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60
The Treasury Medical Service were notified of this incident,, and
their attention drawn to the dangerous practice of reheating meat cooked
the previous day. A recommendation was also made for the provision of
adequate refrigeration space.
Single Cases (l)
This referred to a female aged 31 (nursemaid). Symptoms were
fever and diarrhoea. Salmonella typhimurium was isolated in this
case. Specimens taken from household contacts proved negative. Source
of the infection was not discovered, but could have been food contaminated
by mice known to be infesting the premises.
SALMONELLOSIS
10 cases of salmonella infection were brought to the notice of
this Department during the past twelve months. These are cases which
have symptoms, and although a food poisoning organism is isolated from
the faecal specimens, food is not considered to be the vehicle of the
infection, which is caused through case-to-case contact or by crossinfection.
A summary of these cases is now supplied annually to the Ministry
of Health as instructed in the revised memorandum on Food Poisoning.
A copy of this year's return is submitted below.

PUERPERAL PYREXIA
Puerperal Pyrexia means a febrile condition in a woman in whom a
temperature of 100.4° Fahrenheit (38° Centigrade) or more has occurred
within fourteen days after childbirth or miscarriage.
Forty-six cases were notified during the year, all of which
occurred in hospital. Thirty-six notifications referred to patients
residing outside the Borough.
Herewith is a brief summary of the actual causes of the above
casess 5 cases were due to genital tract infection, 8 to breast
involvement, 6 urinary tract infection,9.respiratory tract infection,
1 kidney infection, 1 bladder infection, 2 associated with Caesarean
section, and causes not known 14.
Two other cases were brought to the notice of this Department by
other local authorities$ these concerned Chelsea residents whose
confinements took place in hospitals situated in their areas.