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A friend of the above case residing in another borough who had also been on this cruise became
violently ill on 1st October and was admitted to another isolation hospital on the same day.
A stool specimen finally proved positive for paratyphoid 'B' fever after 3 previous negatives.
Subsequently information was received of several other travellers on this cruise whom were confirmed
as cases of paratyphoid fever whilst reports seemed to indicate that most of the crew were ill prior to this
person joining the ship.
The Department of Health and Social Security was informed.
The other references were for 87 contacts of Typhoid and 5 contacts of Paratyphoid - all with satisfactory
conculsions.
DYSENTERY
There were three hundred and eighty-four cases notified and 'coming to knowledge' during the year.
Of these, two hundred and ninety-three proved positive whilst ninety-one were clinical cases with negative
stools.
Roughly two thirds of the positive cases occurred in the first quarter of the year, when, initially, three
adjacent schools in the North of the Borough and two day nurseries situated in the East and the South were
affected. Subsequently there was family spread with minor outbreaks at several other schools in the Borough.

The notification rate of all forms of tuberculosis was 0.51 per 1,000 population as against 0.25 for
the whole country.
The total number of cases remaining on the register after adjustment for deaths and transfers was, on
the 31st December, 1969:-
Males Females Total
Pulmonary 1,106 795 1,901
Non-Pulmonary 116 162 278
Totals 1,222 957 2,179
There were 14 tuberculosis deaths (all pulmonary) during 1969. The death rate of all forms of
tuberculosis was 0.06 per 1,000 of the population, as against the national rate of 0.04.
Hostel for homeless tuberculous men, Cromwell Lodge, Chomeley Park, N.6.
During the year nine men were discharged from Cromwell Lodge, some to ordinary hostels and some
to hospital. Eight men were admitted and the number of men in residence at the end of the year was 25
(26-1968) 20 (21) of these were from other London Boroughs. 1 (2) Islington man was in residence at
Hurlingham Lodge Hostel in the London Borough of Hammersmith. Continued efforts to recruit an
assistant warden still proved unsuccessful.
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