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

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Whitechapel 1869

[Report of the Medical Officer of Health for Whitechapel]

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"5. Pocket-handkerchiefs are proscribed, and small pieces of rag
are to be used instead, for wiping the mouth and nose. Each piece having
been once used is to be immediately burnt.
"6. As the hands of nurses of necessity become frequently soiled by
the specific excreta, a good supply of towels and two basins, one containing
water with Condy's fluid or chlorides, and another, plain soap and
water, are always to be at hand for the immediate removal of the taint.
"7. All glasses, cups, and other vessels, used by or about the patient,
are to be scrupulously cleaned before being used by others.
"8. The discharges from the bowel and bladder are to be received
on their very first issue from the body, into vessels charged with disinfectants.
"9. About the fourth day after the eruption, the surface of the body,
scalp included, is to be anointed twice a day with olive oil, slightly impregnated
with camphor ; the oiling to be continued until the patient is
well enough to take a warm bath, in which the whole skin is to be well
scrubbed, disinfecting soap being abundantly used. The bath should be
repeated every other day until four have been taken.
"10. Ten days after health has been quite re-established, the patient
may, in new clothes, without risk, re-enter his family.
"11. The children of the poor, who have no means of isolating their
children, are to be treated in small model hospitals or houses set apart by
towns or parishes for the purpose.
"12. The sewers are to be kept in a state of permanent disinfection
where the disease prevails. This is done in Bristol, under the direction of
the Health Officer."
The attention of the Board of Works having been directed to the
printed directions of Dr. Budd, upon the subject of preventing the spreading
of TYPHOID FEVER,, the Board resolved to distribute a thousand
copies of such directions among the poorer inhabitants of the District.
These directions are founded on the discovery, that the poison by
which this fever spreads, is almost entirely contained in the discharges
from the bowels, and hence the importance of disinfecting these discharges
so soon as they escape from the body, and BEFORE they are carried from
the sick room.