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17
In mild cases 2,000 units should be injected, and this dose should
be repeated in 24 hours, it the faucial condition gets worse and constitutional
symptoms appear.
In severe cases, and when the larynx is attacked, 4,000 to 10,000
units should be injected according to acuteness of constitutional
symptoms. It is believed if any good is to be done by antitoxin in a
bad case, it will be accomplished by 16,000 units given within 24 hours.
TYPHOID FEVER.
Twenty-nine cases were notified, against 46 in 1899, there were
four deaths, against seven in the preceding year.
Strict precautions regarding disinfection are carried out
immediately a case is notified, with a view of destroying any Typhoid
Bacilli deposited in closet pans or soil area around the closets.
An outbreak of Typhoid occurred in some wooden huts in Old
Oak Lane, which have been erected for the accommodation of the men
employed on the new railway. I clearly proved that the disease was
imported by a servant who had been sent home sick from Holloway.
At my suggestion the contractors closed the huts, and submitted
them and the soil area to a thorough process of disinfection under my
supervision.
As soon as a case of Enteric Fever is notified, Nurse Dawkins
takes with her tabloids of Perchloride of Mercury. All the inmates in
the house are told of the risks they run should they take their meals
without first disinfecting their hands.
By adding one tabloid to a pint of water, a solution is made of the
strength of 1 in 1,000, and the hands should be steeped in this
solution for at least five minutes.
The following leaflet is also left:—