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33
had recovered before accommodation could be provided.
Throughout December and to the time of writing, prompt removal
has been maintained, and an appreciable diminution in the
prevalence of the diseases has resulted.
Enteric
and other
Fevers.
Ninety-five cases of Enteric Fever were notified
during the year in addition to one of Typhus and
and seven of Puerperal Fever. Of the Enteric cases forty-five
were removed to hospital with a mortality of ten equal to twenty-two
per cent. Of the fifty cases treated at home, sixteen died
equal to a mortality of thirty-two per cent. The difference in
favour of hospital treatment lies in the fact that the diet is strictly
regulated there, many deaths arising at home from injudicious
feeding with solids before the bowels are fitted for their reception,
ulceration of the bowels being usual in this disease.
In October last in consequence of the prevalence of
Enteric or Typhoid Fever in the Metropolis and in this parish
I prepared a special report shewing the action taken upon the
notification of Typhoid Fever. Upon the receipt of such notification
a disinfector is immediately despatched to the infected
premises with a supply of disinfectants and apparatus for the
flushing of the house drains.
The District Sanitary Inspector visits the premises and
ascertains whether sufficient means of isolation are provided, and
if necessary adopts measures for the removal of the patient to
hospital, makes investigations as to whether patient has in any
way subjected himself to infection, examines and tests drains
and sanitary appliances, inspects the cistern and water fittings,
and makes enquiries as to the source of milk supply, and as
to schools attended by children in the house or places and
nature of employment of adults.
Notices of the case are immediately forwarded to the headmasters
of the schools attended.
Disinfection of the bedding and premises is carried out after
the removal of the patient or at the termination of the case.
c