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

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Lambeth 1913

[Report of the Medical Officer of Health for Lambeth, Metropolitan Borough of]

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154
of the new Public Health (Tuberculosis) Regulations, 1912,
and the carrying out of the "sanatorium benefit" under the
National Insurance Act, together with the opening to the
public of the Council's Tuberculosis Dispensary (Central).
Typhoid Fever.
47 samples of blood from suspected typhoid cases were
examined, and in 12 (i.e., 25.1 per cent.) the characteristic
Widal reaction was obtained, although in 7 cases the
reactions were but slightly marked. A high dilution oi
blood-serum was used (1-60 to 1-100).
Diphtheria.
997 samples of throat and nose membranes and secretions
from doubtful diphtheria cases were examined, and in 130
(i.e., 13.04 per cent.), the true Klebs-Loeffler bacilli were
isolated.
40 swabs (all negative as far as Klebs-Loeffler bacilli were
concerned) were connected with an outbreak of sore throats
at the Norwood Schools; Pseudo Hoffmann bacilli found
in 6.
In 867 (i.e., 86.96 per cent.) of the total number of throat
and nose samples examined, the Klebs-Loeffler bacilli were
not isolated, but other bacilli were, e.g., staphylococci,
streptococci, toruloe, micrococci, diplocccci, sarcince and
pseudo (Hoffmann) bacilli. The last-named, viz.: pseurlo
(Hoffmann) bacilli, were isolated in 41 cases—8 in pure
cultivation, 30 mixed with staphylococci and streptococci,
and 3 mixed with true Klebs-Loeffler bacilli.
37 samples of other materials were examined, viz.: hairs
(for tinea tonsurans), 2 (0 positive), pus smearings (for
gonococci) 28 (15 positive), urine (for phosphates and urates)
2 (1 positive), urine (for gonococci) 1 (negative), urine (for