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58
London County Council to admit cases to their Hospftals at a charge
of 10s. 6d. per day, plus 1s. per mile ambulance fee.
On 14th February two cases were notified which were apparently
•connected with a fresh milk supply, and in view of this fact, notices
were issued to the Press advising the public to boil all milk before
use, and drawing attention to the symptoms of the disease. In
addition, it was decided to allocate a Scarlet Fever Ward at your
Isolation Hospital for the treatment of cases of Enteric, and cases
were admitted on the 17th February, 1931.
All the central dairy hands of both milk firms were seen, and
Widal tests were taken. In one case a man who had been away for
seven days with Influenza had returned to work on the 15th February,
1931, gave a positive Widal on the 18th inst., and was immediately
suspended from work. A faeces test proving positive, he was sent
to Hospital, but the source of his infection could not be traced.
Of the four remaining, notified from May to October, nothing
definite could be made out except that cases 37 and 38 appeared to
have become infected in a local Institution from a common source
which could not be traced.

Sixteen cases occurred during the week ended 14th February,
8 during the week ended 21st February, and 5 during the week ended
28th February.
One fatal case occurred in a patient aged 70 years—the real
cause of death being due to pulmonary complications.
Twenty-four of the 34 cases of the Epping series, in which
Widal results are known, showed uniform agglutination titres
of 1 in 50 against B. Paratyphosus B.

And 78 visits were paid by the Medical Staff.
The milk-borne series of cases emphasises the need for the
compulsory pasteurisation of all raw milk (except, possibly, graded