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It was reported that the 6-years old girl who had been immunised on 20th June in Pakistan, had
felt unwell with a fever and intermittent headache from the time of arrival in this country. She was
seen on 25th June and received treatment but, as the fever persisted, she was admitted to an isolation
hospital for observation on the 4th July. No other members of the family had been ill. On examination
she had a slightly raised temperature but looked well and her temperature settled rapidly within 24
hours and she remained clinically well. However, salmonella typhi was isolated from blood culture
taken on the day of admission. Following this, salmonella typhi was also isolated from stool
specimens. She was progressing well until on the 16th July a high fever developed which persisted the
following day; a blood culture was taken which again grew salmonella typhi. Her temperature
subsided after four days and following this she made a very good recovery and was eventually
discharged home on the 21st August after six faecal and urine cultures had been obtained, following
treatment.
The 10-years old girl was reported to have had a temperature in Pakistan but on arrival in this
country her health was good. However, as a result of routine specimen procedure carried out by this
department, salmonella typhi was isolated from stool specimen and she was admitted to the same
isolation hospital as her sister on the 23rd July.
This child remained well and was discharged home on 10th August after several negative faecal
and urine specimens.
Further enquiries and routine bacteriological investigations of the family and other domiciliary
contacts were carried out and their medical practitioners informed. All bacteriological results from
these contacts proved negative.
Periodical checks on the two cases after discharge from hospital all proved negative.
DYSENTERY
There were 81 cases notified and 'coming to knowledge'during the year. Of these, 67 proved
positive whilst 14 were clinical cases with negative stools.
Approximately two-thirds of these were isolated cases, the remainder comprising small outbreaks
at day nurseries and play groups.
TUBERCULOSIS

The notification rate of all forms of Tuberculosis was the same as 1972 for both the borough and
the whole country, i.e., 0.51 and 0.23 per 1,000 population respectively.

There were 8 tuberculosis deaths (all pulmonary) during 1973. The death rate of all forms of
tuberculosis in the borough, per 1,000 population was 0.04, the national rate being 0.03.
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