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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50
the first instance. One remained three months, and returned
very much improved in every way ; the other remained two,
and though her chest symptoms improved and she gained
considerably in weight, abdominal tuberculosis developed and
she had to be transferred to the Workhouse Infirmary.
Two men are now undergoing treatment, and are both doing
well.
100. The object of a Sanitary Authority in maintaining
Sanatorium treatment is three-fold:—Firstly, the restoration to
health and to work of the sick; Secondly, their temporary
removal from homes where they may be a source of infection
to others; Thirdly, their education in the principles of open air
treatment, and in the mode of life required to prevent their
being a source of infection to those with whom they come into
contact.
This last object is, perhaps, the most important of all, and it
is to be expected that those who have spent a couple of months
at the sanatorium will continue to live and sleep with open
windows, and to avoid spitting so as to endanger the health of
others. With this end in view it is desirable that the stay at
the sanatorium should be short to allow of the education of as
many as possible, but it must not be expected that patients can
be cured by two or even three months' residence.
101. The prevention of promiscuous spitting. The L.C.C.
have made a bye-law prohibiting spitting in public conveyances,
places of public amusement, and public waiting-rooms. This
bye-law applies to railway carriages, trams, theatres, &c., but