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also that Typhoid fever had attacked the "Vendor's own household, and that
several of the Milk carriers were delivering the Milk whilst suffering from the
disease, the cause of the infection of the medium which is believed to have
conveyed the disease, appears to me to have been much nearer home than has
been supposed. Without, however, the strongest proof, it is not well in such
cases to speak too positively.
The premises of the Milk Vendor being in the Parish of Saint Pancras, I
did not pursue my investigations in this direction beyond our own Parish.
I therefore limited my action to the extent of conveying to him at once the fact
of the grave suspicion that attached itself to the Milk he was supplying, and
in advising him to discontinue his delivery of the Milk for a time, and also to
have especial regard to the health of his Milk carriers and other employes, and
to investigate immediately the sanitary condition of the sources from which
his supply was taken.
31 additional cases of Typhoid Fever have been recorded since the middle
of October, but these have happened in different parts of the Parish, and, like
most of the other scattered cases, have clearly no relation to the localised
outbreak which I have now referred to at some length.
I am,
Gentlemen,
Your obedient Servant,
C. MEYMOTT TIDY, M.B.,
Medical Officer of Health.
Vestry Offices, Upper Street,
hth November, 1883.