London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1894
[Report of the Medical Officer of Health for London County Council]
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APPENDIX L
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A Table showing particulars as to 119 cases of Anthrax which have occurred in London in recent years.
The particulars concerning the first 39 cases have been obtained from the similar Table prepared by Mr. Spear, and printed as an Appendix to his Report in the Supplement to the Twelfth Annual Report of the Local Government Board.
| No. | Place of treatment. | Patient. | Sex. | Age. | Date of attack. | No. of days before applying for treatment. | Seat of Charbon. | Condition of adjacent parts. | Constitutional symptoms. | Where employed. | Occupation. | Apparent source of infection. | Treatment. | Result. | Remarks. |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | ... | Mr. G. | M. | Mar. 29, 1873 | 1 | Under chin | March 30, slight swelling. March 31, much oedema | March 30, feverish-ness; later, difficulty of breathing and swallowing, delirium, prostra- | ... | Hide merchant | (?) The handling of raw hides, or the sting of an insect on the river banks where the patient had driven | Incisions and stimulants | Died April 4 . | When first seen, the swelling presented what appeared to be a minute central puncture. | |
| 2 | Guy's Hospital | M. A. C. | F. | 11 | Oct. 13, 1873 | 6 | Under chin | (Edema of face and neck, glands swollen | Dyspæa | ... | ... | Not ascertained. Patient lived in Horselydown | Incisions | Died Oct. 19 . | P. M. (Edema glottidis, diphtheritic patches in the small intestines and vagina. |
| 3 | Guy's Hospital | E. M. | M. | 43 | Nov. 15, 1873 | 7 | Neck | Hard oedema of neck | Dyspnoea, vomiting. Temp. 100.5° | Wharf | Labourer | Foreign hides | Laryngotomy | Died Nov. 24 . | P. M. (Edema of larynx. No pus in veins. |
| 4 | Guy's Hospital | J. F. | M. | 33 | Dec. 14, 1873 | 6 | Chin | No surrounding œdema | None | Messrs. Anning& Cobb's warehouse | Sorter's labourer | East India hides | Excision, chloride of zinc paste | Cured | |
| 5 | Guy's Hospital | G. J. | M. | 27 | Mar. 31, 1875 | 7 | Cheek | Some swelling of glands under jaw | None | Wharf | Labourer | Foreign hides | Excision, chloride of zinc | Cured | |
| 6 | Guy's Hospital | J. O. | M. | 47 | Aug. 20, 1877 | 15 after appearance of papule, 5 after swelling | Cheek | Great swelling, glands enlarged | Vomiting. Temp. 103°. Slight dyspnoea, great restlessness | Sun & Topping wharf | Labourer | East India dry hides (Calcutta and Bombay) | Excision (Sept. 4), chloride of zinc | Died Sept. 8 . | P. M. Certain morbid appearances were found in the stomach and small intestines. The term "charbon of intestine" applied to the indurated areas in the ileum. |
| 7 | Guy's Hospital | D. D. | M. | 20 | Oct. 14, 1877 | 3 | Neck | Whole side of neck much swollen and brawny | Temp. 103°. Day after operation, vomited, drowsy, restless, jerking movements of face and hands | South - Eastern wharf | Labourer | Five weeks before illness unloaded dry hides; since then employed at same wharf, but chiefly in unloading potatoes and currants | Excision, nitricacid | Cured | No bacilli found in blood. |
| 8 | Guy's Hospital | A. P. | M. | 17 | Jan. 12, 1878 | 6 | Anterior surface of forearm | Glands enlarged | Sick, faint, no rest. Temp. 101.2° | Tannery | Labourer (puts hides to soak) | Foreign hides • | Excision | Cured | |
| 9 | Guy's Hospital | F. H. | M. | 18 | Nov. 1, 1878 | 3 | Chin | Much brawny infiltration | ... | Hide wharf | Labourer | Foreign hides | Excision and caustic applied | Cured | Nothing abnormal found in blood. |
| 10 | Guy's Hospital | J. E. | M | 23 | Nov. 9, 1878 | 4 | Cheek | Swollen, glands enlarged | Headache, shivering | Tannery | Labourer | At "soaks" (first handling of hides) | Excision, carbolic and tannic acid | Cured | |
| 11 | Guy's Hospital | J. R. | M. | 28 | Nov. 24, 1879 | 5 | Forearm | Blush up to axilla | None | ... | Labourer | Sheep and goat skins from Cape | Excision, chloride of zinc | Cured | No bacilli found in blood or serum. |
| 12 | Guy's Hospital | D. W. | M. | 23 | Oct. 5, 1880 | 5 | Cheek | Much swelling, eye closed, lip an inch thick, glands enlarged | None on admission to hospital. Two days before had fainted twice, and had had a sleepless night. | Sun & Topping wharf | Labourer | Sorting East India hides | Excision, cautery | Cured | The day he came to the hospital the swelling was subsiding. |
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