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74
Report of the Medical Officer of Health.
(4.) K. A., notified on the 9th November. Had oysters on the
10th October purchased from local dealers, and the first
symptoms appeared about the 27th October.
(5.) A. H., notified on the 22nd November. Had oysters at
a shop in town on several occasions before appearance of
first symptoms.
(6.) H. S., notified on the 26th November. Patient had
oysters about the 1st November, and the first symptoms
appeared on the 19th November. The oysters were purchased
at a shop in the city.
(7.) T. W., notified on the 8th September. Had cockles at
Heme Bay on several occasions up to the 19th August
there, and the first symptoms appeared on the 29th
August.
(8.) H. O., notified on the 12th October. Had winkles at
Newquay where he was on holiday about a fortnight previous
to the appearance of the first symptoms. The
Medical Officer of Health of that district was communicated
with, but he reported that he did not think that the
case could have 0fen infected there as the drainage outfall
is a considerable distance from the mussel-bearing
beds, and he did not think that there were any shell-fish
near the sewer outlet. The patient stated that he picked
the winkles from the rocks, but only ate a few as he
noticed that they had a peculiar taste.
(9-15.) These seven cases were all caused by eating winkles,
and were the subject of a special report.
ENTERIC FEVER AND SHELL-FISH.
For some years I have, in my Annual Reports, called attention
to cases of Enteric Fever caused by the eating of shell-fish.
In any case where the vendor of the shell-fish could be found,
the name of the wholesale dealer was ascertained, and this information
was sent to the Medical Officer of Health for the City of
London, in whose district Billingsgate is situated. In many of