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

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St James's 1879

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

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30
Of Fever, Small Pox, and Diphtheria, 83 cases
came under notice during the year. Of these 83
cases, 4 were of Small Pox, 23 of Typhoid Fever,
52 of Scarlet Fever, and 5 of Diphtheria. 34
cases—3 of Small Pox, 8 of Typhoid Fever, 22 of
Scarlet Fever and 1 of Diphtheria—were removed to
extra-Parochial Hospitals.
At a milk shop, No. 28, Great Marlborough
Street, a case of typhoid fever occurred and ran most
of its course in a small back room behind the shop.
In this room the typhoid patient's evacuations were
discharged, and the whole family also lived and slept.
The rest of the house was let out in rooms to other
families, excepting only an underground back kitchen,
which was reserved for a process designated as "the
cleansing" of the milk cans, and in which the water
cistern was located. The atmosphere of the ground
floor back room and of the shop was practically continuous,
and, in the shop, there stood about shallow
uncovered vessels containing milk dappled by a
pellicle of dust and dirt which subsided upon its
surface. The typhoid patient was attended to by
members of the family who also were from time to
time engaged, as I believe, in serving out milk to
the general public, but of this it was difficult to get
actual proof. There being no legal obligation to
notify cases of infectious disease to the local