LIBRARY LON 66 REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE CITY OF LONDON for the year 1940. STAFF. Date of Appointment. MEDICAL OFFICER OF HEALTH, hite, Charles Francis, M.D., Ch.B., D.P.H., D.T.M CLERICAL STAFF, Dec. 1937 owe, George Principal Assistant & Vaccination Officer. Nov. 1902 Pay, Charles M. 1st Class Assistant March. 1911 Cunt, Harold F. 2nd Class Assistant May. 1924 tout, James Erl 3rd Class Assistants July. 1930 kreadgold, Arthur W. .) Nov, 1923 tevens, F.W. Nov. 1937 eters, E.J. Unclassified Nov. 1935 ilson, J.C. Jan. 1936 lements, K.N.H. Nov. 1936 SANITARY INSPECTORS. obinson. Ernest S. Senior Inspectors Feb. 1913 owler, George Henry Oct. 1920 cGrath, William Richard March. 1922 irrington, George Edwin Dec. 1925 illett, David-Ernest April. 1926 eale, William, G.C, . July. 1928 horpe, Robert C. March. 1930 ebber, G.A. (Rat Officer) Junior Inspectors July. 1932 udson, Leslie A. April. 1934 ldhous, H.J. April, 1935 tllcway, A.B. May. 1937 jx, C.R. ... ••• Oct. 1938 ictt, A.E,R. Oct. 1938 MEAT INSPECTION STAFF. race,L.B.A. M.R.C.V.S, Veterinary Officer and Chief Meat Inspector June. 1934 itchener, William E. Senior Inspector . Dec. 1910 atson, William S Senior Inspectors • Dec. 1910 pnes, John ' (Retired 23.10.40,)) April. 191*4 Latter, Charles. May. 1908 rray, Samuel B . Sept. 1911 illish, Cyril E. Jan. 1912 hompson, Frank E. July, 1924 erris, G.A. Dec. 1923 ann, S,W, ) j Junior Inspectors May. 1927 eyton, H.R . Sept. 1932 ee, W.R July. 1930 ernhardt, D.R. ) Probationary Meat Inspectors May. 1931 eysnur, K.D. ) . July. 1935 WOMAN SANITARY INSPECTOR. .lkinson, Miss Annie M, July. 1909 TUBERCULOSIS SISTER & HEALTH VISITOR. ackhouse, Miss S.A. June. 1931 TUBERCULOSIS NURSE & ASST. HEALTH VISITOR. cott, Miss J.F, April. 1938 KEEPER OF THE MORTUARY. teggles, T. Dec. 1918 DISINFECTOR, [Donnell, R.J. April. 1903 MESSENGERS. etts, Charles, (Head Messenger) April. 1926 lerney, T.E. (Temporary) Dec. 1926 LABOURERS. astings, T. (General Duties at Mortuary) June. 1920 LABOURERS. Furton,John Henry (General Duties at Mortuary) March.1936 Lawrence,F.H.„ „ „ „ May.1936 Ludgate,G. (General Duties at Smithfield Market Oct.1906 Strong,S.R. „ „ „ „ March.1914 Forris,W.F. „ „ „ „ March.1925 Prevost,A.C. „ „ „ „ Feb.1926 Fann,Ernest V. „ „ „ „ Jan.1928 Lawrence,Charles J. „ „ „ „ Feb.1928 Fraham, Mrs. (Bath Attendant and Cleaner) June.1927 To the Right Honourable, The Lord Mayor, Aldermen & Commoners of the Corporation of London. Public Health Department, Guildhall, E.C.2. My Lord Mayor & Gentlemen, I have the honour to present, in an abridged form, the report, on the work of my Department for the year 1940. Statistical Information. Area. 661 acres (including the Temple and Tidal Water and foreshore). Population. Registrar General's estimate at middle of 1940 - 7920 Annual Rateable Value. at 6th April, 1940 - £8,344,286. Annual Sum received from Penny Rate. Estimated £26,600. Births:- Total. M. F. Legitimate 40 23 17 Birth Rate per 1,000 estimated resident population mid-1940 - 5.55 Live Births Illegitimate 4 2 2 Stillbirths 2 1 1 Rate per 1,000 total (live and Still) births – 5,81 Deaths under 1 year 1 1 – Deaths 117 71 46 Death Rate per 1,000 estimated average population – 14.77 Deaths from puerperal causes (Headings 29 and 30 of the Registrar General's Short List):- Deaths Rate per 1,000 total (live and still) births No.29 Puerperal sepsis Nil Nil No.30 Other puerperal causes Nil Nil Total Nil Nil Death Rate of Infants under one year of age:- All infants per 1,000 live births 25.00 Legitimate infants per 1,000 legitimate live births27.78 Illegitimate infants per 1,000 illegitimate live births250.00 Deaths from Cancer (all ages) 5 " Measles (all ages) 2 Whooping Cough (all ages) - Diarrhoea (under 2 years of age) - Vaccination. Of the 43 births notified to the Vaccination Officer during .939, 3 had been successfully vaccinated by the end of 1940. None had died before the age for vaccination and none was insusceptible. Vaccination was postponed in no cases, and 34 had removed into other districts. No. case was pending. There were 7 cases of conscientious objection. The Public Vaccinator performed 14 vaccinations during the year, and in addition to the 3 successful vaccinations referred to above, 4 adult persons were vaccinated for the first time. MATERNITY AND CHILD WELFARE. No. of City Births notified (including, stillbirths) 30 Total visits by Health Visitors 986 Under one year 180 Over one year and under 5 years 693 Ante Natal 108 Ophthalmia - Still Births 2 Infant Life Protection 2 Home Helps - Scabies - Visits to Shelters for Homeless People .52 Milk supplied to Expectant and Nursing Mothers and young children 774 glns. Liquid INFANT WELFARE CENTRE. dried milk 515 lbs. Ho. of Sessions (including sessions for Diphtheria Immunisation and Schick Testing) 117 Attendances:- Under one year 44.3 1204 Over 1 year and under 5 years 619 Mothers 142) Dentures provided (including 1 homeless person) 2 Home helps provided - No. of children immunised against Diphtheria 66 No. of injections 133 INFECTIOUS DISEASE. Notifications received:- These consisted of the following:- Total cases notified. Cases admitted to Hospital. Diphtheria 5 5 Scarlet Fever 2 2 Erysipilas 2 2 Tuberculosis 14 12 Pneumonia 2 2 In addition to the foregoing, 2 cases of Measles were notified. PROVISION OF -HEALTH SERVICES, Tuberculosis Dispensary, No, of Sessions held 178 No, of patients attending Residents 239 664 Non-Residents 425 No. of New Patients, 146 No. of Patients admitted to Sanatoria, Hospices, etc 115 No. of artificial Pneumothorax Refills given 195 No. of Visits made to Homes 209 No. of contacts kept under observation - No, of Patients supplied with milk - average 4 to 6 per month 181 glns Venereal Diseases. Sessions held daily except Sunday M. F. Total. No. of Attendances - - 14,657 New Patients 410 70 480 Bacteriological Examinations. The following specimens were examined during the year. Specimen. Disease suspected. Result. Positive. Negative. Sputa Tuberculosis - - Throat swabbings Diphtheria 2 2 Diphtheria Anti-Toxin. Quantity provided to private practitioners Nil MEAT INSPECTION. Amount of meat delivered at Smithfield Market 54,824 tons Amount of meat seized by Meat Inspectors at Smithfield Market 361 tons. 19 cwts. 0 qr. Amount of Meat seized by Meat Inspectors at Gold stores Leadenhall Market and City shops 87 tons.4cwts.lqr,131bs, No. of Prosecutions instituted Nil No. of Demonstrations' and Instruction in Meat.Inspection.:-l , No. of Naval Officers receiving instruction in Meat Inspection:-Nil. PUBLIC HEALTH (MEAT) REGULATIONS,1924. The improvement in carriage of meat noted in past reports has been maintained, although of course the quantities carried are very much less. PREMISES MERE FOOD IS PREPARED AND OFFERED FOE, SALE. All these premises are subject to regular inspection. Inspections have been made and without exception all criticisms have received immediate attention. ITINERANT FOOD VENDORS. Constant inspections of barrows and of itinerant food vendors' have been made and the issue of cautionary letters has resulted in a marked improvement in the general condition of this class of trade. RIVERSIDE WHARVES. The food delivered at riverside wharves has consisted of the customary varieties and has been the subject of constant inspection and 60 tons 7 cwts. 2 qr. 1 lb. have been condemned as unfit for human consumption, a certain amount of which it has been possible to utilize for cattle or poultry feeding or other convenient purposes. FOOD AND DRUGS ACTS, 892 samples have been submitted to the Public Analyst for examination. 147 of these were formal samples and 745 were informal samples. 31 samples were reported against. The percentage of adulterated samples was 3.4 Legal proceedings were necessary in 7 cases, 5 applications were received for. registration as purveyors of milk. All were registered. 3 samples of Condensed Milk were purchased for analysis all of which were found to be up to standard. 7 licenses were issued under' the Milk (Special Designations) Order. SANITARY CIRCUMSTANCES. The general sanitary supervision has been maintained and in this connection 3,437 inspections have been made. As a consequence, of these inspections it was necessary to serve 25 Statutory Orders ana 31 Intimation Notices. No legal proceedings were necessary. Tenement Houses were inspected and the only common lodging house in the City was kept under regular supervision. HOUSING. The total number of dwelling houses inspected for housing defects was 104 and 60 were found not to be in all respects reasonably fit for human habitation. 38 were rendered fit as a result of informal action by the inspectors and 47 notices were served requesting defects to be remedied. No case of overcrowding in the City of London was reported. FACTORY ACT, 1937. Factory premises have been under such supervision as has been possible having regard to their needs. There are four above-ground bakehouses and four underground bakehouses. The provisions of the Act relating to outworkers have been carried out as heretofore. No case of infectious disease was reported in connection with outworkers' premises in the City. SHOPS ACT, 1934. 60 shops and warehouses have been inspected and where necessary re-inspected. 'Any defects found have been remedied without recourse of legal proceedings. In cases where satisfactory alternative sanitary'accommodation was available, ana it was not practicable to make provision on the premises, exemption certificates were granted. PHARMACY AND POISONS ACT, 1933. 97 persons were registered under this Act, all of Which v/ere re-registrations. FERTILIZERS AMD FEEDING STUFFS ACT, 1926. The provisions of the above Act were carried out without recours.e to legal proceedings or especial difficulty. MERCHANDISE MARKS ACT, 1908. Agricultural Produce (Grading; and Marking) Act, No difficulty was experienced during the year in regard to the administration of the above Act. CREMATIONS. 574 cremations v;ere carried out at. the City of London Crematorium at Ilford, RAT REPRESSION. Although it has not been possible to devote as much attention to the problem of rat-infestation as usual, this aspect of public health work has not been neglected, and wherever necessary the Rat Officer has called upon the services of his colleagues which has been readily forthcoming. CITY MORTUARY. Bodies received 104 Inquests on bodies 58 " fires 8 ' DISINFECTION AND CLEANSING of verminous persons. Export of clothing. •No. of articles disinfected 194,041 No. of certificates issued 207 General disinfection. Infectious Diseases etc. Articles of clothing and bedding disinfected 8006 Horse-hair and bristles (cases) 34 Cleansing of persons. No, of verminous persons bathed 136 No. of articles disinfected 1024 Cleansing of School Children. No. of children cleansed 1503 No. of articles disinfected 2442 Destructions, Pigeons - by staff 381 " contractors 109 I have the honour to be, Gentlemen, Your obedient Servant, CHAS. F. WHITE. Medical Officer of Health, City of London.