London's Pulse: Medical Officer of Health reports 1848-1972

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Acton 1907

[Report of the Medical Officer of Health for Acton]

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15
3 Other cases were proved to have been in contact with a previous
case of Typhoid, and in all probability this was the source
of the infection.
In the 8 other cases the source of the infection was not definitely
traced, but recent bacteriological research has thrown a new light
on one of the ways hitherto little suspected whereby Typhoid
Fever may be disseminated. Several instances have been recorded
of outbreaks due to chronic typhoid carriers, and in one instance
a typhoid carrier of 29 years' standing was discovered. The discovery
of the chronic typhoid carrier and of the mischief which
such a person may produce is certainly disquieting, particularly
when we reflect that, though the bacillus probably persists in only
a very small percentage of enteric fever cases, there must be a
considerable number of these dangerous individuals whose condition
is unknown, unsuspected, and not likely to be discovered.
It is especially disconcerting to realise that some of these unknown
carriers may be engaged in occupations which involve the
constant handling of food. But however unpleasant this contingency
may be, we cannot afford to close our eyes to its possibility;
and it therefore seems desirable that special precautions should
be taken when persons ascertained to have previously suffered
from typhoid fever are employed in work of this nature.
PUERPERAL FEVER.
Only one case of Puerperal Fever was notified, and the illness
resulted in death.
ERYSIPELAS.
29 Cases were notified, but there was no fatal case.
CANCER.
There were 46 deaths from Cancer.