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

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City of London 1923

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

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14
SMALLPOX.
ss. "Trevalyan" arrived from Basra on the 1st February. The 3rd engineer
was taken ill with smallpox after leaving Basra on the 5th December, 1922; he
was landed at Bushire on the 13th but returned to the ship as the case was so mild.
He was kept in isolation on board till 24th December, and resumed duty on the
25th December. All crew were vaccinated at Bushire. No other cases occurred.
Bedding and clothing were burnt; quarters on vessel were washed out with disinfectant,
and repainted.
ss. "Junin" arrived from Areca on the 2nd March. On January 11th the
assistant steward was landed at Areca suffering from a mild attack of smallpox.
Quarters on vessel, and effects, were disinfected at Areca. Patient's effects taken
ashore with him. All crew were vaccinated.
The vessel left for Leith on March 3rd, with same crew, and the M.O.H. for
Leith was notified accordingly.
ss. "Manaar" arrived from Calcutta on February 25th. On February 8th
a native fireman developed mild modified smallpox, and was landed at Suez on the
10th. Native quarters were disinfected at Suez, all bedding, etc., being taken
ashore for steam disinfection.
ss. "Macedonia" left Bombay 20th February, 1923. Arrived at Gravesend
16th March, 1923. Borodin Moidon, lascar, rash found 6th March, on muster at
Marseilles. Diagnosis, Chickenpox. Isolated in hospital quarters. Usual inspection
on leaving Bombay. On arrival :—
Rash—on face some acne like and some scabbing, on arms peripheral,
in distribution.
Very many pips deep in palms of hands.
On front of body scanty and almost confined to chest, on back
profuse scabbing.
Present on thighs, absent from knees down.
The heaped up papules on face, pips in hands and distribution on arms, whether
taken severally or in conjunction, show this to be modified smallpox. The patient
had been vaccinated and re-vaccinated. Patient and his associate were removed
to Denton Hospital.
Disinfection.—Quarters: sailors' and firemen's clothes spread to sulphur
fumigation, and, after fumigation, quarters sprayed with 2 per cent. Izal. Hospital
quarters fumigated and sprayed, textiles removed for steam disinfection.
Infected bedding burned on ship.
Names and addresses of passengers and crew notified:— Passengers, 208;
Crew, 123.
ss. "Marglen" arrived from Bombay via Southampton on April 18th. On
March 28th, a fireman was taken ill, isolated, and landed at Suez on April 2nd, a
discrete mild case of smallpox. Infected quarters on the vessel were disinfected
with formalin lamp and washing down with creosol. All bedding and clothing
put through the ship's steam disinfector on April 2nd and 3rd. All crew were
vaccinated (except those successfully vaccinated within 2 years).
The names and addresses of passengers and crew were taken at Southampton
and notified at their respective destinations.
A case of chickenpox was also removed from this vessel at Southampton, and
sent to the Military Hospital there.
ss. "Clan MacMillan" arrived from Calcutta on the 28th April. On the 4th
April, a lascar was taken ill with symptoms suspicious of smallpox. Patient was
isolated and landed at Suez on the 8th, and was there certified as smallpox. Effects
were landed with patient; bathroom and bunk in forecastle disinfected. At
Marseilles the ship was fumigated throughout with sulphur.
Certain bedding and blankets, &c., not disinfected at Suez, were removed for
steam disinfection at Denton Hospital. Native quarters were sprayed with " Izal "
solution and fumigated by means of sulphur on arrival in the Port of London.
ss. "City of Exeter" arrived from Calcutta on the 5th May. On the 7th April,
a fireman reported ill with fever ; rash appeared on the 9th. Diagnosed by the