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

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City of London 1935

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

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16
small.pox.
No case of Small.pox occurred during the year in persons resident or employed in the
City.
Thirteen passengers from two ships reported to have had Small.pox on board were
notified as proceeding to addresses in the City. The usual enquiry was made and, where
necessary, the passengers were kept under observation.
nursing provisions.
Measles, etc..—The Corporation has approved of the expenditure of £25 per annum in
respect of the nursing of complicated cases of Measles, Encephalitis Lethargica and Cerebrospinal
Fever, and have also agreed to expend the sum of £30 on provision of medical assistance
and nursing attendance in necessitous cases of Influenza. No action was necessary under
this heading during 1935.
distribution of diphtheria anti.toxin and anti.influenza vaccine.
Although City medical practitioners are well aware of the facilities available, only two
applications for supplies of diphtheria anti.toxin were received during 1935.
No applications in regard to anti.influenza vaccine were received.
examination of pathogenic bacteria.
Any medical practitioner desiring examination of specimens for pathogenic bacteria
in cases of suspected infectious disease occurring amongst their patients residing in the
City may forward them to me at the Guildhall. Arrangements have been made for free
examination, and the result obtained is communicated immediately to the medical practitioner
in attendance. During the year, the following specimens were so dealt with.

It will be seen that positive results were obtained in 10.3 per cent, of these cases.

Specimens.Disease Suspected.Result.
Positive.Negative.
32 Swabbines from throatsDiphtheria329
7 SputaTuberculosis16

provision of insulin.
In accordance with the request made by the Authorities of the University College
Hospital, Insulin has been supplied to one patient resident in the City, and in attendance
at that hospital. The Corporation have power to make this provision under Section 77
of the Public Health (London) Act, 1891, with the approval of the Ministry of Health, but,
so far as I am aware, this is the first patient in regard to whom such powers have been put
into operation. The arrangement has worked satisfactorily.
public health (prevention of tuberculosis) regulations, 1925.
It has not been necessary during the year to take any action in regard to the above.
mentioned Regulations, which provide for the exercise of some control over persons suffering
from Tuberculous affections and engaged in certain occupations associated with the milk
trade.
tuberculosis dispensary.—training of health visitors.
The facilities available at the Tuberculosis Dispensary are placed at the disposal of the
College of Nursing in order that that body can give to their health.visitor students a short
course of practical experience in tuberculosis work as undertaken by a tuberculosis nurse.
This facility is of considerable value in the training of health visitors and is much appreciated.
post.graduate nursing course.
With the approval of the Public Health Committee, the Tuberculosis Sister and Health
Visitor, and the Assistant Health Visitor, attended a special post.graduate nursing course,
organised by the College of Nursing, during the early part of the summer.