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34
CEREBRO SPINAL FEVER
Six cases were certified with five deaths. Four of these cases were in
infants under 12 months, one patient was 2 years and the other six years
of age. In three of the cases there was positive evidence as to the presence
of the micro-organism of the disease, in two the evidence was doubtful, and
in one the micro-organism was not found.
Inquiries were made as to two deaths from meningitis. One was due to
the micro-organism of pneumonia and the other was stated by the medical
practioner attending the case not to have been cerebro spinal fever.
The cases certified as cerebro spinal fever in the Metropolis numbered
85, and 12 deaths were attributed to this disease.
ANTHRAX
A case of anthrax came under my notice during the year in the person
of the wife of a caretaker employed at a horse hair factory. Drawn hair
is manufactured, the work being in tail hair, which is obtained practically
from all parts of the world, but more especially from Russia, Siberia, South
America, and China. Most of it comes from Siberia. The patient first noticed
a pimple on her neck about April 20th ; it was thought to be a boil up to
the 26th, when she was beginning to feel ill and went to the London Hospital.
It was then recognised to be malignant pustule, the seat of innoculation of
the micro-organism of anthrax, and the patient was admitted and operated
on at once. She made a good recovery. The patient was not employed in
working with horse hair, but she cleaned the offices and did washing and
doubtless washed the blouses used by her employer in the business, and also
washed her husband's clothing.
GLANDERS.
In accordance with Article 2 of the London (Notification of Glanders)
Order, 1907, some 21 intimations were received from the Veterinary Inspector
of the London County Council as to the existence of glanders amongst horses
on premises within the Borough. The necessary steps in connection with the
cases, and the cleansing and disinfection of the infected premises were carried
out by the officers of the London County Council. Enquiries were made by
the officers of the Borough Council in each instance, but no evidence was
obtained as to the existence of any case of human glanders
CHOLERA.
In connection with the occurrence of cholera in Russia intimations were
received from the Port of London Sanitary Authority as to the arrival of
six persons from Russia who were proceeding to addresses in Shoreditch.
One intimation was also received from the Hull and Goole Port Sanitary