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43
Four of the five cases of Haemolytic Streptococcal infection
occurred in a small private nursing home where the only focus of
infection common to all was the one night nurse. Each case had
engaged her own doctor for the confinement, and the other members
of the nursing staff did not come into contact with all the cases
except the one night nurse who, incidentally, did not reside on the
premises. She wore no mask when attending her patients, and
harboured Haemolytic Streptococci in her pharynx for more than
two months.
SANITARY CIRCUMSTANCES OF THE AREA.
Public Cleansing.
House refuse is collected weekly but in certain streets more
often for special reasons. All refuse, both house and street, is
loaded into barges and taken 40 miles down the Thames to
Mucking, where it is systematically buried under a layer of earth
with turf, first removed and then replaced over the refuse.
There has been no material alteration during the year in the
arrangements for Public Cleansing.