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

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Islington 1893

Thirty-eighth annual report on the health and sanitary condition of the Parish of St. Mary, Islington

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11.—All bed and body linen used by the sick person should be at once steeped for a few
hours in any of the above-mentioned solutions, and afterwards BOILED in water.
12.—Instead of handkerchiefs, small pieces of rag should be used, and these should be
burnt when soiled.
13.—Persons attending on the Sick should wear garments made of cotton, or other
washable material. Woollen dresses should not be worn. The attendants should wash
their hands after waiting on the sick person and before eating, using Carbolic or
Sanitas soap, or Condy's fluid. They should also rinse their mouths with a little
Condy's fluid and water.
14.—No unnecessary communication should take place between the nurse in the sick-room
and the other inmates of the house.
15.—The sick room must on no account be visited by others than those in immediate
attendance on the patient, as visitors are very liable to carry away infection.
N.B.—The non-observance of this instruction has been the cause of much illness and
many deaths.
16.—When recovering, and if the body of the patient is peeling, camphorated or carbolized
oil should be rubbed over the sick person every day. The sick person must not
be allowed to mix with the rest of the family until the peeling has
entirely ceased.
17.—The mouth, throat and nose should be very frequently washed with a disinfecting
solution, such as water containing some Condy's Fluid, by gargling, swabbing, or
syringing, to destroy the infection coming off by the breath.
18.—When the sickness has terminated, the sick room should be cleansed, and
information sent to the Vestry Hall, when a Disinfector will attend and thoroughly
fumigate the place, and remove for disinfection all clothing that has been in use in
the sick room. Afterwards, the room should be freely ventilated, and the ceiling
lime-washed, the paper stripped from the walls, and burned; if the walls have been
previously lime-washed lime washing should be repeated; and the furniture and all
the wood-work washed with soap and water containing a little chloride of lime. All
bedding and articles that cannot be washed should be disinfected by the Vestry.
Until this process of disinfection is properly carried out the room cannot be safely
occupied.
19.—Children must on no account be allowed to attend School from
a family, or even a house, in which any infectious disease
exists.
20.—When Small-Fox breaks out in a house the inmates should be immediately
vaccinated or re-vaccinated, It is the most certain prevention of this disease.
SHOULD THE SICK PERSON DIE.
1.— The body should not be removed into another room to spread infection over the house.
It is still infectious.