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27
PREVENTATIVE MEASURES.
On tlie 19th all the milkmen known to be supplying
milk in the District were seen, and pending further
investigations, were asked to sterilize their milk. The
Medical Practitioners were asked to advise their patients
to boil the milk. The Manager of the suspected dairy
was asked to cease sending any supplies to the District,
The usual precautions as to isolation, where possible
by removal to the hospital, and disinfection, were carried
out, and the school children in the District were kept
under observation, and the teachers warned.
I cannot conclude the Report without expressing my
appreciation of Mr. Pointon's help in connection with
the outbreak, and the great amount of work he had to
do, so that the infection should not spread. The work
was necessarily complicated by having to investigate all
possible channels of infection, and this necessitated,
among other things, enquiries in suspected households
where cases were supposed to have occurred, and where
no doctor was known to be in attendance.
I am, Gentlemen,
Your obedient servant,
(Signed) D. A. BELILIOS,
Medical Officer of Health.
To the above I have nothing to add, except that a valuaable
and full report on the conditions found at the farm was
made to the Surrey County Council and the London County
Council (in whose area also many cases had occurred) by
T. Henry Jones and Dr. Hamar, and the opinion is there
expressed, and reasons are given, that the outbreak originated
from bovine infection. The condition found in many of the
cows in affected herds was an eruption on teats and sometimes