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

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City of London 1945

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

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Of the cases of Gonorrhoea, 120 attended in the first year of infection and 26 in later stages. 32
were continuing treatment or observation from the previous year ; 15 were cases which had relapsed
and 29 attended Bart's for the first time having commenced their treatment elsewhere.
43 cases of Syphilis ceased to attend before completion of treatment, and 8 after completion of
treatment but before final tests of cure.
46 cases of Gonorrhoea ceased to attend before completion of treatment, and 10 after completion
of treatment but before final tests of cure.
The one case of Soft Chancre, dealt with for the first time during the year, ceased to attend before
completion of treatment.
The total number of attendances of all cases was 16,248, of which 12,320 were for the individual
attention of the Medical Officer and 3,928 were for intermediate treatment.
15 cases of Syphilis, 6 of Gonorrhoea, and 1 of Soft Chancre received in-patient treatment involving
a total of 376 in-patient days of treatment.
The Laboratory work included 20 microscopical examinations for Syphilis, 444 microscopical
examinations for Gonorrhoea, and 6 examinations of Cerebro-Spinal Fluid.
Of the cases attending the Treatment Centre for the first time during the year, 611 were from the
County of London, 7 from Surrey, 13 from Kent, 3 from Middlesex, 8 from Essex, and 1 from Bucks.
The London cases were responsible for 16,090 of the total attendances.
The number of Service cases attending was 8 Syphilis, 34 Gonorrhoea and 89 non-venereal.
No case was reported under Regulation 33b.

BACTERIOLOGICAL EXAMINATIONS.

Specimen.Disease Suspected.Result.
Positive.Negative.
SputumTuberculosis01
Throat SwabbingDiphtheria01

DIPHTHERIA ANTI-TOXIN.
Quantity provided to private practitioners Nil.
MEAT INSPECTION.
Amount of meat delivered at Smithfield Market, 35,715 tons.
Amount of diseased or unsound meat surrendered to Meat Inspectors at Smithfield Market,
27 tons 19 cwts. 3 qrs. 22 lbs.
Amount of meat surrendered to Meat Inspectors at Leadenhall Market and City shops, 9 tons
15 cwts. 2 qrs. 20 lbs.
Amount of meat surrendered to Meat Inspectors at Cold Stores, 4 cwts. 3 qrs. 2 lbs.
No. of Prosecutions instituted, Nil.
No. of Examinations (Diploma in Public Health), 15.
No. of unsound eggs surrendered at Smithfield Market and collected by Lett's Wharf, 2,190.
PUBLIC HEALTH (MEAT) REGULATIONS, 1924.
The improvement in carriage of meat noted in past reports has been maintained, although, of
course, the quantities carried are very much less than in pre-war years.
Six infringements were noted in connection with the transport of meat in private cars, but
the fault was remedied on each occasion on instructions given.
PREMISES WHERE FOOD IS PREPARED AND OFFERED FOR SALE.
All these premises are subject to regular inspection. Without exception all criticisms have
received immediate attention.
ITINERANT FOOD VENDORS.
Constant inspections of barrows and of itinerant food vendors have been maintained and no
difficulty has been experienced in connection with this class of trade.
FOOD INSPECTION.
The food delivered at riverside wharves and premises in the City has consisted of the customary
varieties, and has been the subject of constant inspection. 86 tons 1 cwt. 0 qr. 16 lbs. were condemned
as unfit for human consumption. 79 tons 2 cwts. 1 qr. 13 lbs. of this food were utilised for stock
feeding, fertilizing or manufacturing purposes. The remainder, consisting of 6 tons 18 cwts. 3 qrs.
3 lbs. was destroyed either by the Cleansing Department of the City Corporation, being useless for
stock feeding purposes, or else on the sites on which it was condemned, the individual quantities
being so small as not to warrant the use of petrol in transport.
FOOD AND DRUGS ACT, 1938, AND FOOD REGULATIONS.
377 samples have been submitted to the Public Analyst, 19 of these were formal samples and
358 were informal samples. 12 samples were reported against.
The percentage of adulterated samples was 3 2.
Legal proceedings were necessary in 7 cases and in 3 cases cautions were administered.
5 applications were received for registration as dairymen and purveyors of milk, which were
granted.
5 Supplementary Licences were issued under the Milk (Special Designations) Order, 1936-1941.
SANITARY CIRCUMSTANCES.
The general sanitary supervision has been maintained and in this connection 2,274 inspections
have been made. As a consequence of these inspections, it was necessary to serve 33 Intimation
Notices. No Statutory Orders were served. No legal proceedings were necessary.
Tenement Houses were inspected and the only common lodging house in the City was kept under
regular supervision.