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51.
It will "be noticed that there was an increase in the
number of cases of dysentery notified during 1943. This is
accounted for by an outbreak during September and October at the
Central Relief Institution, from where 39 cases were notified.
In addition, and during the same period, eight cases occurred
at the Kingston County Hospital, all of whom were connectcd
directly or indirectly with the Institution. One death occurrad
in an elderly person, who was seriously ill from another complaint
and the death was due mainly to other causes. Investigations
into the cause of the outbreak were carried out, and
your Medical Officer of Health was in daily consultation with
the Medical Superintendent of the hospital, and the County
Medical Officer. Arrangements were made with the Ministry of
Health emergency laboratory, Epsom for bacteriological examinations
and the outbreak subsided v/ithout any unduly serious
consequences.
Measles. If it is considered useful our practice is to
give Immune Globulin to the immediate susceptible contacts of
measles, especially when they are very young children, in
order to prevent an attack or to attenuate the illness should
it develop.
Material is also supplied to General Medical Practitioners
for the same purpose and children in the "far-time Nurseries
and occasionally children in Infant Schools roceive this
protection.
Who oping. Cough. Reference is made to what is done on
whoopTng cough immunisation in Section B of this Report.
TUBERCULOSIS.
Cases of tuberculosis are dealt with from the treatment
point of view by the Surrey County Council. Good liason exists
between your Medical Officer and Tuberculosis Officer.
Each case notified is visited by an officer of the Public Health
Department, and all contacts are advised to consult the County
Tuberculosis Officer. The efficiency of notification is good
and there have been no cases of wilful ncglect or refusal to
notify.