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

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City of London 1919

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

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20
The s.s. "Manoha" arrived at Gravesend on 17th February—a case of
Small-pox had been landed from the ship at Aden on the voyage home While on
ship was in dock three cases of Small-pox were notified to your Medical Officer on
March 4th and removed to Denton Hospital from among the native crew Another
case of Small-pox has been recently notified from among the officers of the ship.
Your Medical Officer did not agree the diagnosis as to the three natives of India
received into Denton Hospital. These were cases of Chicken-pox.
The officer notified as Small-pox had been in association with a cadet who, seen
by your Medical Officer, was found to be suffering from Chicken-pox. In the light
of these four cases of Chicken-pox, it is certain that the history of the outbreak on the
ship, probably including the case landed at Aden, is one of six cases of Chicken-pox.
s.s. "Katoomba" arrived from Bombay on the 8th June. On the 15th May, a
soldier on board was reported sick with symptoms suspicious of Small-pox. He was
considered to have had Small-pox when he came on board on the 15th May.
Another soldier was taken on board at Port Said on the 27th May—he had
headache and fever—rash out 29th. He was landed at Gibraltar on the 3rd June.
One of the crew (a butcher) was taken ill on the 1st June—rash out 3rd June;
landed at Gibraltar.
On arrival of the vessel at Gravesend, a fireman was removed to Denton Hospital
with Small-pox. This patient was in the ship's hospital for venereal bubo up to the
6th June. From the 27th to 30th May he was in the next bunk, in the hospital, to one
• of the cases of Small-pox landed at Gibraltar. On the 2nd June he was vaccinated.
On the 8th he was seen and was apparently well, though he had vomited once on the
7th, he himself attributing this to food. On the 9th the rash appeared. Constitutional
symptoms—none.
General vaccination had been performed in the case of passengers, crew and
troops on board, with few refusals. Infected quarters were fumigated and effects
dumped Passengers and crew were inspected at Gravesend, and their names and
addresses of destination were notified to the various Medical Officers of Health.
s.s. "Devanha" arrived from Bombay on the 24th December, when a Goanese
servant was removed to Denton Hospital suffering from Small-pox.
The crew were vaccinated. Names and addresses of passengers and crew were
notified to the various Medical Officers of Health.
Disinfection of the vessel was undertaken by .the ship's surgeon and master.

TABLE VII.— Enteric Fever.

Date. 1919.Name of Vessel. Port of Registry and Official No.Where from.No. of Cases.How dealt with.
Feb. 3s.s. "Nosted I.," of London, 67,334.Dieppe1Landed at Barry.
,, 28s.s. "Field Marshall," of London, 142,385.Dares Salam1Treated on board.
March 1s.s. "AustralrangeAlbany1Cape Town.
,, 8s.s. "Moncaster CastleJava -1Colombo.
,, 16s.s. "Carventum," of Glasgow, 120,176.Mauritius2Malta.
April 1s.s. "Sardinia," of Glasgow, 115,696.Sydney1None. Proceeded home.
May 11s.s. "Navasota," of Southampton, 135,702.Buenos Ayres1Port Sanitary.
,, 27s.s. "Gablonzof TriesteBombay1Aden.
June 8s.s. "Katoomba," of Melbourne,Ditto2Port Sanitary.
,, 12s.s. "Berrima," of Greenock, 135,332.Sydney1None. Treated on board.
July 18s.s. "Lake Grama," of Chicago.Montreal2Removed to Gravesend Hospital.
„ 22s.s. "Glengyle," of London; 137.487."Yokohama -1Landed at Port Said.
,, 28s.s. "Ida "Palermo1Removed to Port Sanitary Hospital.
Carried forward16