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104
54 cases of Typhoid Fever were notified during the year, but in many
instances no causes or predisposing influences were stated.
Errors in Diagnosis.
Seven cases sent to various hospitals, 5 in Poplar, 1 in Bromley; and
1 in Bow were certified (see list pages 57-59) as not suffering from
Typhoid Fever:—so that in the 54 notified cases, 7 patients were
certified from hospitals of the Metropolitan Asylums Board* as not
suffering from the complaint (see page 60).
Bacteriological Examinations of Doubtful and Convalescent
Cases.
Forty specimens of blood from doubtful cases of Typhoid Fever
were forwarded to the Lister Institute of Preventive Medicine. In 14
instances (35.0 per cent.) the Typhoid (Widal) reaction was obtained.
On 22nd January, 1909, in accordance with arrangements made by
the Local Government Board, directions were received from the Lister
Institute of Preventive Medicine, with reference to the examination of the
stools and urine of Enteric Fever patients discharged from the Metropolitan
Asylums Board's Hospitals in cases in which the bacillus was still
harboured. The arrangements have been carried out as far as practicable.
On 1st January, 1910, instructions were received from the Local
Government Board, extending the afore-mentioned arrangements to all
cases of Typhoid Fever discharged from the Metropolitan Asylums
Board's Hospitals, whether the bacillus was harboured or not upon the
discharge of the patient from hospital.
Deaths.
Eight Poplar parishioners died from Typhoid Fever, 4 fatal cases
occurred among the Bromley patients, and 2 among the Bow, making a
total of 14 deaths in 54 cases.
* Twenty-seven eases were removed to hospitals of the Metropolitan Asylums
Board, and 23 cases were treated in other institutions. (See page 101.)