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(a). "Warehouseman; 13/7/22 complained of epigastric
pain and vomiting. 14/7/22 above persistent, also colic, mild
degree of jaundice and blue line on gums.
(b). Warehouseman; Not concerned with lead in any
shape or form, 10/7/22. Complained of epigastric pain with
colic. Constipation, loss of appetite. Facies suggest excess
alcohol. Admits moderate consumption of Isleworth beer,
mostly at the " Rose and Crown," states potman has similar
condition.
13/7/22. Well marked jaundice, stools dark, urine contains
bile, no paralysis. Well marked blue line on gums. Some
tenderness calf muscles.
(c). Clerk ; 14/7/22 states was taken bad on 10th inst.
I was first consulted on 14th. First 'symptoms were paiu
in stomach and vomiting. Now has constipation, pain and
tenderness, epigastrium, tenderness in calves, well marked blue
line. Heavy beer drinker at " Duke of Cornwall."
(d). Labourer ; No connection with lead. Complained of
stomach and sickness on 12th. 15/7/22 first seen by me.
Epigastric tenderness and pain vomiting, no paralysis. Well
marked blue line. Tenderness calf muscles. Frequents " Duke
of Cornwall."
Further cases were reported from different doctors nearly all
with pronounced colic and a considerable number of them with
symptoms of obstruction.
A few of the cases which I saw had a pronounced blue line,
one very marked case being an extremely moderate drinker whose
usual habits were half a pint in the middle of each day and rather
more at the week end, making up an average of 5 pints a week.
Others reported were heavy drinkers.
On the notification to me of the first case, I at once communicated
with the Manager of the Brewery suspected (Isleworth
Brewery Company). As things seemed to point to the beer in
some way being involved, I had 14 samples taken on the 12th
from four Public Houses and submitted for analysis. The results