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

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Beckenham 1908

[Report of the Medical Officer of Health for Beckenham]

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44
(17) When the quarantine has been raised the patient
should have a warm bath, get into fresh clothes, and be transferred
to another room or elsewhere, and the Public Health
Department notified.
(18) At the removal of the sick person to hospital or
at the termination of the illness, the Public Health Department
will fumigate the infected premises and disinfect the bedding.
The playthings or books used during the illness must be
destroyed. All books of trifling value and papers and periodicals
will be destroyed.
(19) The furniture and floors must be washed after
fumigating with perchloride of mercury (1 in 1000) or 5 Per
cent. carbolic acid, or other chemicals authorised by the
Medical Officer of Health, and the whole exposed to plenty
of fresh air and sunlight. When that has been done to the
satisfaction of the Medical Officer of Health, the sick room
is ready for reoccupation.
Diphtheria.
(1) Diphtheria may attack the throat, the organ of voice,
the nose, the eyes, or other parts. The usual situation is the
throat.
ONSET.
(2) The onset of Diphtheria is gradual as a rule, and the
child, for it more often occurs in children than adults, looks
pale and is tired and sleepy, does not wish to play or want its
food, and has probably hard swollen glands in the neck, and
fever.
(3) The throat is a little sore and there may also be
noticed an unpleasant odour of the breath; or—
(4) If the organ of voice be involved the voice will be
altered, there will be huskiness, a hollow or barking cough, and
later, difficulty of breathing; or—
(5) If it attacks the nose it is like a bad cold in the head,
the discharge is watery, abundant, often down one nostril only
and often bloody; or—