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The result of the examination will be communicated to the
Medical Practitioner through the Medical Officer of Health,
immediately on receipt of the report from the Laboratory.
I enclose a memorandum prepared by the Medical Officer of
Health as to the taking of suspected matter.
The Vestry rely upon your cordial co-operation in giving effect
to these arrangements, and trust that you will see that no case in
which the diagnosis is clear will be submitted.
I am, Sir,
Your obedient Servant,
(Signed) G. W. MURNANE,
Clerk to the Vestry.
The Vestry of St. Martin-in-the-Fields.
Town Hall,
Charing Cross Road, W.C.
April, 1899.
Bacteriological Examinations in Suspected Cases of
Diphtheria and Typhoid Fever.
DIPHTHERIA.
Dear Sir,
For the purpose of obtaining a specimen of exudate in cases of
suspected Diphtheria for Bacteriological Examination, I beg to
submit to you the following suggestions:—
The patient should be placed in a good light. Remove the
cotton wadding stopper from the tube containing the iron wire.
Depress the tongue with a spatula and rub the cotton wadding
pledget fixed at the end of the rod, gently, but firmly against any
visible exudate; or, in other cases, including those in which the
exudate is confined to the larynx, pass the pledget as far back as
possible and rub it firmly against the mucous membrane of the
pharynx and tonsils.
Still keeping the wire in one hand, withdraw the stopper from
the tube containing the solidified blood serum, then rub the pledger