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

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City of London 1904

[Report of the Medical Officer of Health for Port of London]

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Article 36.—It is recommended that there be provided in large sea-ports:—
(a) A properly organised port medical service and permanent medical
supervision of the health and conditions of crews, and of the
population of the port;
(b) Suitable accommodation for the isolation of the sick and for
keeping suspected persons under observation;
(c) Bacteriological laboratories and the buildings and plant necessary
for efficient disinfection;
(d) A supply of drinking water of quality above suspicion at the
disposal of the port, and a system of scavenging that offers
every possible guarantee for the removal of excrement and
refuse.
Part II.—Measures to be adopted at Infected Ports on the
Departure of Vessels.
Article 46.—The competent authority shall take effectual measures to
prevent the embarkation of persons showing symptoms of plague or cholera.
Every person taking passage by a ship must be individually examined at the
time of embarkation, by day and on shore, during such time as may be
necessary, by a doctor appointed by the public authority. The Consular
authority of the country to which the ship belongs may be represented at this
examination.
Article 47.—The competent authority shall take effectual measures—
(1) To prevent the exportation of such merchandise or articles of
any sort as it may regard as infected, and which have not
previously been disinfected on shore under the supervision of a
doctor appointed by the public authority.
(2) In the case of plague, to prevent rats gaining access to ships.
(3) In the case of cholera, to see that drinking water taken on
board is wholesome.
Article 177.—Each Government shall decide as to the means it shall adopt
to secure disinfection and the destruction of rats.
The following methods of disinfection are given by way of guide:—
Articles of a textile material and paper of no value should be burnt.
Personal effects and bedding can be efficiently disinfected by steam at
a minimum temperature of 100 degrees Centigrade, or by exposure to