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 1910
[Report of the Medical Officer of Health for London County Council]
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vi.
Annual Report of the London County Council, 1910.
Report of the Medical Officer of Health—Appendix II.
vii.
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| Date (usually that of death). | Initials and age. | Employment and where employed. | Institution where treated. | Symptoms. Course of disease. How long it was recognised before death. | Post mortem appearances. Whether bacillus mallei found. | Evidence, if any, as to manner in which disease was contracted, and general remarks. |
|---|---|---|---|---|---|---|
| 30.viii.05 | A.T., 21 | Carman, Stepney | London Hospital | "Septic pneumonia." Pustule above knee cap | B. mallei found | Several cases of glanders in stud of horses among which A.T. worked. |
| 8.xii.05 | G.C., 46 | Farrier, Camber-well | St. Thomas' Hospital | "Blood poisoning.'' Hæmorrhagic spots on legs. Wound on right arm. | B. mallei not isolated | Glanders had been present in stud of horses at place where he was employed. |
| -.iv.06 | S.G., 38 | Horsekeeper, Islington | - | Ulceration of hard palate and lower lip "Pyæmia and delirium" | P.M. tuberculosis of lungs. B. mallei not found | A few weeks before illness began a horse "coughed over him." |
| -.ii.07 | —.J. — | Horse bus driver | Seamen's hospital | Boils on neck November, 06. Swelling increased and spread to chest. Large ulcer formed | B. mallei found | No evidence of glanders in horses among which this man worked. This is Case VI. in Bernstein and Carling's paper (1909). |
| l.iv.07 | T.T., 57 | Cabdriver, South-wark | Southwark Infirmary | Admitted 28th March, died 1st April | B. mallei found | A horse with clinical glanders found among those tended by T.T. Also two "reactors." |
| 13.viii.07 | F.B., — | Window cleaner, Southwark | Southwark Infirm ary | "Pyæmia." Effusion right knee joint. Nodules on skin and in nose | B. mallei found | Deceased had lodged with a carman. No contact with glandered horses was, however, proved. |
| 8.ix.07 | C.A.B., 24 | Greengrocer, Wandsworth | Bolingbroke Hospital | — | B. mallei found. No nodules in lungs | A glandered horse found in stable at rear of deceased's dwelling. |
| 7.ii.08 | E.J.S., 40 | Horsedealer, Southwark | Guy's Hospital | At first thought to have "influenza," then pneumonia, then typhoid fever. Pustular rash. Diagnosed day before death | B. mallei found | Purchased worn-out horses for shipment abroad. |
| 22.viii.08 | H.W.C., 32 | Horsekeeper, Fins-bury | St. Bartholomew's Hospital | Pain in shoulder. Sores and intramuscular abscesses developed. Diagnosis made two days before death | B. mallei found | 75 horses at stable premises concerned were tested. 11 reacted and were slaughtered. |
| 14.ix.08 | P.G., 28 | Master carman, Southwark | Guy's Hospital | Abscess in shoulder. "Blood poisoning" | Lesion found post mortem in larynx. Intramuscular abscesses. | One horse which he had driven was found to be glandered. |
| 16.ix.08 | D.L., 29 | Horsekeeper, St. Pancras | St. Bartholomew's Hospital | Ill at time of death of H.W.C.(v. above). Entered hospital and disease at once diagnosed | B. mallei found | 75 horses tested. (See above.) 11 reacted and were slaughtered. Worked in same stable as H.W.C. |
| 2.xi.08 | R.S.C., — | Wandsworth | Guy's Hospital | Ill six weeks "influenza," "rheumatic fever," than "septicæmia" | B. mallei found | No evidence to show this man had been in any way associated with horses. |
| 19.xi.08 | H.S., 59 | Formerly a coachman, Marylebone | Marylebone Infirmary | Three weeks diarrhœa and sore on right elbow. Pustular rash on face | B. mallei it was believed was found after death | Lived in rooms over an empty stable. No evidence of contact with glandered horses. |
| (a)10.xii.08 | E.R., 29 (female) | This case was believed at one time to be a case of glanders, but it later became clear that it was not a instance of that disease, v. Ann. Rep. 1908, of Dr. Parkes, Chelsea. | — • | |||
| 2.iii.09 | C.E.D., 41 | Horsekeeper, Dul-wich | St. Thomas' Hospital | Fainting fit and sickness 10th February. On 27th swelling right knee, and on leg (ankle) and forehead | B. mallei found | Extensive disease among horses in stud at premises where C.E.D. was employed. |
| (a) 7.iv.09 | H.P., 36 | This case was notified in error in Islington. | ||||
| (a)15.iv.09 | A case of suspected glanders sent to Eastern Hospital. | Dr. Goodall diagnosed erythema multiforme. | ||||
| (a) 9.ix.09 | H.D., | Case notified in Pop lar. The Malady proved to be Impetigo contagiosum. | ||||
| -.vii.09 | J.P., — | Carman, Kensington | University College, Golden-square | On 8.viii.08 to University College as outpatient with sore throat In June, 1909, to Golden-square Hospital. Case notified to Medical Officer of Health of Kensington in July, 1909. Death recorded in "Return," 10.X.09. On 5.xi.09 case exhibited at Laryng. Soc. v. Trans. Roy. Soc. of Med. | Extensive ulceration tonsils and fauces. In December, '08, case was shown at Laryng. Soc.; then thought to be refractory syphilitic ulceration. B. mallei found | This case resembled that of A.B. Case V. in Bernstein and Carling's paper, v. supra. A full account of the case is given by Messrs. Addison and Hett, "Lancet," 23.X.09. The man was believed to have been in contact with a glandered horse. |
| 14.X.09 | J.H.W., 29 | Member of staff of inoculation department | St. Mary's Hospital | 1/ Case notified as glanders to Paddington 9.V.09. Illness contracted in 1906. Glanders diagnosed and vaccine treatment adopted That of Carman (next but one supra) | Intramuscular abscesses. About a fortnight before death,infection generalised B. mallei found | An obituary notice appeared in "British Medical Journal," 30.X.09. |
| — | ||||||
| (a)10.xi.09 | — | Golf professional... | St. Bartholomew's Hospital | Case in which question arose as to a diagnosis of glanders. Man in St., Bartholomew's Hospital. B. mallei could not be isolated, and a mallein reaction proved negative | — | The patient had punched out ulcers on his fauces. It was held that the case was not one of glanders. |
| (a)10.xi.09 | —.G., | Inspector of exported horses | — | A suspicion of glanders was entertained because there was a history of being "sneezed over" by a horse | — | The case was one of acute eczema following injury to left shin. |
| (a)15.iii.l0 | C.M., 62 1 | Stableman until November, 1909 Chelsea | West London Hospital | Admitted to St. George's Workhouse 18.xii.09. Transferred to infirmary 3.ii.l0. Furuncular rash on face 28.ii. | — | Case treated in West London Hospital. Mallein reaction negative. The man had been taking iodide of potassium prior to appearance of rash. |
† Indicates a case in which glanders was suspected but in which this diagnosis was not confirmed.