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77
seen by a doctor who informed him that he was suffering from
scarlet fever, and that he must go home without exposing himself
more than possible. The man returned home by train.
There was no local medical man in attendance and I
immediately had him removed to hospital.
Communication was made to the Authorities of the
hospital, pointing out that should similar circumstances arise,
the patient should be detained at the hospital and the Metropolitan
Asylums Board immediately communicated with, with a
view of obtaining his isolation and so preventing the risk of the
spread of infection.
CHOLERA, PLAGUE, AND SMALL-POX CONTACTS.
During the year information was received from various
Port Medical Officers of the arrival in this district of persons
who, during the voyage, had come in contact with small-pox,
cholera, or plague patients. The contacts were immediately
visited and kept under observation during the full period of
incubation. In no case was there any development of the
disease. The number of contacts visited in the Borough was—
small-pox, 26, and cholera, 4.
CEREBRO SPINAL MENINGITIS.
In May I was invited to give an opinion on two cases
in which this disease was suspected. The first patient was in
Sandhurst Road. This case appeared to be one of deficient
feeding. The second case occurred in Beckenham Lane, and
the patient was suffering from double pneumonia, which proved
fatal.