Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Enfield]
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door, and one a few doors further along in the course of six days.
As the result of a house-to-house visitation and a personal inspection
of every child in the row, I discovered the original cause of the
outbreak in the person of a small boy who had been indisposed
for one day with a sore throat, and was kept at home that day,
but was allowed to attend school the following day.
A small outbreak in another isolated part of the parish comes
under the same category. From information received. I visited
a house and found four children recovering from what the mother
supposed to be Measles; as a result of this I interviewed nearly
all the children in the neighbourhood and found six others recovering
from a slight attack of the disease.
In connection with this little outbreak, I should like to acknowledge
the very great assistance I received from the Head Mistress of
the local elementary school.
The 160 notifications received referred to 158 cases, which
occurred in 116 houses, as follows:—
No. of houses where 1 case occurred 93
,, ,, ,, 2 cases „ 16
,, ,, ,, 3 3 ,, ,,
,, ,, ,, 4 ,, ,, 2
,, ,, ,, 5 ,, ,, 1
„ 11 ,, „ (a school) 1
Total No. of houses where cases occurred 116
Total number of cases 158
DIPHTHERIA.
Seventy-two cases of Diphtheria occurred during the year in
64 houses, although I received 75 notifications.
Number of houses where 1 case occurred 58
,, ,, ,, 2 cases ,, 4
,, ,, ,, 3 ,, ,, 2
Total number of houses where cases occurred 64
Total number of cases 72.
A reference to the chart will shew that in 15 weeks, including
4 consecutive ones, no cases were reported, and for 18 weeks we only
received one each week.
On receipt of a notification it is my invariable custom to swab
as many contacts as I can find, and by this means I was able to
discover 17 carriers during the year, and I always swab every child