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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33
to have been Asiatic Cholera, but which, having regard to its
distribution in Greenwich, and to its seasonable incidence, was
probably related to those forms of diarrhceal sickness that
especially tend to prevail in seasons when Cholera is prevalent in
Europe."
"Dr. Klein said he had received materials from the viscera
of the deceased persons, and had made a bacteriological examination.
He had come to the conclusion that the disease was not
Asiatic cholera. In all the materials there was a microbe present,
which, not occurring under ordinary conditions in normal
intestines, might possibly be connected with the disease from
which the persons died. If he had to give a certificate of death
in these cases, he should say ' Infective Diarrhoea.' The water
from the Workhouse contained microbes not found in wholesome
drinking water, and was such as ought to be condemned for
drinking purposes. The Infirmary water was satisfactory. The
water did not contain the microbe which he found in the viscera
of the deceased persons. That microbe was, as far as he knew,
peculiar to this outbreak."
As a result of the enquiry, the Workhouse in future will be
supplied with water from the Kent Waterworks Co., and an entire
new system of Drainage is now in process.
ZYMOTIC DISEASES.
I stated in my Annual Report of 1888-9, that it was customary
to regard the absence or prevalence of disease of a Zymotic type
as a test of the Sanitary condition of a district, and I was justified
in congratulating the Board upon the satisfactory state of the
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