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

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Marylebone 1945

[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

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Order, 1941, in the case of the blackcurrant nectarean linctus, but all summonses were dismissed, the magistrate holding
that the article sold was a drug and not a food. Prosecutions taken under the Food and Drugs Act, 1938, sections 13
and 38, in connection with the sale of horseflesh resulted in the imposition of penalties amounting to £50. In certain
other cases of adulteration or irregularity the facts were referred to the Ministry of Food; in others the matter was
taken up with the manufacturers.
From time to time reports received from the Public Analyst indicated the possibility that certain products sold as
British wines contravened the provisions of the Food and Drugs Act, 1938, and the labelling requirements contained in
Emergency Food Orders made by the Ministry of Food. Owing to the uncertain state of the law at the time, proceedings
were not instituted in these cases but, in the public interest, the Minister of Food was again requested to
consider prescribing suitable standards for wines. On the 10th December, 1945, the Minister issued an Order, amending
the Labelling of Food (No. 2) Order, 1944, designed to secure that the labels of British wines should contain an appropriate
description of the product, a clear indication of the fruit basis from which it is made and a statement of its
alcoholic content, and imposing restrictions on the unqualified use of the word " wine " and the appellations of imported
wines.
At the end of the year five premises appeared on the register of premises where artificial cream is manufactured,
sold or exposed or kept for sale for human consumption. In no instance was action under the statute necessary.
SECTION F.—PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND
OTHER DISEASES.
Infectious diseases notifiable in St. Marylebone are listed in Table 6, which gives also information regarding notifications
(civilians) received during 1945.

TABLE 6.—Infectious Disease Notifications.

Notifiable Disease.Cases notified in whole Borough.Cases notified in Sub-Districts.Cases removed to hospital.Cases isolated at home.
At all agesAt ages—years.All Souls.St. Mary.North Marylebone
—11—2—3—4—5—10—15—20—35—45—65—
Diphtheria, including membranous croup13-----63121--32813-_
Erysipelas29-22315781561712
Scarlet fever77278538863814555225
Puerperal fever6141156
Puerperal pyrexia106412710
Cerebro-spinal fever732112147
Acute poliomyelitis1111
Tuberculosis—
Pulmonary91152934142331527494150
Non-pulmonary7221113334
Ophthalmia neonatorum33-—1221
Pneumonia504-222116101210915263119
Dysentery7123149262618362873338
Measles443225359545513527824231769926893350
Whooping cough21442513113315120
Scabies2077_69723171664331695845104-207
Totals1,03642667778682196150176727849221260555310726

Epidemics—Assistance to Householders.—Ministry of Health Circular 196/45, dated 15th November, 1945, drew
attention to the action to be taken by local authorities to assist householders if influenza or other infectious disease
should assume epidemic proportions during the winter. The necessary arrangements were made well in advance of
any demands that might be made upon them, and in association with the London County Council and various voluntary
organisations, including the British Red Cross Society, the St. John Ambulance Brigade and the Women's Voluntary
Services, a comprehensive scheme was prepared for the Borough to enable the local medical, nursing and other services
to be augmented at short notice. Fortunately, only one or two calls for assistance were received.
Diphtheria Immunisation.—Clinic facilities were available at Maternity and Child Welfare Centres Nos. 1 and 2
and at the Middlesex Hospital. Treatments were also carried out at the war-time day nurseries, and at eight elementary
schools where, apart from new cases, 214 additional protective injections were given. Six general practitioners who
wished to carry out immunisation of their patients in the home or at the surgery were supplied with the necessary
prophylactic free of charge. A.P.T. (Alum Precipitated Toxoid) was the agent generally employed. T.A.F. (ToxoidAntitoxin
Floccules) was used in a small proportion of cases.

TABLE 7. — Work of the Diphtheria Immunisation Clinics.

Pre-school children.School, children.Adults.Totals.
Attendances1,502519392,060
New cases48113816635
Schick negative99
Completely immunised but not retested4251114540
Retested286562344
Positive after retest1811433