Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Merton & Morden]
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SECTION F—INFECTIOUS ILLNESS.
Notification. The following diseases are notifiable in
the Urban District:―
Oholera. Acute Primary pneumonia.
Cerebro-spinal fever. Acute influenzal pneumonia.
Continued fever. Acute Poliomyelitis.
Diphtheria (including mem- Acute Polioencephalitis.
branous croup). Puerperal Pyrexia.
Dysentery. Relapsing fever.
Enteric Fever (including Scarlet fever.
paratyphoid fevers). Smallpox.
Erysipelas. Trench fever.
Encephalitis Lethargica. Typhus fever.
Food poisoning. Tuberculosis (all forms).
Malaria. Whooping Cough.
Ophthalmia Neonatorum. Measles.
Plague.
Smallpox. No cases of Smallpox were notified during the
year, nor, in fact, have there been any cases in the past ten
years.
Enteric Fever. There was one case of Typhoid Fever
notified which was discovered in St. Helier Hospital to be
suffering from Para. B infection. The course of the disease
was mild and there were no further cases.
Dysentery. There were four cases of Dysentery notified
during the year. There is evidence, however, that there were
several widespread outbreaks of gastro-intestinal infection, but
so mild in character that they were not reflected in the notifications
of Dysentery. Three such attacks occurred in the
schools; in the infants and nursery classes. In one school some
30 children were affected as well as several members of the
staff. In this school B. Sonne was isolated in some of the
cases. This outbreak had the appearance of being part of a
general epidemic in the district, and it could not be shown
to have had its origin in the school.
The second outbreak involved mainly the nursery class.
The disease was mild and the practice of requiring two
negative rectal swabs before returning to school was put into
operation.
Both of these Outbreaks occurred at a time when similar
gastro-intestinal infection was widespread in the general
population round the schools, and though one of the staff was
shown to be carrying Sonne bacilli, it seemed more probable
that there was a multiplicity of sources rather than one source
in the school departments.
In the third school there were only 4 teachers and 6
children affected.
In the second case the food was prepared in a canteen
in a neighbouring district, and the information was passed on
to that Public Health Department for investigation.
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