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

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Richmond upon Thames 1913

[Report of the Medical Officer of Health for Richmond]

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33
had attended school up to the time she was found to be peeling.
Five children attending the same school subsequently contracted
scarlet fever.
Another child, living in the same street, was notified three
days before. He had associated with this patient.
On September 5th, Mrs. B. called at the Health Department
for some " disinfectant," as one of her children had
been notified to be suffering from scarlet fever earlier in the
day. She had refused to have the child removed to the Hospital,
as she doubted whether her child really had the disease,
her reason being that the rash found on the child was similar
to one she (herself) had about a month earlier. This woman
was noticed to be slightly peeling, and was advised to go home
and consult her doctor. This case was afterwards notified, as
well as a third case in the same household. A child in the same
road, whose father worked alongside this woman's husband,
was also notified to be suffering from scarlet fever.
R.H., aged 23 (case No. 69), servant, was notified on
11/9/13. Another servant (case No. 73), who worked in the
same house, was notified a few days later, and also a brother
of the latter (case No. 86).
Following upon this, a child, aged 4 (case No. 79), who had'
been in contact with the servant, contracted scarlet fever.
On October 3rd, D.B., aged 6 (case No. 92), was discovered
by the mother to be " peeling." A slight rash had been
observed on the child about a month earlier, which the mother
thought was " nettlerash." The child remained at home from
school for one day only previous to the " peeling " being discovered.
Two other cases of scarlet fever were notified among
scholars attending the same school.
On October 15th, A.W. (case No. 104), was notified to be
suffering from scarlet fever, Upon investigation it was found
that the patient was in the " peeling " stage. This girl was
employed as a domestic servant, and had followed her ordinary
duties up to the time of notification, and in addition she had
moved freely about the town.