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57
We have, of course, no power further than this to prevent
expectoration in streets or houses. But we have made an effort
to advise on the matter in each case of phthisis notified to us.
Each case is visited and a sanitary survey made of the house.
A printed statement as to preventing the spread of consumption
is left with the patient and his friends, and thorough disinfection
is carried out. A card is also left containing the following
advice:—
To prevent Consumption.
1. Keep the windows always open at the top day and night,
and the room well ventilated. Never let it get " stuffy."
2. Keep the room very clean.
3. Spit only into a spittoon or cup kept for the purpose. The
cup should contain a little water or liquid disinfectant. Once a
day clean the cup at the sink with boiling water.
4. Boil all milk before use.
5. Live in the fresh air as much as you possibly can.
(Signed) George Newman, M.D.,
Medical Officer of Health.
Public Health Department,
Finsbury Town Hall,
Rosebery Avenue, E.C., 1903.
Other Forms of Tuberculosis.—In addition to 223
deaths from Phthisis (Tuberculosis of the Lungs), there were also
during the year 22 deaths from Tuberculosis of the meninges of
the brain, and 39 deaths from other forms of Tuberculosis.
Each of these cases has been investigated as far as possible, and
we have obtained some facts in relation to 24 infant deaths
apparently tuberculous (the certified cause of death is printed in
italics):—
1. F., 4 months; 10, 1. Street. Tubercular intestine (wasting) exhaustion.
Mother had eight children, four of whom died (one from diphtheria,
three from "wasting"). No information as to phthisis in the family.
Family of six lived in two rooms. Mother's milk only.