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15 (13) children were vaccinated against smallpox as were 143 (33) adult travellers and 52
(250) trainee ambulance drivers of the London Ambulance Service. During the year arrangements
were made for a Medical Officer from the Medical Adviser's Department of the Greater London
Council to take over the vaccination of their own staff.
In accordance with Ministry requirements, poliomyelitis vaccine was supplied to the Medical
Department of Unilever Ltd., St. Bartholomew's Hospital, The Church Missionary Society and to
medical practitioners within the City who requested it.
25 (16) children received the primary course at the Child Welfare Clinic and 10 children
received booster doses. 52 pupils at Sir John Cass's School had the primary course or received
booster doses, and in all some 2,580 ( 2,700) doses were distributed.
SECTION 27. - AMBULANCE SERVICE
The Greater London Council are responsible for the ambulance service in the Greater London
area.
SECTION 28. - PREVENTION OF ILLNESS, CARE AND \FTERCARE
Tuberculosis
A recent trend in the care of patients suffering from pulmonary disease is towards their
treatment and supervision at specialist Out-patient Clinics in General Hospitals. The Chest
Clinic at St. Bartholomews Hospital has been reorganised along these lines.
There are twenty four patients on the Register, of whom twenty are males. There is occasional
difficulty in tracing these patients because some give a Hostel as their address, while living
there only for a few days and others use a City Bank or Shipping Company as an accommodation
address. Men from the Hostel present an intractaole problem and constant visiting and education
is essential. Some of the men refuse treatment or stop it too early, so rendering themselves liable
to become drug resistant.
A large part of the work concerns the examination of people who have been in contact with
cases of tuberculosis whilst working in the City.
The City of London Chest Clinic is situated in St. Bartholomew's Hospital. The medical
and clinical nursing staff is supplied by the hospital, whilst the Corporation supplies the Tuberculosis
Health Visitor. During the period under review she made 27 (31) effective and 5 (9)
unsuccessful home visits.
Mass Miniature Radiography
A Mass Miniature Radiography Unit of the North East Metropolitan Regional Hospital Board is
now well established at Milton Court. Dr. W.D.R. Thompson, the Director of the Unit reports
as follows:—
"During the year under review the Unit operated for the greater part at the Public Services
Building, Milton Court, Milton Street, E.C.2., where 45,511 persons were X-rayed. The Unit also
visited seven firms, and 16,467 examinations were made on these visits.
Unit Results
During 1966 the Unit examined 38,071 males and 23,907 females, making a total of 61,978
a drop of 221 compared with the previous year.
Since the Unit commenced operations in May 1950 over one million persons have been X-rayed.
Up to the end of 1966 the totals examined are as follows:— 614,783 males and 401,390 females,
making a grand total of 1,016,173.
During 1966, forty-nine cases (34 male and 15 female) with significant tuberculous,lesions
have been discovered, which gives an overfill rate of .791 per 1,000 examinees. The rate of
significant cases for men was .893 and for women .627 showing only slight variation with the rate
for 1965 (males .852 and for women .654). The highest incidence of tubercle was again in the
"65 plus" age groups.
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