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11
I conferred with and advised your Sanitary Inspectors how we
should proceed, and sent a circular letter, dated December 22nd,
1911, to medical men residing in the area, asking for their co-opera
tion, and informing them that infective material could be examined
in the interests of the public health free of charge to them at the
County Laboratory, Maidstone.
In addition to the prescribed registers, details are collected on
cards (of which I have drawn up a special form to suit the requirements
of the District) which are filed, and to which further notes
of the history of each case can be added from time to time.
The Special Return, required by the Local Government Board,
on "Phthisis, Sanatorium, and Hospital Accommodation," is not
included in this report, as there are no facts to insert for this District.
The advance copy of the form has been sent to the Board
as requested.
Hospital Isolation.
Thirty cases of infectious disease were treated in the Bromley
and Beckenham Joint Isolation Hospital, and were admitted as
follows:—
January. 1 case (Scarlet Fever).
March. 5 cases (4 Scarlet Fever, 1 Diphtheria).
May. 1 case (Diphtheria).
June. 4 cases (3 Diphtheria, 1 Enteric Fever).
July. 2 „ (1 Scarlet Fever, 1 Enteric Fever).
August. 1 case (Enteric Fever).
September. 2 cases (1 Diphtheria, 1 Enteric Fever).
October. 4 „ (3 Diphtheria, 1 Scarlet Fever).
November. 1 case (Diphtheria).
December. 9 cases (7 Scarlet Fever, 2 Diphtheria).
Total 30 cases (14 Scarlet Fever, 12 Diphtheria, 4 Enteric
Fever).
Two cases of Scarlet Fever were treated in the Brook Hospital
of the Metropolitan Asylums Board; the patients being a boy and a
girl, from Mottingham, who were being treated for a throat affection
in the Eltliam Cottage Hospital, where they developed Scarlet
Fever.
A County Laboratory (at present at Mill Street Chambers,
Maidstone), is to be established at the commencement of 1912.
where diphtheria swabs, specimens of sputum, suspected typhoid
blood, etc., can be examined free of direct charge if for the interests
of nublic health, and when sent in the special outfits to be provided
and with an accompanying prescribed form filled in. A small stock
of the outfits will be kept by the Sanitary Inspectors.