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a rusty nail, which was sticking up in a piece of wood forming part of
an old chicken coop. The puncture was made through the sole of his
boot. It appeared to heal, but subsequently matter gathered in the
wound. The patient was seen by his doctor, on May 19th, when it was
observed that there was some difficulty in swallowing. Stiffness of the
neck was noticed by the patient the day before. On May 20th the jaw was
fixed, and there was rigidity of the muscles of the back and neck and
elsewhere, and a good deal of pain was complained of. He was removed
to University College Hospital, where he died on May 24th. The backyard
where the chicken coop had been lying abuts on the back of the
stables belonging to an Omnibus Company.
(2.) M., aged 63, a horse hair curler, residing at 34, E-Street, and
employed in Bunhill Bow, whilst at work, dislocated one of his fingers
and wounded one of his hands, on May 30th. The wound became
inflamed, and he went into hospital on June 2nd, and died from tetanus
on June 5 th
(3.) F., aged 3 11/12, daughter of a carman, living at No. 28, P-Street, was
knocked down and crushed by a tramcar in the New North Road, on
May 27th. She sustained serious injuries to her head, and died from
tetanus in St. Bartholomew's Hospital, on June 10th.
It will be observed that in all three cases it is possible that infection came from the
horse, for in the first case the yard in which the chicken coop was lying was in close
proximity to stables, where there were a large number of horses; in the second case,
the man worked with horse hah; and in the last case, the little girl was the daughter
of a carman, and was crushed on a road where probably infection obtained access to
her wounds.
INFECTIOUS DISEASES AND SCHOOLS.
In the following Table are set forth the numbers of children, belonging to
Shoreditch, who were suffering from infectious diseases, or were members of
households in which infectious diseases existed, concerning whom intimations of
exclusion from school were received from the head teachers, in accordance with the
requirements of the regulations of the London School Board:—