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

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Wandsworth 1909

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

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92
Report of the Medical Officer of Health.
"The cases in Barnes appear to have been notified earlier
than in Wandsworth, as the first symptoms in the earliest of
Dr. Crookshank's cases occurred on the 30th January,
whereas as far as could be ascertained in the cases in this
Borough, the first symptoms of the earliest case occurred on
the 9th February.
"If the infected milk was Pasteurised on the 15th
February, and completely withdrawn on the 20th February, I
am of opinion that no further cases will occur in which the
first symptoms would appear later than the 1st or 2nd of
March. Cases, however, may be notified for another fortnight
owing to the difficulty in diagnosis.
"I have further communicated with the medical men in
the district informing them that the source of the infected
milk had been traced, and that the distribution of that particular
milk had been stopped, also that all the other farms
supplying milk to this particular purveyor had been inspected
and found in a satisfactory condition.
"I have had another interview with Dr. Crookshank, of
Barnes, and have seen a copy of his report which he is forwarding
to the Local Government Board. In that report he
agrees with my opinion that this farm was the cause of the
infection. The total number of cases which have occurred in
his district up to the present have been 11, one of which,
however, as previously stated, having been infected in this
Borough.
"A further report will be made on the 18th March.
"18th March.
"Re Enteric Fever.
"Since the date of my last report only two cases of
Knteric Fever have ben notified in connection with the outbreak
in this Borough. Both these cases occurred in households
which had been previously infected, but both cases were
infected about the same time as the case first notified. In all

"After this circular was sent the following seven cases were notified to me:—

Case.Age.Date of first symptoms.Date of notification.
S. E.5½ years9th February22nd February.
A. T.48 ,,12th „23rd
P. H.5 ,,16th „23rd
G. M.18½17th „25th „
K. H.4¾ ,,12th ,,1st March.
M. W.25 ,,20th2nd „
D. B.14 „11th „4th „