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

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London County Council 1902

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

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37
St. Pancras.—The guardians exhibited posters and distributed handbills throughout the
borough, and instructed the vaccination officers to make inquiries from house to house in infected
areas. The sanitary authority obtained permission for the public vaccinator to examine children's
arms in schools, and the public vaccinator examined the arms of children in both public and
private schools and advised the parents as to vaccination and re-vaccination. An additional public
vaccinator and two additional vaccination officers were appointed and a vaccination station opened.
A public vaccinator visited various common lodging-houses with a view to re-vaccinating the
inmates. All applicants for admission to the casual wards were vaccinated, and applicants for
admission to the workhouse were quarantined and ottered vaccination.
Islington.—A few notices giving the names and addresses of the public vaccinators and
vaccination officers were issued by the Board of Guardians. Additional vaccination officers were
not appointed. The sanitary authority exhibited posters, and a copy was delivered at every
factory and workshop. A handbill was delivered to every householder. Children attending the
public schools were examined as to their state of vaccination, and house-to-house visitation was
made in several instances, particularly in the case of large artisans' dwellings. The sanitary
authority recommended the guardians to appoint assistants to the vaccination officers, but their
recommendation was not adopted. The medical officer of health states that the opening of
vaccination stations did not appear to be required.
Stoke Newington.—The Borough Council exhibited posters and distributed handbills recommending
vaccination and re-vaccination. The arms of children in schools were not inspected.
Special vaccination stations were not found necessary, but the public vaccinator found it necessary
to have the assistance of a medical colleague.
Hackney.—No special action appears to have been taken by the Board of Guardians. The
Borough Council exhibited posters, and handbills were left at every house in the district. The
Borough Council employed three medical men to examine the arms of children in schools.
House-to-house inspection was made in specially infected areas.
Holborn.—The Board of Guardians of St. Giles and Bloomsbury took prompt action. A
house-to-house visitation was instituted. Placards respecting smallpox and vaccination were
exhibited and handbills distributed. The arms of children in elementary schools were examined.
An assistant vaccination officer was appointed. In the Holborn division house-to-house visitation
was made by the vaccination officer in the neighbourhood of infected houses. The arms of children
in elementary schools were examined. The Borough Council caused large posters to be
exhibited throughout their district. Slips, with the address of the public vaccinator, were freely
distributed.
Finsbury.—Three vaccination stations were opened, one in each vaccination district. Bills
were posted at each vaccination station and handbills provided. By order of the guardians each
public vaccinator was required to appoint a deputy, hence six medical men were employed in
public vaccination. One assistant vaccination officer was appointed for three months. The vaccination
officers visited houses in proximity to invaded houses. The vaccination officers, accompanied
by medical men, examined the arms of children in elementary schools. The Borough Council
exhibited posters and distributed handbills to each house in the borough. House-to-house
inquiry was instituted in each street in which smallpox occurred.
City.—Vaccination stations were opened by the Board of Guardians, and extra public
vaccinators were appointed. Posters were exhibited. The sanitary authority addressed a letter
to numerous firms in the City. The arms of children in the whole of the ward schools, infant
schools and parochial schools were inspected by the medical officer of health. Children were
also inspected in the Board Schools. Medical men were engaged by the Corporation to assist in
the work of re-vaccination.
Shoreditch.—Posters were not exhibited (except, perhaps, in the workhouse and infirmary)
nor handbills distributed by the Board of Guardians or the sanitary authority. Vaccination
stations were not opened nor assistant vaccination officers appointed. Children in schools were
not inspected.
Bethnal-green.—Posters were exhibited by the Board of Guardians setting forth the value
of vaccination and the names and addresses of the public vaccinators. No assistant vaccination
officers were appointed and the arms of children in elementary schools were not examined.
Stepney.—Towards the latter end of 1901 the Whitechapel Guardians appointed two officers
to assist the vaccination officer in visiting infected houses, and this action was followed by the
Guardians of St. George-in-the-East, by the Stepney Guardians, and later by the Guardians of
Mile-end Old Town. A vaccination station was opened in each of the four unions. In January,
1902, placards were posted throughout the borough giving the names and addresses of the public
vaccinators and the hours of attendance at the vaccination stations. The arms of children in
elementary schools were not examined except in the case of one school; this was done by the
medical officer of health.
Poplar.—Vaccination stations were opened in 1902, and assistants to the public vaccinators
appointed. Notices were issued as to the vaccination stations. Handbills, etc., were distributed
by the Guardians. The arms of school children were not examined.
Southwark.—The Board of Guardians distributed a circular giving the names and addresses
of the public vaccinators. House-to-house inquiry was not made by the vaccination officers.
Additional vaccination officers were not appointed and vaccination stations were not opened.
The arms of children were not examined in schools. The Borough Council distributed papers
containing information as to smallpox, and two female inspectors were employed in making a
house-to-house inquiry for unvaccinated persons in streets in which cases of smallpox occurred.
A circular letter was sent by the medical officer of health to employers informing them that if
they wished it the public vaccinator would attend and vaccinate persons in their employ. The
medical officer of health himself vaccinated or re-vaccinated 2,269 persons. As many as 819