Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London, City of ]
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4.—Spitting in public places (streets, railway carriages, etc.) must be avoided. If the spitting
flask cannot be used, the handkerchief may be used and burnt as soon as possible afterwards.
5.—The contents of the spitting cups should be either poured down the w.c., burnt in the fire,
or buried in the garden. The vessels should both be boiled frequently in a saucepan kept for that
purpose only.
6.—The patient must use separate table utensils—cup, fork, spoon, etc.—which must be put
into boiling water after use.
7.—The patient should be clean shaven and should avoid kissing. He must never kiss or be
pressed on the mouth.
8.—A consumptive patient should always occupy a separate bed, and, if possible, a separate
room. The rooms should have as few hangings as possible, no ornaments, and the furniture be such
as can be scrubbed easily.
9.—The floor should be covered with linoleum, which can be scrubbed. The use of carpets as
floor covering should be avoided as much as possible.
10.—The rooms should be disinfected before use by anyone else.
It will be seen from the above that the most important matter is the proper disposal
of the phlegm.
General Rules to assist in the Arrest of Consumption.
1.—All windows in the house should, as far as practicable, be kept wide open, day and night,
winter and summer. The chimney opening must not be closed.
2.—Take meals at regular times. Eat wholesome food and plenty of it. The following foods
are the best:—all fatty foods, such as Meat, Bacon, Dripping, Butter, Margarine, and Suet Pudding,
and nourishing foods, such as Herrings, Porridge, Eggs and Thick Soups. Milk of good quality is
one of the best foods which can be taken by a consumptive person.
3.—Take no beer or spirits unless ordered to do so by the doctor. It is wiser not to smoke.
4.— Go to bed early. Avoid all crowded indoor places, and particularly excitement and close
air at night.
5.—All decayed teeth must be removed or stopped, as they are liable to interfere seriously with
recovery. Teeth must be cleaned carefully in the morning, and at night before going to bed.
6.—The phlegm must on no account be swallowed, as the disease may spread in this way to the
internal organs.
7.— Breathe through the nose, and teach the rest of your family to do so.
8.— Floors should be swept, after covering with damp sawdust or tea leaves j the sweepings
should afterwards be burnt. All dusting should be done with a damp duster, and dusters should be
boiled in the process of washing.
9.—Be in the open air as much as possible, but take care not to do too much. The doctor will
tell you how much exercise you may take.
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