REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE CITY OF LONDON for the year 1942. 1. S T AFF. Date of Appointment. MEDICAL OFFICER OF HEALTH. hite, Charle-s--Francis, O.B.E., M.D. Ch.B., D.P.H., D.T.M Dec.1937. CLERICAL STAFF. Lowe, George Principal Assistant & Vaccination 0fficer.Nov.1902. ray', Charles M 1st Class Assistant Mar.1911. Luntj Harold.F. 2nd. Class Assistant May.1924, (on/Active Service) tout, James Erl. Jul. 1930. jreadgold, Arthur W Nov.1923. tevens, F.W. 3rd Class Assistants Nov.1937. Jon'Active Service) eters, E.J. Nov.1935, (on Active Service) ilson, J.C. Jan,1936, (on Active Service) Unclassified Assistants. lenients, K ,N .H Nov .1936. (on Active Service) SANITARY INSPECTORS. Robinson, Ernest S.Feb. 1913, (Retired March, 1942) Fowler, George Henry Oct.1920. (Died March, 1942) McGrath. William Richard. Mar.1922, arrington, George Edwin. Senior Inspectors Dec.1925. illett, David Ernest. Apr-.1926. eale,-William (G.C. Jul,1928, horpe, Robert CMar.1930, Webber, G.A,(Rat Officer) Jul,1932, Hudson, Leslie A Apr,1934, Aldhous, H.J.Apr. 1935, Holloway, A.B. May, 1937, (on Active Service) Cox, C.R. Junior Inspectors Oct.1938, (on Active Service) ) Scott, A.E.R.) Oct,1938* (on Active Service) MEAT INSPECTION STAFF. Grace, L.B.A,, M,R,C,V,S, Veterinary Officer and Chief Meat Inspector Jun.1934, Kitchener, William E. First Senior Inspector of Meat Dec.1910, (Retired 31st Dec., 1942) Katson, William S. Dec, 1910, Slatter, Charles. May.1908. Murray, Samuel B, ) Senior Inspectors' Sep.1911. Kellish, Cyril E, ) Jan,1912. Thompson, Frank E. ) Jul.1924. Cann, S.W. May. 1927, (on Active Service) Peyton, H.R, ) Junior Inspectors Sep.1932. (on Active Service) ) Lee, W.R. ) Jul.1930, (on Active Service) Bernhardt, D.R, ) May.1931. (on Active Service) Probationary Meat Inspectors Seymour, K.D. Jul.1935. (on Active Service) WOMAN SANITARY INSPECTOR, Wilkinson, Miss Annie M. Jul.1909. 1A TUBERCULOSIS SISTER & HEALTH VISITOR, Backhouse, Miss S A Jun 1931 TUBERCULOSIS NURSE & ASST. HEALTH VISITOR. Scott, Miss J,F. (Resigned June, 1942) Apr 1938 KEEPER OF THE MORTUARY. Stegles,T. Dec. 1918 DISINFECTOR McDonnell, R,J, Apr1903 MESSENGERS Betts, Charles (Head Messenger) Apr1926 (on Active Service) Tierney, TE (Temporary) Dec 1926 LABOURERS. Hastings, T (General Duties at Mortuary) Jun1920 Burton, John H " " ' " " Mar 1936, Lawrence, F.H. " " ' " " May 1936 (on Active Service) Ludgate, G (General Duties at SmithfieId- Market) Oct1906, Strong, S.R, " " " " " Mar 1914 Morris W.F. " " " " Mar1925 Prevost, A.C. " " " " " Feb1926 (on Active Service) Mann, Ernest, V " " " " " Jan1928 (National Fire Service) Lawrence,, Charles J. " " " " " Feb1928 Graham, Mrs (Bath Attendant and Cleaner) Jun1927 2 LON 68 To the Right Honourable, The Lord Mayor, Aldermen & Commoners of the Corporation of London. Public Health Department, Guildhall, E.C.2. July, 1943, Lord Mayor & Gentlemen, I have the honour to submit a report on the work of my partment for the year 1942, On the instructions of the Minister of Health, this report again presented in an abridged form and briefly summarises the tivities of the Department, the normal work of which has been reacted by war circumstances. Some increase, hovrever, has been noticeable in connection th the Maternity &i Child Welfare Centre, as a result of a return to the City of some of the families which were evacuated in 1940 & 1941. Particular attention has been given to' the rat problem and also to' the supervision of food supplies. Statistical Information. area, 661 acres (including the Temple and Tidal Water and foreshore), Population. Registrar General's estimate for 1942 - 5,210, Annual Rateable Value. As at October, 1942 - £6,260,742, Annual Sum received from Penny Rate. Estimated £23,250. Brths _ Total. M. F. Legitimate 25 11 14 Birth Rate per 1,000 estimated Live Births resident population 1942 - 5.6 Illegitimate 4 1 3 Stillbirths 1 0 1 Rate per 1,000 total (live and Deaths under 1 year 3 2 1 still births - 33.3 Deaths 61 40 21 Death Rate per 1,000 estimated average population - 11.3 Deaths from puerperal causes (Headings 29 and 30 of the Registrar General's Short List) Deaths. Rate per 1,000 total (live ana still) births. No.29 Puerperal sepsis Nil. No.30 Other puerperal oauses Nil. Total Nil. Death Rate of Infants under one year of age:- All Infants per 1,000 live births 103 Legitimate Infants per 1,000 legitimate live births 80 Illegitimate Infants per 1,000 illegitimate live births 250 aths from Cancer (all ages) 18 "" Measles (all ages) 0 " " whooping Cough (all ages) 0 " " Diarrhoea (under 2 years of age) 0 Vaccination. Of the 95 births notified to the Vaccination Officer during 1941, 29 had been successfully vaccinated by the end of 1942. 5 had died before the age for vaccination and none was insuscept ible. Vaccination was postponed in no cases, and 45 had removed into other districts. No case was pending. There were 16 cases of conscientious objection. The Public Vaccinator performed 31 re vaccinations during the year, and in addition to the successful vaccinations referred 3. to above, 5 adult persons were vaccinated for the first time. MATERNITY & CHILD WELFARE. No. of City Births notified (including stillbirths) 30 Total Visits by Health Visitors 384 Under one year 96 Over one year and under 5 years 187 Ante Natal 101 Ophthalmia 0 Still Births 1 Infant Life Protection 3 Home Helps 0 Scabies 12 413 lbs. of Dried Milk were supplied to children under 1 year; also 91 lbs. farex-and 203 bottles radiostolum to mothers and children. Liquid Milk, Cod Liver Oil, and Fruit Juices were distributed through the Child Welfare Centre, to mothers and children on behalf of the Food Office. INFANT WELFARE CENTRE. No. of Sessions (including sessions for Diphtheria Immunisation and Schick Testing) 107 tendances Under one year 385 Over 1 year and under 5 years 407 887 Mothers 95 Dentures provided 0 Home Helps provided 0 No. of children, under 5 years, immunised-against Diphtheria 23 No. of children, over 5 yrs. and under 15, immunised against 10 Diphtheria No. of injections 92 No. of Post Schick Tests & Readings 51 INFECTIOUS DISEASE. Notifications received These consisted of the following:- Total cases notified. Cases admitted to Hospital . Erysipelas 1 0 Measles 1 0 Acute Influenzal Pneumonia 1 1 Scarlet Fever 1 1 Acute Primary Lobar Pneumonia 1 1 Tuberculosis _19 13 Anterior Poliomyelitis 1 1 Wooping Cough 1 0 PROVISION OF HEALTH SERVICES. Tuberculosis Dispensary. No. of Sessions held 204 No. of Patients attending Residents 113 790 Non-Residents 677 No. of New Patients 305 No. of Patients admitted to Sanatoria, rTospices, etc. 83 No. of Artificial Pneumothorax Refills given 158 No. of Visits made to Homes 79 No. of Contacts kept under observation 49 One natient was supplied with one oint of milk daily for two months. Venereal Diseases. Sessions held daily except Sunday M. F. Total. No. of Attendances - - 23,402 New Patients 512 86 . 598 Bacteriological Examinations. The following specimens were examined during the year. Specimen. Disease Result. suspected. Posi tive. Negative. Sputum Tuberculosis - 1 Throat Swabbing Diphtheria - 1 Wasserman Tests Venereal Disease - 2 Faeces Vermes - 1 Bphtheria Anti-Toxin. Quantity provided to private practitioners Nil. MEAT INSPECTION. Amount of meat delivered at Smithfield Market 38,331 tons Amount ol meat seized by Meat Inspectors at Smithfield Market:- 57 tons. 5 cwts. 3 qrs. 15 1b Amount of meat seized by Meat Inspectors at Cold Stores, Leadenhall Market & City shops:- 17 tons. 5 cwts. 2 qrs. 9 lbs. No. of Prosecutions instituted :- Nil. No. of Demonstrations and Instructions in Meat Inspection:- Nil. 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 THERE FOOD IS PREPARED AND OFFERED FOR SALE. All these premises are subject to regular inspection. Inspections have been made ana 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, FOOD INSPECTION. The food delivered at riverside wharves and at other premises in the City has consisted of the customary varieties, and has been the subject of constant inspection. 302 tons 17 cwts. 1 qr. 21 lbs. were condemned as unfit for human consumption. 296 tons 16 cwts. 2 qrs. 0 lbs. of this food was utilised for stock-feeding, fertilizing or manufacturing purposes. The remainder, consisting of 6 tons 0 cwts, 3qrs. 21 lbs. was destroyed on the sites on which it was condemned, either being useless for animal feeding purposes, or else the individual quantities were so small as not to v/arrant the use of petrol in transport. FOOD AND DRUGS ACTS. 547 samples have been submitted to the Public Analyst for examination. 11 of these were formal samples and 536 were informal samples. 11 samples were reported against. The percentage of adulterated samples was 2.C 5. 4 applications were received for registration as dairymen or purveyors of milk, all of which were granted. 8 supplementary licenses were issued under the Milk (Special Designations). Orders 1936 & 1938. SANITARY CIRCUMSTANCES. The general sanitary supervision has been maintained aid in this connection 2,530 inspections have been made. As a consequence of these inspections it was necessary.to serve 9 Statutory Orders and 22 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 65. 32 were found not to be in all respects reasonably fit for human habitation. All of these were rendered fit, in -17 bases - as a result of informal action by the inspectors, and in 15 bases subsequent to the service of notices requesting the defects to be remedied. No case of overcrowding in the City was reported, FACTORY ACT, 1937. Factory premises have been under such supervision as has been possible having regard to their needs. There are 3 above-ground bakehouses and 4 underground bake- houses. The provisions of the Act relating to. outworkers have been Icarried out as heretofore , No case of infectious disease was reported in connection with outworkers' premises in the City. SHOPS ACT, 1934. 110 shops and warehouses have been inspected and where necessary re-inspected. Any defects have been remedied without recourse to legal proceedings. In 1 case where satisfactory alternative sanitary accommodation was available, and it was not practicable to make provision on the premises, an exemption certificate was granted. PHARMACY AND POISONS ACT, 1933.. 62 firms were registered under this Act, 61 of which were re-registrations, PHARMACY AND MEDICINES ACT, 1941. The Pharmacy and Medicines Act, 1941, which came into operation on the 1st July last, inter alea, prohibits, subject to certain reservations, (1) the advertisement of any article in terms Calculated to lead to the use of that article for the purpose of the treatment of human beings for any of the following diseases: Bright's disease, cataract, diabetes epilepsy or fits, glaucoma, locomotor ataxy, paralysis or tuberculosis; (2) the publication of advertisements relating to abortion; (3) the sale of articles consisting of or comprising substances recommended as a medicine without disclosure of its composition. , This latter clause, however, does not apply to any article made up for the use of any particular person, being an article prescribed by reference to the needs of that person. During the year a small number of infringements were detected, In every case these were technical offences associated with old stock. Offenders received cautions, as a result of which compliance with the Act ensued in each case. 6 FERTILIZERS AND FEEDING STUFFS ACT, 1926. The provisions of the above Act were carried out without course-to legal proceedings or especial difficulty. MERCHANDISE MARKS ACT, 1908. Agricultural Produce (Grading & Marking) Act, 1928 - 1931, No difficulty was experienced during the year in regard to the ministration of the above Act. CREMATIONS 545 cremations were carried out at the City of London Crematorium Ilford. CITY MORTUARY. dies received 50 houests on bodies 33 " " fires 3 DISINFECTION AND CLEANSING OF VERMINOUS PERSONS. Export of Clothing. No. of articles disinfected 12,928 es received £42. neral Disinfection Infectious Diseases etc. Articles of clothing and bedding disinfected 15,636 rse-hair and bristles (cases) 12 articles of Bedding & Clothing destroyed 1,288 Cleansing of persons No. of Scabeous Persons bathed 38 No. of verminous persons bathed 233 No. of scabeous and verminous articles disinfected 3,824 Cleansing of School Children. No.of children cleansed1,896 No. of articles disinfected 1,320 Destruction of Pigeons. Pigeons - by staff 9 Destroyed by contractors 0 by one private individual duly authorised by the Corporation 600 I have the honour to be, Gentlemen, Your obedient Servant, CHAS.F.WHITE Medical Officer of Health, City of London.