View report page

15
Paratyphoid Fever.
Two cases of paratyphoid fever were notified. Both were hospital
nurses, but were not connected with each other. In neither case was the
origin of the infection satisfactorily determined but in one case it was
thought that the illness was caused by a recrudescence of a chronic
infection acquired many years previously.
As a result of information from the Ministry of Health it was discovered
that eleven cases of paratyphoid fever notified in other parts of the country
could be traced to a restaurant within the City. During the investigation
a paratyphoid carrier was discovered among the kitchen staff.
International Certificates of Vaccination and Inoculation.
Arrangements continued during the year for the authentication by
the Medical Officer of Health of International Certificates of Vaccination
and Inoculation completed by medical practitioners in Westminster.
These certificates are required by passengers proceeding abroad from
this country and the purpose of the authentication is to provide proof
to those health authorities abroad who desire it that the signature of the
person issuing the certificate is that of a registered medical practitioner.
4,084 certificates were authenticated during the year.
The Medical Officer of Health also issues, on request and in appropriate
circumstances, certificates to the effect that no cases of smallpox have
occurred in the district during the preceding two weeks. These certificates
are sought by persons proceeding to the United States of America
who do not wish to submit to vaccination. It is understood that the
United States immigration authorities reserve the right to place such
persons under surveillance notwithstanding the production of such a
certificate.
(7358) a 5