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36
INTERNATIONAL
Individuals arriving in this country from areas abroad where certain
diseases are prevalent and who are unable to produce satisfactory evidence of
vaccination are notified that they will be placed under surveillance during the
period of incubation of the disease.
TYPHOID
Two cases were notified.
1. In July information was received from a local hospital that a man
had been admitted two days previously and Salmonella typhi
isolated from his stool.
He had been on a tour in Bulgaria and two days before he was due
to return had been taken ill with diarrhoea and sickness and, after
being hospitalised for just over a week with a diagnosis of Pancreatitis,
had discharged himself and returned home on 23rd. He was almost
immediately re-admitted to hospital where he died three days later
death being certified as due to (a) Pancreatitis and (b) Typhoid.
Investigations amongst the family contacts proved negative but it
was reported that the patient drank a good deal of water on the
holiday.
2. On 11th October it was reported by the South Western Hospital that
Salmonella typhi had been isolated from the blood of a woman of
62 years admitted on 7th October, with an illness originally diagnosed
as lobar pneumonia and treated with ampicillin. The date of onset
of the illness was 20th September.
The patient had been to Spain with her grandson and his parents from
9th to 24th September, and the grandson had had a transient gastroenteritis
on 19th and the patient had headache and malaise on 20th.
The family was careful not to drink the local water and had Vichy
water, but sucked the ice cubes with which it was cooled.
The organism was only isolated from the blood of the patient, and not
from her stools, nor was it isolated from any other members of the
party.