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In accordance with Ministry of Health instructions that smallpox vaccine should be distributed
to medical practitioners by the local Authority in whose area they practice, arrangements were
made, commencing in June 1967 for the vaccine to be distributed to City doctors. Since that date
until the end of the year 2,657 doses have been issued to private doctors, general practitioners,
St. Bartholomew's Hospital, the medical department of Unilever, and various City business houses.
Vaccine is also issued for the vaccination of trainee ambulance drivers at a City centre.
Poliomyelitis vaccine is also issued at the request of St. Bartholomew's Hospital, Unilever
Ltd., and City medical practitioners. In all 3,260 (2,580) doses were issued.
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 AFTER CARE
The City of London Chest Clinic is incorporated within the St. Bartholomew's Hospital
Chest Clinic and so provides services for investigation and medical treatment for a wide range
of diseases of the chest.
To supplement the medical treatment and advice given to patients by the Chest Physician
and his Assistant, an Assistant Health and Welfare Officer is in attendance to provide health
teaching and social advice for City residents and City workers. All other patients are referred
to the Hospital Medical Social Worker.
Examination and screening of City workers who have been in contact with the disease in
their workplaces continues to be a preventive function of the City of London Chest Clinic. 64
contacts were examined. None was found to have active Pulmonary Tuberculosis.
Three new cases of the disease occurred among City residents and a further twenty five
persons continued to receive treatment.
Mass Miniature Radiography
A Mass Miniature Radiography Unit of the North East Metropolitan Regional Hospital Board
is now well established at Milton Court. Dr. D.J. Lawless, O.B.E., the Director of the Unit
reports as follows:—
"INTRODUCTION
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 55,056 persons were X-rayed. The unit also
visited Fleetway Publications, Fleetway House, Farringdon Street, E.C.4. and 6,732 examinations
were made on this visit.
UNIT RESULTS
During 1967 the Unit examined 38,798 males and 22,990 females, making a total of 61,788
— a drop of 190 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 1967 the totals examined are as follows:— 653,581 males and 424,380 females,
making a grand total of 1,077,961.
During 1967 twenty-eight cases (23 males and 5 females) with significant tuberculous lesions
have been discovered, which gives an overall rate of .453 per 1,000 examinees. The rate of
significant cases for men was .593 and for women .217 showing a marked drop compared with
the rate for 1966 (males .893 and for women .627). The highest incidence of tubercle was in the
"55-59" age group.
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