fumigation by burning sulphur, and then notice is served to strip walls and cleanse,
and if not complied with, it is done by the sanitary authority.
No charge is ever made.
Nearly all the disinfection in the district is done by the sanitary authority. It is exceptional
to receive certificates from medical practitioners.
Temporary shelter.—None yet provided, but the matter is under consideration, and it is anticipated
that some provision will shortly be made.
The need for such accommodation has been felt on several occasions.
Wandsworth Sub-District—
(a) Articles of clothing andbedding.—Adisinfecting station provided with a Washington Lyon steam
disinfecting apparatus has recently been provided. The building contains two separate chambers into
each of which the apparatus has an opening. In communication with each chamber is a van shed, so that
infected articles can be removed from the van direct into the chamber for infected articles, and after
the process of disinfection is completed they can be placed directly into the van reserved for returning
them to houses. The walls are lined with glazed brickwork, the floors are of impervious material, and
light and ventilation are well provided. Different men are engaged on the disinfected and infected
sides of the apparatus, and overalls are worn by them during their work.
(b) Booms.—These are disinfected by an assistant employed by the sanitary authority, who
comes with the van which is to remove articles of bedding, and remains behind to close the room,
which is then fumigated by sulphur dioxide, the tins containing the gas in a compressed form being
chiefly used. In some cases formalin is used, the method adopted being to burn tablets of formalin
in the Alformant lamp, double the quantity of tablets recommended being used. In all cases owners
are required to scrub and cleanse the room. If this requirement is not complied with and a second
case of disease occurs, statutory notice is served. If the room is in a dirty condition notice is served to
strip walls and to cleanse after the occurrence of a first case. In cases of smallpox the stripping of
walls and cleansing would be done by the sanitary authority. In all cases the householders are
instructed to wash furniture and woodwork.
No charge is made for disinfection.
Temporary shelter.—There are rooms available for the use of persons during the disinfection of
their premises in a house which is partly utilized for office purposes at the parish wharf. The rooms
are not in any way furnished for the use for which they are intended. The necessity for occupying
them it is stated has not arisen.
Putney Sub-District—
(a) Articles of clothing and bedding.—Steam disinfection by a contractor.
(b) Rooms.—Fumigation by burning sulphur before the articles are removed, and then in every
case the walls are stripped and washed with a solution of carbolic acid.
No charge is ever made for disinfection.
All disinfection is carried out by the sanitary authority, only about one instance of disinfection
being done privately having occurred within the last two years,
Temporary shelter.—In the new building at the parish wharf a room on the first floor, having
a separate entrance from the street, has been provided for this purpose. It is furnished with bedding,
crockery and cooking utensils. There is no bathroom, and the water-closet provided is badly situated,
as it is approached directly out of the room.
Camberwell.
(a) Articles of clothing and bedding.—The vestry have provided a steam disinfecting apparatus
(made by Messrs. Goddard, Massey and Warner) at the depot in Peckham-park-road. The building
in which it is placed is divided into two rooms by a wall in which the apparatus is set so that it opens
into either room, this being the only direct communication between the two rooms. One is reserved
for infected the other for disinfected articles. In the room in which the infected articles are placed
into the apparatus there is also a cremator for the destruction of bedding. There are separate vans
for conveying articles to and from houses. These are kept in an open cart shed at the depot. The
attendants at the disinfecting apparatus wear overalls, which they change when passing from the
infected to the disinfected side.
(b) Rooms.—The disinfection of rooms is effected when the disinfecting assistants go to fetch
bedding and clothing for conveyance to the steam disinfecting apparatus. When these are taken
down to the van the room is sprayed throughout by means of ordinary garden syringes with a solution
of corrosive sublimate in the strength of 1-3,000. The furniture is taken out of the room while this
is being done, dusted, and if considered necessary cleansed. In some cases—chiefly where there are
many articles hanging on the wall—fumigation by formalin instead of syringing with corrosive
sublimate is practised. In doing this the Alformant lamp is used, and ten tablets of formalin to
each thousand cubic feet of space are used, and the room is kept closed for about twelve hours, and
generally overnight unless it be a single room tenement, in which case it is re-opened before night
time.
In the former method the process takes about half-an-hour. After the disinfection of the room
is done it is visited by one of the sanitary inspectors, and if the room be dirty, or it be considered
desirable to do so as part of the disinfection, the walls are stripped. This work is done by a contractor
paid by the vestry. In all cases where the patient has been treated at home during illness the walls
are stripped of paper. In those cases where the walls are not stripped they are washed after syringing
with the solution of corrosive sublimate.
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