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

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City of London 1921

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

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48
"negative motile bacilli from the heart blood and liver and one growth of a similar organism
"from the spleen Seven colonies from the organs and intestinal contents were subjected to
"further study; those from the intestines and liver proved to be B coli fermenting lactose
" Those from the bloods and spleen were lactosenegative but did not conform to the Salmonella
"type and were not agglutinated by any of the following sera :—Typhoid Paratyphoid A
"and B Siupestifer Aertrycke (Mutton) and Gartner Nor were they Morgan's bacillus for
"they fermented mannite and formed no indol It may be concluded that the mice did not
"die of infection with any of the foodpoisoning bacilli infecting man
"The serum of the two patients who had suffered from diarrhoea a week previously
"was tested against Gartner's bacillus the Mutton type of B Aertrycke and Paratyphoid B
"One of them agglutinated the Aertrycke bacillus at 1 in 50 but not at 1 in 100 This was
"the only reaction observed and is probably not significant The stool of a third case when
"plated out yielded only lactose fermenting colonies The rat and mouse proved healthy
"on dissection and their spleens were sterile on culture
"CONCLUSIONS—In investigating an outbreak of this sort the bacteriologist is
"always at a disadvantage when he cannot examine the acute cases of diarrhoea It gener
"ally happens that as in this case he is called in late
"The above observations suggest that the roast veal was at fault and they make it
"reasonably certain that the outbreak was not one of infection with any of the usual food
"poisoning bacilli but was more probably due to poisoning by some chemical substance in
"the meat or gravy"
8th February 1921 (Signed) F W ANDREWES
This outbreak is characteristic of the many minor outbreaks which are
constantly occurring
As a consequence of the general satisfactory condition of the premises etc
the only precautionary measures necessary were special cleansing of utensils used
and removal of all materials which might possibly have been contaminated
INSPECTION OF FOOD IN CITY WHARVES
The duty of supervision of food at the Wharves is undertaken by Mr T L Davies
and the following is a summary of the chief matters coming under observation:—

SUMMARY OF FOOD DISCHARGED AT CITY WHARVES

ArticleWhere fromDescription of PackagesTotal Number of PackagesGeneral Range of Weight of Packages
ButterHollandCases and Casks10086412 lbs—100 lbs
BaconBales662122 cwts—3 cwts
CheeseSingle Cheeses3124864 lbs—14 lbs
Packages17336648 lbs—110 lbs
EggsCases280791 cwt—1 cwt 2 qrs
Lard400128 lbs—56 lbs
Compound Lard48056 lbs
Margarine31499624 lbs—56 lbs
Cereals—
BarleyBags7131100 lbs—1 cwt 2 qrs
Beans28791 cwt 3 qrs
Peas32201 cwt—2 cwts
Groats1001 cwt
RiceHolland and Italy20001 cwt—2 cwts
FarinaHolland47212 cwts
WheatAustralia159501 cwt 3 qrs —2 cwts
CoffeeNorth Africa501851 cwt 2 qrs
Cocoa & ChocolateCeylon and HollandBags and Cases2315428 lbs—2 cwts
Fruit (Soft)—
ApplesHollandPackages287040 lbs—1 cwt 2 qrs
Peaches,,546 lbs
Plums3456814 lbs—40 lbs
Pears3350620 lbs—40 lbs
Currants43967 lbs—40 lbs
Gooseberries481914 lbs—1 cwt
Strawberries594727 lbs—28 lbs
Bilberries4007 lbs
Cherries434312 lbs—28 lbs
Cranberries81428 lbs
Rhubarb222811 cwt
Fruit (Dried)—
CurrantsGreece and AustraliaCases and Bags51200940 lbs—2 cwts
SultanasGreece Smyrna Australia42822528 lbs—2 cwts