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During his stay he developed a Type I reaction following which his B. I.
changed from 4+ to 2+ the bacilli now being all granular.He is to continue
treatment as an out-patient at the Hospital for Tropical Diseases.
MEASLES.
The cyclic nature of this disease is clearly illustrated by the totals
for the past four years of cases notified
1963 797
1962 232
1961 1,333
1960 247
POLIOMYELITIS.
There was one case of non-paralytic poliomyelitis notified to the
Department during the year.
TYPHOID.
(1) A known carrier of typhoid phage type E. 1, an elderly woman previously
known to have infected some of her grandchildren, was kept under
surveillance. All results were posivitive. Two further grandchildren, a boy
of 9 years and a girl of 2 years (a newly born baby at the time of the
previous outbreak) were both infected; both made uneventful recoveries.
(2) A married woman admitted to a local general hospital was discovered
after one week, to be suffering from typhoid phage type Ell. As a result of
the delay in receiving appropriate treatment until admission to an Infectious
Diseases Hospital, she had a stormy passage with several relapses and ultimately
became a carrier: fortunately there were no secondary cases in the
first hospital.
The source of infection was her husband who contracted typhoid during
the period of, although not actually involved in, the Croydon Epidemic 1939.
The husband is alleged to have told doctors that he had had typhoid in
1939 and that his wife's symptons were similar to his own! In the intervening
period he had been unaware that he was a carrier. Had the husband's story
been heeded, this woman should not have been admitted to a general hospital
and would, in all probability, not have developed a carrier state.
Both have been kept under surveillance and were found to continue to
excrete the organism
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