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

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Woolwich 1903

[Report of the Medical Officer of Health for Woolwich]

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37
At the affected houses in Court Road, the drains are of recent
date. All the houses in West Park have been recently inspected
house to house, the drains tested with smoke, and wherever
found defective relaid. All houses where Enteric Fever has
occurred, and many others in Court Road, have been similarly
dealt with, and the drainage in both roads is probably decidedly
superior to that of most houses in town or country. As regards
the complaint of Mr. Payne of neglect to inspect his drains,
there has been no neglect at all, but the drains were relaid in
October, 1902, and a proper disconnection and manhole
supplied; they have since been twice tested (October, 1902, and
29th March, 1903), and found satisfactory.
There are two sewers draining Court Road and one draining
West Park; these are all ventilated with shafts and work
satisfactorily. It is, however, under consideration to put an
automatic flushing tank at the head of the West Park sewer.
I have ascertained that the main West Kent sewer runs
under Mottingham and the south-west end of West Park; this
is, however, at a depth of 50 to 60 feet, so it is not likely that
it can have any injurious effect on these localities. Shell fish,
ice creams, and other foods which occasionally cause Enteric
Fever have been excluded.
On the whole, it appears that the recent occurrence of
Enteric Fever in Court Road and West Park is connected with
its occurrence in Mottingham. The Eltham cases occurred in
January, March and December, 1902, and February, March
and April, 1903. The Mottingham cases in February, April
and November, 1902, and March, 1903. What the connection
is, is not at present obvious. Although I have shown some
reason to suspect a particular milk supply, I am not aware of
any condition that would cause a milk supply to be