London's Pulse: Medical Officer of Health reports 1848-1972

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St Pancras 1905

[Report of the Medical Officer of Health for St. Pancras, London, Borough of]

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65
III.—INFECTIOUS DISEASES.
§ 1.—DISCOVERY AND DIAGNOSIS.
It is well to know that unrecognised cases largely spread infectious diseases.
Discovery.—Mild cases of indisposition or disease excite no particular attention
or are attributed to other than the real cause by parents, guardians, or friends,
and are not submitted to medical examination. When cases of suspected
infectious diseases are discovered there is sometimes considerable difficulty and
delay in making an exact medical diagnosis in certain types of the diseases.
Here bacteriological and additional clinical examination arc brought to bear
upon doubtful types, and to check or confirm the diagnosis.

Bacteriological Test.—The number of specimens of secretion, blood and sputum submitted to bacteriological tests during the year in suspected cases of Diphtheria, Typhoid or Enteric Fever, and Tuberculosis, and the results of examination were as follows:—

Bacillus found.Doubtful.Bacillus not found.Total.
Diphtheria (Secretion)246791
Reaction obtained.Doubtful.Reaction not obtained.Total.
Typhoid (Blood)2152349
Bacillus found.Doubtful.Bacillus not found.Total.
Tuberculosis (Sputum)112132

Infectious Diseases fall into four categories—
(a) Permanent compulsorily notifiable diseases,
(b) Voluntarily notifiable diseases,
(c) Temporarily compulsorily notifiable diseases, and
(d) Non-notifiable diseases.