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consumed—milk being specially liable to inlection both
from human and animal sources.
Outbreak of Scarlet Fever at the Lambeth Workhouse
and Infirmary.
An outbreak of Scarlet Fever occurred during December,
1909 at the Lambeth Workhouse and Infirmary, a total of
18 cases, and of these, 13 (12 children of the age of 3 years
or under and 1 child of the age of 8 years) were connected
with the Workhouse (Nurseries H and J), and 5 with the
Infirmary Wards (H3, H2, 11, and 12). The 13 workhorse
cases started from infection outside, brought in through "ins
and outs" mothers, and', afterwards, spread in the workhouse
itself, from children to children. The children had been
in the workhouse nurseries for over a month (the last admission
being on 18th November, 1909), but the mothers appear
to have been allowed to go in and out, and, in that way, io
have carried in the infection of scarlet fever. The Infirmary
cases (5 in number) included a sister and 2 nurses. A letter
was sent to the Guardians, suggesting the advisability of
methods being adopted for the prevention, or for the minimising,
of the risks of similar outbreaks, by the institution
of a form of quarantine (say, three weeks), for all outside
admissions into the nurseries.*
MEASLES AND WHOOPING COUGH.
These two non-notifiable infectious diseases cause more
deaths than all the notifiable infectious diseases together. In
the Borough of Lambeth, during 1909, 104 and 85
*The Guardians approved on June 16th, 1909, of a Scheme for such a
purpose, in connection with the Annexe to the Home for Aged Poor at the
Guardians' Norwood premises (Elder Road, West Norwood), on the lines
of a Report by Dr. Quarry and Mr. Salmon (Master of the Renfrew Road
Workhouse), dated June 1st, 1909. The Scheme docs not appear to have
been carried out as yet (February, 1910).