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

City of London 1918

Published: 1919
Pages: 62
Tables: 55

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Page 6

STAFF. List of Officers forming the Staff of the Port of London Sanitary Authority, 31st December, 1918.

Office. Name of Officer. Date of Appointment to Present Position. Condition as to Military Service. (See footnote.)
Page 8

TABLE I. MEDICAL INSPECTION—GRAVESEND. From 1st January to 31st December, 1918.

Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. Total.
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TABLE II.—INFECTIOUS DISEASE.

Disease. 1909. 1910. 1911. 1912. 1913. 1914. 1915. 1916. 1917. Mean annual number for 10 years ending 31 sc December. 1918. 1918.
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This Table includes all cases actually introduced or occurring within the Port, but does not include cases 'reported as having occurred on vessels during the voyage, but which had either recovered or been removed from the vessel before arrival at Gravesend.

Notified. Deaths.
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NUMBER OF NOTIFICATIONS (SUBVEILLANCE) DURING 1918.
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TABLE IV. Plague (including suspected cases).

Date. 1918. Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
Page 13

Small-pox.

Date. Name of Vessel. Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
Page 14

Enteric Fever.

Date. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
Page 15

Diphtheria.

Date. Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
Page 15

TABLE VIII. Scarlet Fever.

Date. 1918. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
Page 16

TABLE IX. Measles and German Measles.

Date. Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
Page 17

Measles and German Measles— continued.

Date. 1918 Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
Page 17

TABLE X. Chicken-pox.

Date. Name of Vessel. Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
Page 17

TABLE XI. Cerebro-spinal Meningitis.

Date. Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
Page 18

TABLE XII. Continued Fever.

Date. 1918. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
Page 18

TABLE XIII. Malaria.

Date. 1918. Name of Vessel, Port of Registry, and Official No. Where from. No. ofCases. How dealt with.
Page 19

Malaria—continued.

Date. 1 Name o£ Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
Page 19

Blackwateu Fever.

Date. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
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TABLE XIV. Plmonary Tuberculosis.

Date. Name of Vessel, Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
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TABLE XV. Tuberculosis (Other kinds, including Miners' Phthisis).

Date. 1918. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
Page 22

TABLE XVI. Influenza and Pneumonia.

Date. Name of Vessel. Port of Registry and Official No. Where from. No. of Cases. How dealt with.
Page 23

Influenza and Pneumonia— continued.

Date. Name of Vessel, Port of Registry and Official No. Where from. No. of Gases. How dealt with.
Page 24

TABLE XVII. Mumps.

Date. 1918. Name of Vessel, Port of Registry and Official No. Where from. No. of Cases. How dealt with.
Page 25

TABLE XVIII. Venereal Disease (cases on vessels arriving at Gravesend).

Date. Case. No. of Cases Rating. Advice Given.
Page 26

TABLE XIX. Beri-Beri.

Date. Name of Vessel. Port of Registry, and Official No. Where from. No. of Cases. How dealt with.
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TABLE XX. Miscellaneous Diseases, &c., 1918.

Disease. No. of Cases. Disease. No. of Cases.

Page 29

TABLE XXL Vessels and Premises Disinfected, from 1st January to 31st December, 1918.

Month.	Cerebro-spinal Meningitis.	Chicken-pox	Cholera.	Continued Fever.	Diphtheria.	Enteric Fever.	Reason for Disinfection.						Scarlet Fever,	Small-pox.	Pulmonary Tuberculosis, &c,	Precautionary Measure.	Vessels Fumigated and Sprayed.	Total number of Disinfections.
Month.	Cerebro-spinal Meningitis.	Chicken-pox	Cholera.	Continued Fever.	Diphtheria.	Enteric Fever.	Erysipelas.	Malaria	Measles.	Influenza.	Plague.	Remittent Fever.	Scarlet Fever,	Small-pox.	Pulmonary Tuberculosis, &c,	Precautionary Measure.	Vessels Fumigated and Sprayed.	Total number of Disinfections.

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TABLE XXII. Number of Disinfections of Effects, Bedding, &c., from 1st January to 31st December, 1918.

Month.	Reason for Disinfection.														Hospital Bedding, &c.	Total Effects.	Number of times Steam Disinfector was use l.	Disinfected by Fumigation.
Month.	Cholera.	Chicken-pox.	Cerebro-spinal Meningitis.	Continued Fever.	Diphtheria.	Enteric Fever.	Malaria.	Measles.	Pulmonary Tuberculosis, &c.	Plague.	Influenza.	Scarlet Fever.	Small-pox	Precautionary Measure.	Hospital Bedding, &c.	Total Effects.	Number of times Steam Disinfector was use l.	Disinfected by Fumigation.

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Return of Rats caught and destroyed during 1918. The entire cost of destroying these rats has been borne by the Shipowners and Port of London Authority.

Jan. Feb. Mar. April. May. June. July. Aug. Sept. Oct. Nov. Dec. Totals.
Page 31

TABLE XXIV. RETURN OF RATS EXAMINED BACTERIOLOGICALLY—YEA.R ENDED 31 ST DECEMBER, 1918.

DOCK. Number fiom each Dock. Found Dead. Trapped. Found Dead. Trapped. Infected. Non-Infected. Infected. Non-Infected. Infected. Non-Infected.
Page 33

TABLE XXV. HOSPITAL. Number of Cases Admitted, Cost of Maintenance, &c. Patients remaining in Hospital on 31st December, 1917 1

Admitted. Discharged Died, Remaining under treatment.
Page 36

The goods were disposed of as follows, only those which could not be used for some useful purpose being actually destroyed:—

Tons. cwts. qrs. lbs.
Page 38

The offal seized as unfit for human consumption was 17 tons 15 cwts. 0 qrs. 7 lbs., more than double the quantity in the previous year, and comprised :—

Tons. Cwts. Qrs. Lbs.
Page 38

MEAT—SMOKED AND SALTED.

Tons. Cwts. Qrs. Lbs.
Page 39

Goods of this description seized and destroyed included : —

Tons. Cwts. Qrs. Lbs
Page 39

FRUIT ( Green). Only 6 tons of this class of goods were destroyed, compared with 132 tons in the preceding year:—

Tons. Cwts. Qrs. Lbs.
Page 39

FRUIT ( Dried). Most of the goods included under this heading .were old stock which had been lying at the Docks for some considerable time:—

Tons. Cwts. Qrs. Lbs.
Page 40

Only 17 cwts. 2 qrs. 16 lbs. of goods of this class were seized and destroyed, compared with upwards of 92 tons in the preceding year:—

Tods. Cwts. Qrs. Lbs.
Page 40

JAM AND MARMALADE. Twenty-eight cases and 86 tins, weighing 17 cwts. 1 qr. 14 lbs., were seized and destroyed : — VEGETABLES.

Fresh— Tons. Cwts. Qrs. Lbs.
Page 40

NUTS. The only goods of this class consisted of:—

Tons. Cwts. Qrs. Lbs.
Page 41

The total quantity of this class of goods disposed of as unfit for human consumption shows an increase of about 170 tons compared with the previous year, and was due to several consignments of condensed milk which arrived in very bad condition:—

Tons. Cwts. Qrs. Lbs.
Page 41

BISCUITS AND CONFECTIONERY. Practically the whole of these goods came from a vessel which had been damaged by fire:—

Tons. Cwts. Qrs. Lbs.
Page 42

MEAL AND FLOUR.

Tons. Cwts. Qrs. Lbs.
Page 42

TABLE XX VIII. PUBLIC HEALTH (FOREIGN MEAT) REGULATIONS, 1908. During the year Notices were served under Articles III. (5). IV. (1) of the above-mentioned Regulations, for the exportation of the following foreign meat : —

Date of Arrival. 1918. Name of Vessel. Where from. Where lying. Description and quantity of meat in respect of which Notices were served.
Page 46

TABLE XXIX. G eneral S ummary, and Analysis, of the Sanitary Inspections of Vessels, &c., in the Port of London, for the year ended 31st December, 1918.

Foreign. Coastwise. Inland Navigation. Shore Premises. Water Barge.
Steam. Sail. Steam. Sail. Steam. Sail. Lighters (uninhabited). Canal Boats.

Page 46

COMPARATIVE TABLE.

Total number of Inspections of vessels from—	1909.	1910.	1911.	1912. 1913.	1914.	1915.	1916.	1917.	1918.	Yearly average for the 10 years ending 31st December, 1918.

Page 47

TABLE XXX. NUMBER OF NUISANCES ON VESSELS REPORTED AND DEALT WITH during the year ended 31st December, 1918.

Description of Nuisances. January. February. March. April. May. June. July. August. September. October. November. December. Totals.
Page 48

TABLE XXXI. NUMBER OF NUISANCES ON SHORE PREMISES REPORTED AND DEALT WITH during the year ended 31 st December, 1918.

Description of Nuisances. January. February. March. April. May. J une. July. August. September. October. November. December. Totals.
Page 48

SUMMARY.

Smoke. Structural. Offensive Cargoes. Drainage, Sewage, &c. Miscellaneous. Totals.
Page 49

TABLE XXXII. SANITARY WORKS. Part I.

Date completed. Works.
Page 50

TABLE XXXIII. BYE-LAWS—OFFENSIVE CARGOES. Seven cases of infringement of the above-mentioned Bye-laws were reported during the year. In each case written notice was sent to the owners of the barges concerned:—

Date. Name of Vessel. Infringement.
Page 50

FUMIGATING APPARATUS, BARGE "THOMAS." The fumigating plant was used on 16 occasions during the year. TABLE XXXIV.

Date. 1918. No. of Vessels. Capacity in Cubic Feet of Space Fumigated.
Page 55

(9) One boat was registered in 1918. This was a new boat. Table of Canal Boats Carrying Children on Board.

Year. No. of boats. No. of boats with children. No. of children. Average No. of children per boat. Average No. of boats with children.
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TABLE XXXV. SUMMARY OF CANAL BOATS FOR THE YEAR ENDED 31 ST DECEMBER, 1918.

January. February. March. April. May. June. July. August. September. October. November. December. TOTAL. TOTAL FOR THE YEAR.
1913. 1914. 1915. 1916. 1917
Page 57

ADMINISTRATION OF THE PORT OF LONDON PUBLIC HEALTH (LONDON) ACT, 1891 . Dr. REVENUE ACCOUNT for the Year ended 31st March, 1919. Cr.

£ s. d. £ s. d. £ s. d. £ s. d.

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City of London 1918

55 tables in this report

STAFF. List of Officers forming the Staff of the Port of London Sanitary Authority, 31st December, 1918.

TABLE I. MEDICAL INSPECTION—GRAVESEND. From 1st January to 31st December, 1918.

TABLE II.—INFECTIOUS DISEASE.

This Table includes all cases actually introduced or occurring within the Port, but does not include cases 'reported as having occurred on vessels during the voyage, but which had either recovered or been removed from the vessel before arrival at Gravesend.

NUMBER OF NOTIFICATIONS (SUBVEILLANCE) DURING 1918.

TABLE IV. Plague (including suspected cases).

Small-pox.

Enteric Fever.

Diphtheria.

TABLE VIII. Scarlet Fever.

TABLE IX. Measles and German Measles.

Measles and German Measles— continued.

TABLE X. Chicken-pox.

TABLE XI. Cerebro-spinal Meningitis.

TABLE XII. Continued Fever.

TABLE XIII. Malaria.

Malaria—continued.

Blackwateu Fever.

TABLE XIV. Plmonary Tuberculosis.

TABLE XV. Tuberculosis (Other kinds, including Miners' Phthisis).

TABLE XVI. Influenza and Pneumonia.

Influenza and Pneumonia— continued.

TABLE XVII. Mumps.

TABLE XVIII. Venereal Disease (cases on vessels arriving at Gravesend).

TABLE XIX. Beri-Beri.

TABLE XX. Miscellaneous Diseases, &amp;c., 1918.

TABLE XXL Vessels and Premises Disinfected, from 1st January to 31st December, 1918.

TABLE XXII. Number of Disinfections of Effects, Bedding, &amp;c., from 1st January to 31st December, 1918.

Return of Rats caught and destroyed during 1918. The entire cost of destroying these rats has been borne by the Shipowners and Port of London Authority.

TABLE XXIV. RETURN OF RATS EXAMINED BACTERIOLOGICALLY—YEA.R ENDED 31 ST DECEMBER, 1918.

TABLE XXV. HOSPITAL. Number of Cases Admitted, Cost of Maintenance, &amp;c. Patients remaining in Hospital on 31st December, 1917 1

The goods were disposed of as follows, only those which could not be used for some useful purpose being actually destroyed:—

The offal seized as unfit for human consumption was 17 tons 15 cwts. 0 qrs. 7 lbs., more than double the quantity in the previous year, and comprised :—

MEAT—SMOKED AND SALTED.

Goods of this description seized and destroyed included : —

FRUIT ( Green). Only 6 tons of this class of goods were destroyed, compared with 132 tons in the preceding year:—

FRUIT ( Dried). Most of the goods included under this heading .were old stock which had been lying at the Docks for some considerable time:—

Only 17 cwts. 2 qrs. 16 lbs. of goods of this class were seized and destroyed, compared with upwards of 92 tons in the preceding year:—

JAM AND MARMALADE. Twenty-eight cases and 86 tins, weighing 17 cwts. 1 qr. 14 lbs., were seized and destroyed : — VEGETABLES.

NUTS. The only goods of this class consisted of:—

The total quantity of this class of goods disposed of as unfit for human consumption shows an increase of about 170 tons compared with the previous year, and was due to several consignments of condensed milk which arrived in very bad condition:—

BISCUITS AND CONFECTIONERY. Practically the whole of these goods came from a vessel which had been damaged by fire:—

MEAL AND FLOUR.

TABLE XX VIII. PUBLIC HEALTH (FOREIGN MEAT) REGULATIONS, 1908. During the year Notices were served under Articles III. (5). IV. (1) of the above-mentioned Regulations, for the exportation of the following foreign meat : —

TABLE XXIX. G eneral S ummary, and Analysis, of the Sanitary Inspections of Vessels, &amp;c., in the Port of London, for the year ended 31st December, 1918.

COMPARATIVE TABLE.

TABLE XXX. NUMBER OF NUISANCES ON VESSELS REPORTED AND DEALT WITH during the year ended 31st December, 1918.

TABLE XXXI. NUMBER OF NUISANCES ON SHORE PREMISES REPORTED AND DEALT WITH during the year ended 31 st December, 1918.

SUMMARY.

TABLE XXXII. SANITARY WORKS. Part I.

TABLE XXXIII. BYE-LAWS—OFFENSIVE CARGOES. Seven cases of infringement of the above-mentioned Bye-laws were reported during the year. In each case written notice was sent to the owners of the barges concerned:—

FUMIGATING APPARATUS, BARGE "THOMAS." The fumigating plant was used on 16 occasions during the year. TABLE XXXIV.

(9) One boat was registered in 1918. This was a new boat. Table of Canal Boats Carrying Children on Board.

TABLE XXXV. SUMMARY OF CANAL BOATS FOR THE YEAR ENDED 31 ST DECEMBER, 1918.

ADMINISTRATION OF THE PORT OF LONDON PUBLIC HEALTH (LONDON) ACT, 1891 . Dr. REVENUE ACCOUNT for the Year ended 31st March, 1919. Cr.

TABLE XX. Miscellaneous Diseases, &c., 1918.

TABLE XXII. Number of Disinfections of Effects, Bedding, &c., from 1st January to 31st December, 1918.

TABLE XXV. HOSPITAL. Number of Cases Admitted, Cost of Maintenance, &c. Patients remaining in Hospital on 31st December, 1917 1

TABLE XXIX. G eneral S ummary, and Analysis, of the Sanitary Inspections of Vessels, &c., in the Port of London, for the year ended 31st December, 1918.