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Diphtheria gets conveyed into the Starlet Fever wards by means of
mixed cases of Scarlet Fever and Diphtheria, in which symptoms
of the latter disease are marked by those of the former. The same
observation applies with respect to the case of---, only
putting Enteric Fever instead of Scarlet Fever; and adding that the
combination of Diphtheria is much less common than that of Diphtheria
and Scarlet Fever.'"
During the last quarter great difficulty was experienced in the
isolation of patients suffering from typhoid fever, through want of
accommodation at the Metropolitan Asylums Board's Hospitals (see
page 31).
Three cases of scarlet fever and two of typhoid fever in Poplar
and one of typhoid fever, also one of diphtheria and one of continued
fever in Bromley were connected with milk shops in Bromley. The
London County Council was communicated with and the sale of
milk was stopped until after the premises and utensils had been
disinfected.
Six outworkers were connected with infectious cases notified, 3 in
Poplar and 3 in Bromley. The usual notices were served.
With regard to Section 55 (4) of the Public Health (London) Act,
1891—"Where a Medical Officer of Health receives a certificate
under this section relating to a patient residing within the Metropolitan
Asylum District he shall, within twelve hours after such
receipt, send a copy thereof to the Metropolitan Asylum Managers,
and to the head teacher of the school attended by the patient (if a
child), or by any child who is an inmate of the same house as the
patient."
In a report to the Committee, on the 23rd February, it was pointed
out, that if the true letter of the Act is to be carried out it would