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

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West Ham 1900

[Report of the Medical Officer of Health for West Ham]

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47
It is important, therefore, that in localities where Plague is present
or is threatened, cases of anomalous illness of the above sorts be,
without loss of time, brought under medical supervision.
Besides the forms of Plague already referred to there is yet
another, namely, the so-called "ambulant" form. In Plague of this
description the affected person is hardly ill at all, presenting no
definite symptoms perhaps beyond indolent, though painful, swellings
in groin or armpit. Such Plague cases may, nevertheless, be instrumental
in spreading the disease, and any persons therefore who,
having been possibly exposed to Plague, exhibit these symptoms,
should he isolated and watched medically until the nature of their
malady has been definitely ascertained.
W. H. POWER,
Medical Officer.
Local Government Board,
Medical Department,
September, 1900.
General Memorandum on the Proceedings which are
advisable in Places attacked or threatened by
Epidemic Disease.
1. Wherever there is prevalence or threatening of Cholera, Diphtheria,
Fever, or any other epidemic disease, it is of more than common
importance that the statutory powers conferred upon Local Authorities
for the protection of the public health should be well exercised by
those Authorities, acting with the advice of their Medical Officers of
Health.
2. Proper precautions are equally requisite for all classes of
society. But it is chiefly with regard to the poorer population
resident in the courts and alleys of towns and in the labourers'cottages
of country districts, that Local Authorities are called upon to exercise
vigilance, and to proffer information and advice. Common lodginghouses,
and houses which are sub-let in several small holdings, always
require particular attention.