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

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City of London 1911

[Report of the Medical Officer of Health for London, City of ]

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Order applies shall be admitted into a hospital of the Managers otherwise than on the
recommendation of a Medical Officer of Health if, in the Clerk's opinion, the admission
of such person is desirable on the ground of sudden or urgent necessity, or for some
other special or exceptional reason.
The Clerk shall report to the Hospitals Committee of the Metropolitan Asylums
Managers at their next ordinary meeting the name of any person admitted to a hospital
of the Managers on his direction, and the grounds on which his direction for the
admission of such person was given.
Article 3. If it becomes necessary to determine the priority in which persons to
whom this Order applies shall be admitted into any hospital, the Metropolitan Asylum
Managers shall have regard to such person's need of isolation in the interests of the
public health, so far as the same can be ascertained from the information sent to them
by Medical Officers of Health in pursuance of Article 11 of this Order, with the
recommendations relating to the admission to hospital of persons to whom this Order
applies.
Article 4. This Order may be cited as the Metropolitan Asylums (Measles)
Order, 1911.
It will be seen by Article 2 that the onus of recommending the admission of a
patient to any of the hospitals of the Metropolitan Asylums Managers is thrown upon
the Medical Officer of Health for the district in which the person is residing at the time
when the question of his removal to hospital arises.
So far as the City is concerned, the resident population is very small, and I have not
had occasion to advise the removal of any cases of this disease. In larger districts,
however, necessity must frequently arise, and some such hospital accommodation for
the reception of cases of Measles is desirable, and its provision, will, probably, limit the
disease.
NOTIFICATION OF POLIO-MYELITIS AND POLIO-ENCEPHALITIS.
From time to time, especially in thickly populated areas, outbreaks of any specific
infectious disease not already embraced by the Public Health (London) Act, 1891,
render it desirable that, in the interests of the public health, similar precautions be
taken to prevent its spread as are observed in the case of notifiable diseases, and for
this purpose power is given to the Sanitary Authority of any district, under Section 56
of the Act, to make an Order augmenting the list of diseases which are compulsorily
notifiable under Section 55, and in accordance with these powers, the London County
Council in August last, issued such an Order in relation to Polio-myelitis or Polioencephalitis.
This Order which demands the notification in the administrative County of London
(which includes the City) of all cases of the disease, was duly approved by the Local
Government Board, and came into operation as from and including the 1st September,
1911, and failure to notify the disease to the Local Sanitary Authority after that date,
constitutes an offence against the Act, and renders the offender liable to a penalty not
exceeding 40s.
Acute Polio-encephalitis is a disease of acute or sudden onset occurring commonly
in young children, and is characterised by loss of power and usually subsequent