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Up to the time of writing this report there has been nothing more than the normal
incidence of measles in the City.
MEASLES WARNING.
Measles has appeared in your neighbourhood, and there is a possibility that tne disease may
become prevalent.
Measles is ahighly infectious disease, especially in the early stages of illness before the rash appears.
The early symptoms are those of a cold, which may be at tirst slight ; there is generally running at
the eyes and nose, sneezing and possibly a dry cough, followed by a rash about tne fourth day after
the first appearance of illness.
Measles should always be treated, as a Serious Disease, especially in Young Children. As soon as
it is suspected the child should be put to bed in a well-ventilated room (as far as possible away from
other children) and be kept warm. A doctor should be called in at once, for many children lose their
lives, or suffer from ill-health for years as a result of the after-effects ot the disease, mainly because
the disease is neglected in the early stages. Tne child should on no account be exposed to chill or
draughts or allowed to run about until tne doctor or nurse gives consent.
Immediately Measles occurs in your family you should inform the Head Teacher of the School attended
by your children, or the Health Visitor at the Infant Welfare Centre, or send, word to the Medical Officer
of Health at the Guildhall, E.C.
A child showing signs of sickening or suffering from measles must not attend Sunday School,
cinemas, public baths or any place of entertainment, nor mix with other children.
Arrangements for the Removal of a Measles Patient to Hospital or for Nursing Assistance in the
Home may be made in Special Cases when the need for this is known to the Medical Officer of Health.
The sooner you send word of the existence of measles in the home the sooner will the Medical Oxficer
of Health know, and the sooner will help be forthcoming. Do not wait until bronchitis or pneumonia
develops—it may then be too late.
w. M. wllloughby,
Acting Medical Officer of Health.
NURSING PROVISION.
Measles, etc.—The Corporation has approved of the expenditure of £25 per annum in
respect of the nursing of complicated cases of Measles, Encephalitis Lethargica and Cerebrospinal
Fever, and have also agreed to expend the sum of £30 on provision of medical assistance
and nursing attendance in necessitous cases of Influenza. No action was necessary under
this heading during 1927.
TEMPORARY ISOLATION ACCOMMODATION.
29, MIDDLESEX STREET.
Suitable accommodation for isolation and observation of Small Pox Contacts is provided
by the Corporation at 29, Middlesex Street, but it has not been found necessary to use the
accommodation during the year.
TUBERCULOSIS.
Acting on the suggestion of the Ministry of Health, special attention of medical men
practising in the City, and of large employers of labour, such as Banks and Insurance offices,
has been directed to the facilities which are available at the Tuberculosis Dispensary established
by the City Corporation at St. Bartholomew's Hospital.
As in past years, the Dispensary has been open for the diagnosis and treatment of tuberculosis
of various types on Tuesdays and Fridays, from 12.30 to 2.30 ; on Mondays, from 5
to 7 ; on Thursdays, from 6 to 7 ; and on Wednesdays, 11.30, for new cases only. In all,
253 sessions have been held, and in addition the Tuberculosis Officer has visited cases at
their homes when necessary.
New Patients.—The number of new Patients examined was 435, as compared with 410
last year.
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