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

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Woolwich 1911

[Report of the Medical Officer of Health for Woolwich]

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43
57. In five cases the disease was attributed to shell
fish (mussels, periwinkles, etc.), and one to fried fish.
Four cases had milk from one dairy, where a girl was employed
who had Enteric a year and a half ago, and was
found to be still infectious.
It has been found that some cases of Enteric continue to
be infectious for years after they are apparently well,
and occasionally prove sources of infection to others.
The Local Government Board made an enquiry as to the
duration of infectiousness of the urine and faeces of the
Enteric patients discharged from the Fever Hospitals, and,
by request of the Board, I assisted in this enquiry. The
girl in question was one of those found in this enquiry to
have been intermittently infectious for many months after
leaving Hospital. On her leaving the shop no further cases
occurred.
58. Bacteriological Diagnosis. 20 samples of blood were
sent to the Lister Institute to be examined for Widal's reaction.
A positive result was obtained in 8.
diarrhœa or zymotic enteritis.
59. The deaths from Diarrhœa, Dysentry, and Enteritis,
(all forms) under two years of age were 101, or 0 83 per
1,000 population. The rate for London was 1.18. The
total deaths from these diseases at all ages were 130.
Although the diarrhoea death-rate was higher last year
than for several years past, there was a much higher rate
in previous years of warm summers, viz., in 1900 (1.31)