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

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Stepney 1928

[Report of the Medical Officer of Health for Stepney]

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15
used for containing milk, or in any way take part in the distribution or storage
of milk. The dairyman complied with the Notice, and disposed of his
business.
Typhus Fever.
2 cases were notified. Both occurred in Whitechapel.
L. G., aged 48 years, of Wilkes Street, was taken ill on Tuesday, April 24th,
but continued at his work until Friday, April 27th. He returned home
mid-day and took to his bed on April 28th. He was notified to be suffering
from Pneumonia and was admitted to the St. Peter's Hospital on April 30th.
He had a temperature reaching 103° for 4 or 5 days and then it became normal
gradually. He was seen by the consultants of the hospital, in consultation
with the resident medical officers. His blood was tested and the Wasserman
reaction was strongly positive. Even after the temperature had become
normal he was delirious, although not suffering from maniacal delirium that
he had for a few days after he entered the hospital. A rash of petechial
character appeared about May 4th.
I was asked to see the patient on May 12th. At this time the temperature
was normal and had been normal for several days. The rash had disappeared.
The patient was still delirious and complained of intense headache. Blood
was taken and examined by the Clinical Research Association; the Widal
test was negative, but the Weil-Felix test was positive 1 in 100. I informed
the Ministry of Health. A specimen of the blood was sent to the Ministry,
which was positive 1 in 1,000.
He was officially notified to be suffering from Typhus Fever by Dr. Randle
of St. Peter's Hospital, on May 23rd. The patient was a tailor engaged in
making ladies' dresses from new material. At one time he was engaged
in dealing in second-hand clothing, but has not been engaged in this trade
for two or three years. There were no secondhand rags or clothing on the
premises. He had not been abroad and he showed no signs of vermin on
admission to the hospital.
He and his wife lived in one room in Wilkes Street. The room was not
particularly dirty and there were no signs of vermin. On the ground floor
one room was used as a furrier's workshop. No raw material was used, the
skins being cleaned and dressed before they were delivered at the workshop.
The occupier had been there for three or four months, the room being previously
occupied as a bedroom by L. G.