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

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Lewisham 1869

[Report of the Medical Officer of Health for Lewisham]

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10
extensive use would render the atmosphere of drains and sewers
very much more wholesome.
During the year the Cow and Slaughter Houses have been
frequently inspected.
The Bakehouses have also received attention, and the Workshops
have been frequently visited.
ON THE NATURE OF SCARLET FEVER AND THE BEST
MEANS OF PREVENTING IT.
Scarlet Fever is a highly contagious disease, and spreads from
one person to another, and is thus propagated in families, towns,
and districts.
It is therefore highly desirable that every one should understand
the nature of this disease, and the means of preventing it
spreading. It is always attended with a scarlet eruption of the
skin, and is mostly accompanied by a sore throat. Whenever
children have sore throats, or an eruption of the skin, they should
be separated from the rest of the family until a doctor has seen
them, or these symptoms have disappeared.
There is every reason to believe that during the progress of
this disease, not only the eruption of the skin, but everything
that is thrown off the body of the infected person is heavily laden
with the germs or seeds which are capable of propagating this
disease to another person. The discharges from the nose and
throat are especially virulent. There is also every reason to believe
that the discharges from the bowels are the same. The
kidneys are frequently dangerously diseased in Scarlet Fever, and
the secretion from these organs is also probably highly contagious.
The power of spreading the poison by means of these secretions is
not confined to their immediately leaving the body, but continues
long after. It is on this account that when these secretions have
found their way to the cesspool and sewer, that they may still give
off poison to the surrounding air, and persons breathing it may
become infected. Taking these tilings into consideration, it will
be necessary, if possible, to destroy and annihilate this poison
before it leaves the room where the person is whose body has produced
it.