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19
ENTERIC FEVER.
Two eases of the enteric group were notified, one of
paratyphoid B and one of typhoid. The case of paratyphoid
was a mild one and was nursed at home with
adequate precautions against the spread of infection. As
is usual with sporadic cases, the origin of the infection
was uncertain, but there was a history of contact with a
possible carrier in a neighbouring district. The case of
typhoid was removed to Tolworth Hospital and although
his illness was of a more serious type, he eventually made
a good recovery. Here again the source of the infection
could not be definitely fixed, although some suspicion was
attached to a batch of oysters of which he had partaken.
Anti-typhoid serum supplied by the Lister Institute was
administered to other members of his family as a prophylactic
measure.
DYSENTERY.
I have referred to dysentery at some length in recent
Annual Reports and there is little further to add at the
moment. The epidemic which began in the autumn of
1937 died out in the first two months of the current year.
There was no evidence of a recurrence during the autumn
of 1938.
CEREBRO-SPINAL FEVER.
One case of Cerebro-spinal fever occurred in a baby
aged six months. The child died in hospital.
PUERPERAL PYREXIA.
Under this heading all rises of temperature occurring
within twenty-one days following childbirth are notifiable
when the temperature is above 100.4°F for 24 hours or
recurs within that time. Many assorted conditions
are thus included in the group, and some may be entirely
incidental. The number of notifications received during
the year was unusually high. Six of the twelve cases