Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Hackney]
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Health Department but even if the case had been notified, beyond
asking the man to relinquish his work as a milk roundsman, no
steps could have been taken to protect the public, and, although
in those days milk was not delivered bottled after preliminary
heat treatment or pasteurisation so that the danger was greater
than at present, persuasion remained the only means of dealing
with such cases.
Following consideration of my report on this occurrence the
Council made representations to the Minister of Health urging the
necessity for protecting the public from the risk of infection through
their milk supply, and Regulations issued under the title of the
Public Health (Prevention of Tuberculosis) Regulations, 1925
contained powers to this effect.
In 1925 the London County Council instituted a scheme for
providing facilities in co-operation with the Invalid Children's
Aid Association for
1. The removal of children from heavily infected and overcrowded
homes during terminal stage of a dying case of
pulmonary tuberculosis in the family;
2. The boarding out of children who were being discharged
from sanatorium treatment and whose homes were unsuitable
and inimical to maintenance of health;
3. The boarding out of "weakly" children living under
conditions likely to subject them to infection, and of
children in suitable instances whose parents were under
treatment for tuberculosis.
The Hackney Borough Council Act of 1926 gave powers to
Hackney for the removal of tuberculous persons to hospital for a
period of three months on a Magistrate's Order when these persons
were unable to take care of themselves and were living under
conditions which menaced the health of others. This power was
subsequently incorporated in the Public Health (London) Act,
1936 and later in the National Assistance Act, 1948. The power
was found very useful and 55 cases, of whom there were 153 contacts,
were dealt with under the Act prior to the coming into force of the
powers under the Public Health (London) Act, 1936.
The Public Health (Tuberculosis) Regulations, 1930, consolidating
previous Regulations, were next issued and the Borough
Council in this year made arrangements with Brompton Hospital,
City of London Hospital for Diseases of the Heart and Lungs, and
University College Hospital for Hackney persons to receive artificial