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19
The first was a female aged 27 years, living in the Highbury area, who was
admitted to hospital in late January and was found to be a confirmed case of Typhoid
Fever
She had returned to this country from a village near Naples on the 18th January
after a month's visit
Domiciliary enquiries were made and routine bacteriological investigation of
primary contacts carried out
Both medical practitioners of Islington contacts and the Medical Officers of
Health of the areas where other contacts resided were kept fully informed
Subsequently, two of these contacts, one Of whom was resident in Islington,
developed symptoms and were removed to hospital for observation and investigation In
neither of these cases was typhoid confirmed.
Hie next case was discovered following bacteriological investigation of contacts
of a suspected dysentery, when an adult male Nigerian was found to be excreting
Salmonella typhi His medical practitioner was informed and treatment arranged Further
bacteriological examinations of both the carrier and all contacts were carried out.
One of these contacts was a midwife at a local hospital and another a food handler
in another borough
The respective authorities were kept informed
The third case was a female child, aged 2& years who was admitted to an Isolation
Hospital on the 25th October and was found to be suffering from Typhoid Fever
Previously the child had been an in patient in a General Hospital outside the
Borough, from 20th to 23rd October She was transferred to another General Hospital
which is situated in the borough, on the 23rd October
The patient had been on holiday in France with her mother and younger brother for
2 months, returning to England on the 3rd October During this period the father had
spent a week in France with the family during August It is presumed that the
infection was contracted abroad
Family and other contacts were kept under observation and their medical
practitioners informed
Bacteriological examination of all contacts proved negative.
Information was received in early June from the Chief Medical Officer of the
Ministry of Health of cases of Typhoid Fever in Aberdeen which were thought to be
associated with cold cooked meat purchased from one store