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Typhoid and Paratyphoid Fever One case of
Typhoid Fever and two cases of Paratyphoid Fever
were notified. They were of a sporadic type and
probably related to carrier infection. The case of
Typhoid occurred in June in a man who worked outside
the district. Investigation did not reveal any
probable source of infection within the Borough.
Puerperal Fever and Puerperal Pyrexia.—Ten
cases of Puerperal Pyrexia and one case of Puerperal
Fever were notified. The case rate for Puerperal
Pyrexia was 8 6 per 1,000 total births compared with
13 93 per 1,000 total births for England and Wales.
Medical practitioners were informed of their obligation
to continue the notification of cases of Puerperal
Pyrexia under Part III of the Public Health (Notification
of Puerperal Fever and Puerperal Pyrexia) Regulations,
1926.
Four of the notifications of Puerperal Pyrexia were
of cases occurring in sequence in one nursing home.
The subsequent deaths of two of the cases and the
rescinding of the registration of the nursing home by
the County Authority, emphasise the responsibility of
persons in charge of nursing homes, and of medical
practitioners in attendance on cases in nursing homes,
to take all practicable steps to prevent infection by the
strictest aseptic and antiseptic precautions, the transmission
to the Authority of information of any
undefined febrile condition occurring in the puerperium,
the effective isolation of any suspected case,
and the fullest use of the consultant, bacteriological and
hospital services provided by the Authority.
Dysentery.—In November the district became
involved in an outbreak of Dysentery of the Sonne
Type which occurred over a wide area of the country.
Thirty-six cases were notified. These notifications
represented only a small percentage of the total incidence,
which was characterised by a wide range of
severity, and a high proportion of mild ambulant cases
which sustained the transmission of infection. The
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