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

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Twickenham 1941

[Report of the Medical Officer of Health for Twickenham]

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The symptoms in both those cases were marked
symmetrical swelling of the. eyelids and upper part of the
face, resembling nephritis, and with some discolouration
round the eyes; temperature varying from 100 to 104; slight
abdominal pains; drenching sweats; tenderness of muscles.
The older woman had severe diarrhoea resembling cholera.
The girl complained of intense headache at the onset. The
older.woman had marked tachycardia and respiratory distress,
resembling pneumonia. The girl had an cosinophilia count
of 27% and the woman 38%. The diagnosis in the girl was
confirmed by muscle biopsy, but this was not done in the case
of the woman, although the diagnosis was considered by a
specialist to be certain.
As soon as it became certain wo had trichiniasis in
our area, largo advertisements were inserted in the local
newspapers and some notices were printed and displayed in
butchers' shops and shops selling sausages, etc.
The Ministry of Health sent a representative who saw
the patients and continued, investigations as to source. The
girl appeared to have boon infected from raw bacon obtained
from a branch butcher's shop and the woman from pork obtained
from the same shop. At the shop there was difficulty in
identifying the exact batch and its source, from which those
two customers had been supplied.
Subsequent investigation throw no further lighten
the matter.
MIDDLESEX COUNTY COUNCIL (GENERAL POWERS)
act, 1938
The registration of hawkers of meat, fish and
vegetables, together with the premises used as storage
accommodation is required under section 71 of the above Act.
At the end of the year 7 persons and 7 promises were on the
Register.
FOOD AND DRUGS ACT.1953
The Middlesex County Council are the Food and Drugs
Authority for the Borough.
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