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

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Whitechapel 1869

[Report of the Medical Officer of Health for Whitechapel]

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5
Immediately after the ILLNESS is over, whether ending in death or
recovery, the DRESSES worn by the Nurses should be Washed or
Destroyed, and the Bed and Room occupied by the Sick should he
thoroughly disinfected.
These are Golden Rules. Where they are neglected, the Eever may
become a deadly scourge. Where they are strictly carried out, it seldom
spreads beyond the person first attacked.
SCARLET FEVER.
1. The room, which is occupied by the patient, is to be dismantled of all
needless woollen or other draperies, which might possibly serve to harbour
the poison.
2. Thorough ventilation of the room to be maintained by an open fire and
other means added.
3. A basin, charged with chloride or carbolate of lime, or some other
convenient disinfectant, is to be kept constantly on the bed for the patient to
spit into.
4. A large vessel, containing water, impregnated with chlorides or with
Condy's fluid, is always to stand in the roomjor the reception of all bed and
body linen, immediately on its removal from the person of the patient.
5. Pocket-handkerchiefs are proscribed, and small pieces of rag are to be
used instead, for wiping the mouth and nose. Each piece having been once
used is to be immediately burnt.
6. As the hands of nurses of necessity become frequently soiled by the
specific excreta, a good supply of towels and two basins, one containing water
with Condy's fluid or chlorides, and another, plain soap and water, are always
to be at hand for the immediate removal of the taint.