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

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St James's 1891

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

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87
application for preventing the spread of influenza, but that
some such measures should be resorted to, under some
circumstances and for certain classes of persons such as—
(a) For persons in whom an attack of influenza would
be specially dangerous by reason of age or
infirmity.
(b) For the inmates of institutions, the mode of life in
which can be regulated and controlled.
(f) For the first cases of influenza in a locality or a
household when these are early recognised.
As regards such cases, the Foard make the following
suggestions :—
1. Separation between the sick and the healthy should, as far as
practicable, be carried out. Measures to this end have, in some
instances, been adopted with marked success.
2. With isolation, should be combined disinfection of infected
articles and rooms.
3. Persons suffering from influenza should not expose themselves in
public places.
4. Since the propagation of influenza is known to be promoted by
the assemblage of large numbers of persons in a confined atmosphere,
it is advisable that when an epidemic threatens or is present, unnecessary
assemblages should be studiously avoided.
5. The ventilation and cleanly keeping of any building in which
many people are necessarily collected together, should receive special
attention when influenza threatens or is present, with a view to secure
that the air of the building shall be frequently changed, at any rate,
during the intervals of its occupation, and to avoid accumulation of
dust and dirt.