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As it was obvious from this that the conditions at the farm were
unsatisfactory, the Medical Officer of Health of the districts in
which the Farms were situated was communicated with, and steps
were taken to improve the conditions.
The next case arose on the 19th September in a male aged 9.
No article of diet came under suspicion, the only possible thing
being ice cream which was purchased from a firm who supply an
enormous amount in the district surrounding, and whose methods
of preparation are above suspicion.
The next case occurred on 28th September in the centre of the
district. In this case nothing incriminating could be found.
Another case was notified on the 28th September from Hounslow
Hospital, which arose in another district, the diagnosis being
made as a result of bacteriological investigation.
The next case occurred on the 30th September, in this case a
history of water-cress, but there was no further article of food which
could be viewed with suspicion.
The next case which occurred on the 6th November, was the
brother of the female patient, who was notified in the light of the
previous case, his original illness having occurred three weeks before
his sister. The father in this case had suffered from para-typhoid
in India, but examination of his blood and stools was negative.
Results of the investigation of the 2 cases revealed nothing which
could be regarded as incriminating.
The next case occurred on the 9th November, being notified
from the West Midlesex Hospital, was admitted there from an adjoining
area.
A further case occurred on the 9th November, but diagnosis
was not arrived at until after the child had been ill for some time
and as a result of persistence of symptoms and bacteriological examination.
In this case the mother had been under suspicion whilst
living in Devonshire, as having been a case of typhoid fever, but