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

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Hillingdon 1971

[Report of the Medical Officer of Health for Hillingdon]

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ENTERIC FEVER
No case of typhoid occurred within the Borough although a number of residents had to be
investigated because of contact with cases in neighbouring authorities.
There were two cases of paratyphoid fever.
One, a 15 year old girl was a member of a family who spend part of each year abroad.
This girl developed symptoms one week after returning from Beirut and subsequently paratyphoid
B infection was confirmed.
The other was a 26 year old man who became ill one week following return from holiday
in Turkey.
In both cases the infection cleared up quickly and investigation of contacts did not bring
any secondary case to light.
The elderly gentleman found to be a symptomless excreter of paratyphoid organisms and
mentioned in the 1970 Annual Report continues to excrete the germs and remains under observation.
He has no disability due to the infection but because of his age and cardiac condition, he is
housebound and is not considered to be a source of danger to others.
FOOD POISONING
There was no serious incident of food poisoning in Hillingdon during 1971. No general or
family outbreak occurred but 25 sporadic cases were notified, in 9 of which the causative organism
was not discovered.
There was one death associated with food poisoning—a 75 year old lady who had been in
poor health for some time and who developed pneumonia and a stroke while in hospital being
treated for salmonella infection.

The types of salmonella organisms identified during the year were as follows

Salmonella typhimurium8
Salmonella enteritidis2
Salmonella senftenberg2
Salmonella infantis1
Salmonella newport1

Infectious diseases cases admitted to St. John's Hospital direct from Heathrow Airport (not notified on weekly return):

Gastro enteritis13
Dysentery6 (2 amoebic, 1 boydii type 8, 1 flexneri type 2b, 2 other bacilli)
Salmonella2 (1 senftenberg)
Typhoid1
Paratyphoid1 (Paratyphoid A)
Infective Jaundice6
Meningitis1 (Meningococcal)
Tuberculosis7