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89
Report of the Medical Officer of Health.
and he ascertained that a ease of Enteric Fever had been
treated at the farm house for some weeks, also that the water
supply to the dairy was derived from a spring which appeared
to be contaminated by the drainage of a cottage in the
vicinity.
"The Medical Officers of Health of all the districts
replied stating that there was no infectious disease at any of
the farms with the exception of the farm in Wiltshire, and
Dr. Tubb-Thomas, the County Medical Officer of Health,
communicated with me on the 22nd February stating that he
had just heard of a case of Enteric Fever at that farm. He
also stated that there was illness at this farm in November
or December last, treated as Tubercular Meningitis, but that
he was inquiring into the matter, and that he had had no
cases of Enteric Fever in any of the Rural Districts in which
the other farms were situated during the months of December,
January, and February. Dr. Tubb-Thomas also informed
me that the Medical Officer of Health of the Rural District in
which the farm is situated was Dr. Streeten, and I at once
wrote to him on the matter.
"As it was quite possible that cases were occurring in
this Borough clue to the same cause, and knowing the difficulty
of diagnosis, especially in children, I at once communicated
with the mcdical practitioners in the district in which
milk was supplied by this particular purveyor, stating that
the milk supply was infected, and that cases of Enteric Fever
had occurred in another district in which this milk supply was
implicated.
"After this circular was sent the following seven cases
were notified to me:—