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

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St James's 1869

[Report of the Medical Officer of Health for St James's, Westminster]

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42
require a somewhat different treatment. The plan recommended
by Dr. Budd for the purpose of preventing the poison from the
skin being disseminated through the air, is to put oil all over
the skin. This practice is to commence on the fourth day after
the appearance of the eruption, and to be continued every day
until the patient is well enough to take a warm bath, in which
the whole person is well washed with disinfecting soap and
warm water. These baths should be administered every other
day, for four times, when the disinfection of the skin may be
regarded as complete. This proceeding should not, however, be
adopted "without consulting the medical man who is in attendance
on the patient. Speaking of the plans above recommended,
Dr. Budd says, "The success of this method in my own hands
has been very remarkable. For a period of nearly 20 years,
during which I have employed it in a very wide field, I have
never known the disease spread in a single instance beyond the
sick room, and in very few instances within it. Time after
time I have treated this fever in houses crowded from attic to
basement with children and others, who have, nevertheless,
escaped infection. The two elements in the method are,
separation on the one hand, and disinfection on the other."
The distribution of this placard has, I believe,
been attended with most beneficial results. It was
reprinted in many of the newspapers and. during
the epidemic of Scarlet Fever, was, I understand,
circulated in Nottingham, Leeds, and other towns
in the kingdom, with most beneficial results.
Typhoid Fever.
Under the head of "Typhus," a certain number of
cases of death are annually recorded in the Parish.
Although in our overcrowded Parish, of which Typhus