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

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London County Council 1934

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

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As a result of the examinations of the staff, 452 officers were deemed to be permanently unfit to carry out their ordinary duties in the service of the Council on the following grounds :—

Cardio-vascular disease5766123
Diseases of the bones and joints293665
Disability following trauma415
Pulmonary tuberculosis272855
Diseases of the lungs other than pulmonary tuberculosis181331
Malignant disease7411
Gastro-intestinal disorders527
Renal disease426
Functional nervous disorders212849
Organic nervous disorders12618
Senile decay81523
Post-operative disability246
Sight and hearing defects91625
Endocrine disorders145
Varicose veins and ulceration2810

* One case each of goitre, abnormal infectivity, diabetes, actinomycosis, hernia and leukaemia;
two cases each of continued pyrexia and general debility, and three cases of dermatitis.
Work done in the bacteriological laboratory at County Hall.
The investigations carried out during the year 1934 are summarised below
under the various headings. The work undertaken in this laboratory is chiefly
associated with the control of infectious diseases in the Council's day and residential
schools, and in addition a certain amount of bacteriological investigation is carried
out on material such as water, milk, etc., submitted also to the Council's chemist
for analysis.
Diphtheria carrier investigation (see also Annual Report Vol. III, Pt. II, p. 40).—
5,883 specimens were examined, of which 372 yielded positive morphological K.L.B.;
of 670 cultures submitted to animal test, 296 were virulent, 46 avirulent and 328
Ringworm and favus.—634 specimens of hair of the head were examined.
Ringworm fungus was identified in 206 (142 small spore, 64 large spore), including
one case showing also large spore ringworm of body. Favus was identified in two
Hcemolytic streptococcus carriers.—(a) puerperal fever contacts—25 specimens
were examined (10 positive, 15 negative).
(6) presumed contacts of scarlet fever—6 specimens were examined (1
positive and 5 negative).
Sputum examinations.—46 specimens were examined, tubercle bacilli being found
in 24.
Urine.—4 specimens were examined, 3 from one case yielding tubercle bacilli.
Discharges.—Urethral or vaginal.—15 specimens were examined, none proved
positive for gonococci, but 5 were reported doubtful.
Water (a) from Council's institutions, schools, etc.—375 samples were examined,
63 being not satisfactory in all respects and 312 normal.
(b) from swimming baths—33 samples were examined from 5 baths.
Milk.—40 samples were examined, 29 being reported unsatisfactory.
Work of the chemical branch.
The work of the chemical branch is carried out at three laboratories, viz., the
central laboratory at County Hall, and the laboratories at the northern and southern
outfall works.
The work done at the central laboratory consists mainly of the chemical examination
of materials of all kinds bought by the Council, for use in its numerous institutions
or for its other activities. The greater portion of these are materials supplied
Central laboratory.