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

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Greenwich 1893

Annual report for the year ending 25th March, 1894

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27
following Report upon the precautions which should be taken
by the Sanitary Authorities, in order (so far as is possible)
to prevent the spread of Cholera, in case it should become
epidemic in this District.
"It will be within the recollection of the Members of the
Board that during last Autumn several cases of Cholera were
reported as having been landed in this country, but owing to the
vigilance and great precautions taken by the Port Medical Officers
the disease was principally confined to the ' first line of defence.'
"If these precautions had not been taken, there can be no
doubt that a very serious outbreak would have occurred, at a time
when the several Sanitary Authorities throughout the Metropolis
were unprepared to meet such an emergency, and it is in order to
meet any further outbreak during the coming summer that I beg
to make the following recommendations, should Cholera become
epidemic.
"That the town should be divided into four districts, and that
the District Medical Officers should be asked if they will undertake
the visitation of the poorer houses, for the purpose of detecting
Cholera and Diarrhœa, and attendance on those cases that are too
ill to be removed to Hospital, and that a corresponding number
of Chemists be asked to undertake the supply of Medicines as
ordered by the District Medical Officers.
"That a plentiful supply of Disinfectants be kept in stock for
distribution, should occasion require.
"That leaflets be issued, containing simple instructions to be
observed by the people for the prevention of the disease, by