Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Richmond]
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enquired into concerning a case of Diphtheria. The questions are
slightly modified for the particulars of other diseases.—
BOROUGH OF RICHMOND (SURREY).
DIPHTHERIA. Ward.
Name of Patient Age
Address
Medical Attendant First called in
Notified at o'clock on the 190
Condition of Premises.
House. -New Old ( years) Good Repair
Clean Dry Living Rooms Bedrooms
Cellars.
Yard In good order
Water Closet Ventilated and lighted Adjoining external
wall
Soil pipe Outside house Inside Accessible
Ventilated by pipe
Privy Ashpit Good sole use Cleared
Sinkstone Lavatory Bath Waste pipes trapped
Disconnected
Drains
Water Sppply
Nuisances near the House Piggeries Stables
Cowsheds Ditches Stagnant Water Manure, &c
Other Nuisances.
Milk Supply Butcher Grocer Baker
Business carried on in the house