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

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Shoreditch 1906

[Report of the Medical Officer of Health for Shoreditch]

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19
Nurse T—,aged 25, residing at 80, N—Square, was taken ill about January
29th and certified to have enteric fever on February 11th. Nurse T— began to
help in the nursing of Florence D— about January 15th.
No. 4, W— Street, was in a satisfactory sanitary condition.
The following cases occurred at Nos. 76 and 101 G— Buildings:—
Arthur James E—, aged 19, of 76, G— Buildings, appeared to have been
ailing since October 14th, possibly a few days before. He was certified to have enteric
fever on November 5th. This patient was a great friend of
Thomas P—aged 19, of 101, G— Buildings, who was token ill on the evening
of October 24th and certified to have enteric fever on November 3rd. Both of
these young men were fond of fried fish, and their relatives were inclined to attribute
their illness to fried fish from a particular shop, but no evidence could be obtained to
support this view from other sources.
Caroline P—, aged 10, sister to Thomas P——, was noticed to be ill on November
20th, and! was certified to be suffering from enteric fever on November 29th.
All three cases were removed to hospital. As to whether fried fish was concerned in
any way it is impossible to say, but the probability appears to be that Arthur James
E—infected Thomas P—, who was the means of passing the infection on to his
sister.
The dwellings occupied by these three patients were in a very fair sanitary condition.
The following cases occurred at No. 8, W— Street, a house in which the sanitary
arrangements were defective:—
Fred P—, aged 14, was ailing from about October 19th; he was taken to
St. Bartholomew's Hospital on November 16th, and certified to have enteric
fever on November 19th. He took to his bed on November 2nd.
The lad was fond of whelks.
Emily P——, aged 12, sister of above patient, first complained of illness on
December 3rd. was taken to St. Bartholomew's Hospital on December 7th, and certified
to have enteric fever five days later.
With respect to the remainder of the cases, nothing definite was ascertained to
throw light upon the source of infection. In eleven instances the patients were in the
habit of eating shell-fish, in two fried fish, and in three ice-cream. In three instances
watercress was mentioned. In one case the patient was a man employed in drain