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

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St Giles (Camden) 1881

[Report of the Medical Officer of Health for St. Giles District]

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( 66 )
Inspection of the Dairy and the Condition of the
Milk before it was delivered to the Public.
The dairy was inspected and found to be in good sanitary
order; the dairyman's family and servants were all
in good health, with the exception of the milk porter
previously mentioned.
Three of this man's children had scarlet fever, and there
is little doubt but that the man himself had a mild attack
of the disease.
As soon as the illness was known, the children were
removed to Stockwell Fever Hospital, and the man was
prohibited from attending his work.
The Cause of the Outbreak.
The inquiry into the origin and spread of the disease is
very difficult.
Was it caused by the milk porter? or was it caused by
milk cither infected at the dairy or the farm ?
The Milk Porter.
This man and his children were attacked with scarlet
fever about the same date when so many of the patients
were attacked on the 15th of January, the beginning of the
outbreak. Of 34 of the 43 infected houses supplied from
his master's dairy, he delivered milk only at 5 of the infected
houses, and Neville's bread at 8.
Now it is difficult, with the fact of the simultaneous
attack of the milk porter and his children with those
attacks of the families in the neighbourhood to conclude
that he caused the outbreak, and as difficult to infer that