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43 cases of Gonorrhoea ceased to attend before completion of treatment, and 82 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, did not complete
treatment.
The total number of attendances of all cases was 14,680, of which 11,830 were for the individual
attention of the Medical Officer and 2,850 were for intermediate treatment.
58 cases of Syphilis received in-patient treatment involving a total of 80 in-patient days of
treatment.
The Laboratory work included 60 microscopical examinations for Syphilis, 836 microscopical
examinations for Gonorrhoea, 7,476 serum tests, and 293 Cerebro-Spinal fluid tests.
Of the cases attending the Treatment Centre for the first time during the year, 750 were from the
County of London, 20 from Surrey, 15 from Kent, 5 from Middlesex, 10 from Essex, 2 from Herts,
and 1 from Bucks.
The London cases were responsible for 14,440 of the total attendances.
BACTERIOLOGICAL EXAMINATIONS.
The following specimens were examined during the year:—
Disease Result.
Specimen. Suspected. Positive. Negative.
Throat Swabbing Diphtheria 0 5
DIPHTHERIA ANTI-TOXIN.
Quantity provided to private practitioners Nil.
MEAT INSPECTION.
Amount of meat delivered at Smithfield Market, 289,883 tons.
Amount of diseased or unsound meat surrendered to Meat Inspectors at Smithfield Market,
212 tons 17 cwts. 2 qrs. 3 lbs.
Amount of meat surrendered to Meat Inspectors at Leadenhall Market and City shops, 23 tons
11 cwts. 3 qrs. 4 lbs.
Amount of meat surrendered to Meat Inspectors at Cold Stores, 5 tons 2 cwts. 1 qr. 20 lbs.
No. of Prosecutions instituted, Nil.
No. of Examinations (Diploma in Public Health), 2.
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.
34 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. 454 tons 12 cwts. 1 qr. 2 lbs. were condemned
as unfit for human consumption. 75 tons 18 cwts. 1 qr. 5 lbs. of this food were utilised for stock
feeding, fertilizing or manufacturing purposes. The remainder, consisting of 100 tons 8 cwts. 0 qr.
9 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.
FOOD AND DUGS ACT, 1938, AND FOOD REGULATIONS.
397 samples have been submitted to the Public Analyst; 33 of these were formal samples and
364 were informal samples.
Seven samples were reported against.
The percentage of adulterated samples was 1.8. Cautions were administered and legal proceedings
were not necessary.
One application was received for registration as a purveyor of milk, which was granted.
Eight Supplementary Licences were issued under the Milk (Special Designations) Regulations,
1936-46.
MILK SAMPLES—PHOSPHATASE AND METHYLENE BLUE TESTS.
35 samples-of milk were submitted to the Bacteriologist for examination by the Phosphatase
and Methylene Blue Tests. These tests respectively give indications of the adequacy of the heat treatment
and of the keeping quality of the milk.
In one instance the milk was unsatisfactory to the Phosphatase Test; in twenty-two cases to
the Methylene Blue Test and in four samples there was evidence of dirt. Particular attention has
been paid to the premises through which the milk had passed and to the method of transport and
handling, and where the purveyors had premises outside the City from which the milk was sent out,
communications were forwarded to the Medical Officers of Health of the Districts concerned.
The results of these Tests have been forwarded in monthly returns to the Ministry of Food, Milk
Division (Quality Branch.)