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

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Barnes 1901

[Report of the Medical Officer of Health for Barnes]

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17
accommodation at the Hospital for patients is, in point of ward
space, ample. But the usefulness of the new Block would be
greater than it now is if more convenient accommodation had
been devised for the Nurses.
During 1901 eighteen cases of Scarlet Fever were treated
without loss of life, and of 56 cases of Diphtheria only one died.
In one successful case Tracheotomy was performed on a child
under three, and in this, as in other severe cases, Antitoxin was
administered.
Three cases of Typhoid Fever were admitted ; in two
instances the patients were gravely ill when removed, and removal
was necessary to prevent spread of the disease.
The removal to Hospital of cases of Scarlet Fever and
Diphtheria, is, as a rule, called for both by the interests of the
patient and those of the public.
But the removal to Hospital of cases of Typhoid Fever is
a less simple matter. The process of removal itself is not always
free from risk to the patients, who can often be successfully
isolated in their own houses.
But Typhoid is a disease of long and uncertain duration,
calling for the constant care of skilled nurses. For this reason,
cases from, not merely the poorest, but from the lower middle
classes have for years past been admitted into the wards of
General Hospitals.
Such facilities, are, however, now less easily obtained than
formerly, as there is a disposition on the part of those governing
the great London Hospitals to exclude from their wards more
than a certain percentage of typhoid cases. In consequence,
when domestic resources are unable to provide the necessary
skilled nursing, admission to local Isolation Hospitals is sought—