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

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Willesden 1920

[Report of the Medical Officer of Health for Willesden]

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during the year 1919. The alteration in the conditions of supply subsequent to the Milk (Mothers
and Children) Order, 1919, is described in page 31 of the Annual Health Report, 1919.
These later conditions of supply continued until 25th May, 1920, when the Council decided
to abolish, on account of its cost to the Local Authority, the part-payment system and supply milk,
dried milk or meals free to expectant mothers and children under 5 years of age, where the income
per head of the family per week comes below the following scale:—
No. in Family. Net income per head of
the family per week.
S. d.
2 12 0
3 11 0
4 10 0
5 or over 9 0
The method of calculating the net income per head of the family is given in the Annual Health
Report, 1919, pp. 30 and 31.
All statements made at the Clinics as to income, when these incomes come below the above
scale, are verified by letter to the employers and by personal enquiries at the home.

The following statement shows the amount of milk and dried milk distributed during the

year.

Dried Milk.

Supplied without cost to Council. (Parents pay full cost.)Supplied at quarter cost to Council.Supplied at half cost to Council.Supplied at three-quarter cost to Council.Supplied at full cost to Council. (Parents receive free.)
19,896 lbs.126 lbs.176 lbs.241 lbs.6,962 lbs.

Milk (Liquid).

No. of pints supplied Free.No. of pints supplied at quarter cost to Council.No. of pints supplied at half cost to Council.No. of pints supplied at three-quarter cost to Council.
6,272 pts.112 pts.364 pts.224 pts.

5,143 meals were supplied free or at part cost to mothers and children under 5 years.
Appendix P. of this report shews that the expenditure on milk and dried milk in Willesden
is at the rate of l½d. per birth per week, and that, with the exception of Westminster, where the
conditions are not comparable, Willesden spends relatively less in this direction than 19 neighbouring
districts where the expenditure was verified. This fact is a tribute to the excellence of the methods
employed in distribution.
(b) Meat—The report should include references to the following matters, considered particularly
in relation to the recent de-control of the sale of meat:—
(i.) Meat inspection, disease in meat, and condition of slaughter-houses.
(ii.) It should be stated whether a public abattoir has been established in the district, and
if not, what are the existing arrangements for inspecting meat at the time of slaughter.
(iii.) Action under Section 117 of the Public Health Act, 1875, or Section 47 of the Public
Health (London) Act, 1891.
(iv.) Number of carcases and parts of carcases condemned for tuberculosis.
(v.) Statement in tabular form of number of slaughter-houses in district in 1914, January,
1920, and December, 1920. .
Seven of the eight sanitary inspectors are qualified meat inspectors and examine meat exposed
for sale in the various shops of the district from time to time. In addition, on Saturday nights,
two inspectors are on duty for the purpose of inspecting meat in shops and markets in the area.
During 1920 no diseased meat was detected in this way.
There are nine slaughter-houses in the district, five being licensed and four registered. One
of the licensed premises is used only for the killing of horses. The sanitary condition of these slaughterhouses
is satisfactory.
A public abattoir has not been established in the district. Visits to the nine private slaughterhouses
in Willesden, are paid by the Inspectors as often as possible when slaughtering is in operation
for the purpose of examining the carcases and internal organs of the slaughtered animals. In five
instances, bullocks livers, shewing abscess formation, were seized at the slaughter-houses and destroyed
as unfit for food.