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

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City of London 1957

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

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"Most of the cancers picked up by Mass Radiography Units were cases referred by
general practitioners on account of symptoms. Up to the end of 1957 general practitioners
have not utilised the services of our Unit so fully as might have been expected, but a revised
procedure introduced early in 1958 has produced a greater response.
Conditions of interest other than Tuberculosis
"The following cases of interest, other than tuberculosis, have been found during 1957.
1. Tumors of the Bony Thorax
Sarcoma Rib (1)
Lipoid Granuloma Rib (1)
2. Cardio-vascular lesions
(a) Congenital
Dextro-cardia (8)
Ventricular Septal
Defect (4)
Atrial Septal
Defect (7)
Dilated Pulmonary
Artery (5)
Right Aortic Arch (1)
(b) Acquired
Pulmonary Hypertension (1)
Bundle Branch Block (1)
3. Abnormalities of Diaphragm
Diaphragmatic Hiatus Hemia (2)
4. Pulmonary Conditions
Dermoid (1)
Adenoma Bronchi (1)
Substernal Thyroid (2)
Neuro-fibroma (4)
Sarcoidosis (13)
Hodgkins Lymphoma (1)
Congenital Aortic
Stenosis (1)
Congenital Pulmonary
Stenosis (2)
Aortic Co-arctation (3)
Marfans Syndrome (2)
(Twins)
Aortic Aneurysm (1)
Cardiac Infarction (2)
Haematoma (4)
Sequestrated Segment of Lung (2)
Cysticercosis (1)
Spring Water Cyst (1)
Fibroma Lung (1)
Propaganda
"Propaganda in the form of posters and leaflets is only occasionally employed as approach
to firms, etc., is made either by personal contact or by special letters, of which the
Unit now has a series.
Conclusion
"During 1958 the Unit received visits from several medical students from overseas who
were in this country under the auspices of the National Association for the Prevention of
Tuberculosis.
"Friendly relationships have existed between the Unit and Dr. J. Greenwood Wilson,
Medical Officer of Health for the City of London, and with the Medical Officers of Health
for the Boroughs of Finsbury and Shoreditch. Helpful co-operation has been shown by the
London County Council and the Divisional Medical Officers in Health Divisions 3, 4 and 5.
Our gratitude must be accorded to the Central Group, Hospital Management Committee and to
the Regional Hospital Board for the many services rendered to the Unit during the year."
FOOD AND MEAT INSPECTION
There are no slaughterhouses in the City of London. The Metropolitan Cattle Market in
Islington is owned and administered by the Corporation of the City but the Medical Officer of
Health of the City is not responsible for meat inspection at the abattoir. The meat arriving at
Smithfield Meat Market has presumably been inspected at the time of slaughter in this country
or abroad. Evidence of disease which has escaped notice at the primary inspection is nevertheless
found; in some cases it has been overlooked, in others it has only become apparent when the
carcase is cup up. Condemnations of meat at Smithfield are to a considerable extent due not to
disease but to deterioration during transport, decomposition, bone-taint, brine-staining, etc.
The total amount of meat delivered at Smithfield Market was 422,607 tons of which 497 tons
were found to be diseased or unsound and were voluntarily surrendered. At Leadenhall Market
and in City shops 4 tons and at Cold Stores 7 tons were condemned.
Of other foodstuffs in Market's and Shops 8 tons, and at Riverside Wharves 118 tons were
condemned.
The total amount of foodstuffs found by your Inspectors to be unfit for human consumption
was therefore 639 tons.
6.