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

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City of London 1928

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

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The following cases of Infectious Disease were reported during the year:—

Name of Vessel.Diphtheria.Pneumonia.Scarlet Eever.German Measles.Pulmonary Tuberculosis.Total.
“ Arethusa ”11
“Cornwall”
“Exmouth”33
“Warspite”314
“Worcester”216063
“ Stork ”
Totals23461171

FERTILISERS AND FEEDING STUFFS ACT, 1926.
During the year each Sanitary Inspector was appointed as both an Official Sampler
and an Inspector under the Act, these appointments being approved by the Minister
of Agriculture and Fisheries.
Your Worshipful Committee combined with the Sanitary Committee in appointing
Mr. E. A. Pinchin, Public Analyst in the City of London, as Agricultural Analyst,
the appointment being approved by the Minister of Agriculture and Fisheries.
No samples were taken during the year.
NEW LEGISLATION.
The Infectious Diseases (London) Regulations, 1927.
The Infectious Diseases (London) Regulations were issued to Local Authorities,
and a definite obligation was laid upon the Port Sanitary Authority to acquaint all
medical practitioners, resident or practising within the area, of the duties imposed
upon them by the Regulations, which became operative on the 1st January last.
The Regulations revoke the Public Health (Pneumonia, Malaria, Dysentery, &c.)
Regulations, 1919, which were issued to make provision against a number of infectious
diseases, such as Dysentery, Trench Fever and Malaria, which it was feared might be
introduced into this country by soldiers and others returning from overseas. The
precautions possible under the Regulations doubtless contributed to the low incidence
of these diseases.
Their provisions, after review and amendment, are now issued as a fresh set of
Regulations. One of the most apparent alterations is the removal of Trench Fever
from the list of diseases which are notifiable.
One important addition has been made with regard to Malaria. Previously there
was no legal obligation to report cases of Malaria induced in an Institution, as
a method of treatment for other conditions. Although such cases are still not required
to be notified, the practitioner in charge of the case, if of the opinion that the patient is
liable to relapses of Malaria, shall notify the Medical Officer of Health of the district
in which the patient proposes to reside at least four days before his discharge from
the Institution.
The duties of the Medical Officer of Health are similar to those laid down in
the revoked Regulations.
In Malaria endeavours are to be made to obtain material for microscopic
examination, and to ensure that the patient is supplied with the necessary quinine
treatment, &c.
In Typhus and Relapsing Fever provision is made for the destruction of lice.
In Enteric Fever and Dysentery steps must be taken to protect food or drink for
human consumption against contamination by the patient or by a carrier. In this
connection the affected person may be prevented from following his occupation, and
provision is made for appropriate compensation.