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

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Acton 1911

[Report of the Medical Officer of Health for Acton]

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32
As stated above, the outbreak was sudden in its onset, and
there was no connection between the cases notified on April 22nd
and subsequently with those which had previously been
notified in the district. The schools could have had no part
in the spread of the disease, as they had broken up for the
Easter holidays on or before April 12th. Moreover, the distribution
was not a school nor a class distribution.

Between April 22nd and April 28th, 25 cases were notified the notifications being as follows:—

April 22nd8 cases
„ 24th7 „
„ 25th6 „
„ 27th1 case
„ 28th4 cases

With two exceptions, all these cases occurred in houses
supplied with milk from the same dairy. Subsequently to
April 28th, no primary cases occurred amongst the customers
of this dairy, but four cases occurred on May 1st and May 2nd
in a house from which two previous cases had been removed
to the hospital; in another bouse, where a case was being nursed
at home, a second case was notified on May 6th.
There are two other cases which were probably secondary
cases. One of these was notified on April 29th, and had
sickened on April 27th. She was a maid in the house, and
on the previous day another maid had been removed to the
hospital. The primaty case had been ill since April 22nd.
The other probable secondary case was notified on April 24th,
and had sickened on April 23rd. His two brothers had been
removed to the hospital on April 22nd, and had sickened on
April 21st, and his sister had been notified on April 22nd,
and had sickened on April 20th.