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3f3dcd42-885c-4fe1-8975-aaf6303ac4f1 | 4 β 13 1 β β β Typhoid Fever 13 13 15 19 15 28 14 Continued Fever β β β 1 β β β Puerperal Fever 1 β 1 2 1 3 3 Erysipelas 22 18 37 77 41 31 26 162 102 180 340 |
a848ed67-30e9-488b-95ab-72f3415d2926 | 167 161 259 REMARKS. The following is my procedure on receipt of a notification of Infectious Disease. To the Sanitary Inspector I at once forward the following, who visits the case without delay: Notification of Infectious Disease. Received by Medical Officer. Forwarded to Sanitary Inspector. Name and address of Patient. Disease. |
d77728ed-225f-46ee-9b1a-756d3c9d9faa | Medical Attendant. 9 To the head of the house where the disease exists a book of instructions regarding isolation and disinfection; and to the schoolmaster or mistress of the district the following form : Urban District Council of Acton. 189 To the Master or Mistress ot School. |
0e3c196a-d277-406a-a03e-af3c2b43e6f6 | I have received notice that living at is suffering from and request that you will not receive any child from that house until I inform you that all danger of infection is passed. G A. GARRY SIMPSON, Medical Officer of Health. When the disease is over and the child or children free from infection, the following form is posted : Urban District Council of Acton. |
4bee312c-4f03-40fb-a830-dc0a253569e3 | 189 To the Master or Mistress of School. The child or children residing at are now free from infection, and may return to school. G. A. GARRY SIMPSON, Medical Officer of Health. 10 SMALL POX. |
0c64b649-908e-44b9-89ed-2535564340d4 | No cases have been notified since 1894, and it is a noteworthy fact that no deaths have occurred in Acton from this disease during the last twelve years, a forcible proof of the efficacy of vaccination. MEASLES. There was an epidemic of this disease during the spring, and caused the deaths of twenty-four children among the poorer class. |
1ce1f8a1-20de-4328-925b-6cae2c76969a | This death rate is due entirely to ignorance as to the danger of neglecting this disease, and the serious complications which may supervene if due care is not taken of the patients and medical advise sought early. |
c0878541-0ddd-4db9-9aeb-7f4abe0feae7 | Witji a view of instructing this class I have written a leaflet in which directions are given how this disease may be recognised in the early stages, and warning the parents of the danger of exposing the children to cold, and neglecting to send for medical assistance. This leaflet will be distributed shortly. |
6b54a22c-cf7e-4f18-972d-acea32225b0e | Of all diseases Measles is most difficult to arrest the spread of in a household, from the fact that it begins as an ordinary cold, and that it is in this stage highly infectious, so that measures of isolation will in nine cases out of ten be too late, so far as the family are concerned; but it is right to give such measures a trial, |
c32f4afe-3f1c-4f05-90f1-d66d72d537bd | and to isolate the first cases directly the disease is recognised. In many districts Measles has been made a notifiable disease, but the utility of this measure is questionable for the above reasons. SCARLET FEVER. |
09f7c748-2a9f-4a71-86bb-de781c969f2e | One hundred and ninety three cases were notified, but only one death occurred from this complaint; this is highly satisfactory, especially when we compare the figures with the last epidemic in 1893, when 192 cases were notified and 10 deaths took place. |
ec1ac0e4-dc3e-4c3b-8c33-8ded52acb645 | The epidemic commenced in Acton Green, and spreading with some rapidity, I found that Beaumont Park School was the 11 centre of propagation; I visited this school daily for some weeks, examining children who had any suspicion of ill-health. On more than one occasion I found children desquamating freely. |
27585070-34b6-43da-95ed-a9a4997564ef | Such a state of things can only be brought about either by neglect or ignorance on the part of the parents, or the attack may have been so slight as to have escaped notice. |
d7618221-659e-4c3f-8bee-81649de9b0a2 | From the results obtained by these daily inspections, I am convinced that the surest way to arrest an epidemic is to make the school in the neighbourhood the centre for daily inspection of the children; this step I shall always take in the future should occasion arise. DIPHTHERIA. Twenty-three cases were notified, and eight deaths occurred during the year. |
1742026a-c23a-4db3-aa02-e49570eeaa20 | In most of the houses the sanitary arrangements were defective; these were rectified. I was able to satisfactorily trace three cases to Kent Piatt, a village near Burrow Green. |
7553b64b-d803-4a03-b717-a32d1b3345de | Many of the cases notified as Diphtheria, turned out to be Follicular Tonsillitis, but as I have previously pointed out the diagnosis can only be settled in the early stages by a bacteriological examination. Probably before long each District will have its own laboratory, where such investigations can be carried out. WHOOPING COUGH. |
4356a217-478c-4bd4-86ba-6e42e53a3bab | Twenty-one deaths were registered from this complaint, all of children under 5 years of age. If we come to examine the deaths more particularly, we find that three-fourths of the deaths occur in children under two years of age, the mortality of the female sex being in excess of that of the male. The mortality is also increased in the cold weather. |
f1798790-f048-4daf-94b2-c8d4ad35210a | This is attributable to the exposure and to the absence of proper precautions on the part of the parents, who are inclined to look upon Whooping Cough as an ailment of little moment and requiring but little treatment. 12 The Whooping Cough itself is rarely fatal. It is the complications that kill, and they are very numerous. |
203a0810-ca09-4981-a6c7-be5ff3adbc0b | The remedy is, as I have remarked under Measles, to enlighten the public. One of the first lessons must be that Whooping Cough is not a necessary disease of childhood, that children are not doomed by any laws of Providence to either Measles, Scarlet Fever, or Whooping Cough, and that children suffering should be isolated and properly cared for. |
0b18a4ba-a498-4894-baa5-8ada8696bea5 | If it were possible on the same day to isolate all the children suffering from this disease, and to keep them in quarantine for a lengthened period, Whooping Cough might be stamped out. This is impracticable. We may, however, do much to check and limit it, but without the intelligent assistance of the public we are powerless. TYPHOID FEVER. |
b75b2bc1-6c2a-4c40-b668-e42f2291e124 | Fourteen cases were notified, and only two deaths were registered, one in Acton and one in Bedford Park. Defective drainage was found and rectified. DIARRHΕA. Thirty-seven deaths, all except two being children under five years of age. This is a disease greatly influenced by temperature. |
1611d829-7329-4098-adf1-7319767c76c2 | It is noticeable that soon after the temperature of the earth, at a depth of one foot, has reached 590 F to 62Β° F, the causes producing the disease begin to operate. Nearly all the above deaths took place during the summer months. PUERPERAL FEVER. Three cases only were notified, and not a single death occurred. |
6005b125-0beb-4bf2-bb2d-88a1e3e7b3ff | Yet there were no less than 894 confinements attended during the year. This happy result is due to the Medical Practitioners using strict antiseptic precautions. 13 PHTHISIS AND TUBERCULOSIS. Forty-two deaths were registered from this disease. |
b087ffff-8e13-4727-b208-96abcd4c2333 | It is evident that much work lies ready for Medical Officers of Health and others in connection with the spread of tubercle. If we can persuade people to look upon Tuberculosis as an infectious disease much will be done to prevent its spread, and a great advance in preventive medicine will be made. The Germans look upon perfect cleanliness in the treatment of phthisical patients as absolutely essential. |
136f7bbf-a1ee-448b-9b5a-e24622e817c2 | Pocket handkerchiefs and bed linen are most carefully sterilized by means of steam or germicidal agents. Patients are strongly enjoined not to expectorate, except into receptacles specially made for the purpose, and in which the sputa can be easily disinfected. |
7534a57d-eb6a-4a2a-82c6-07daa131eef3 | The results of these precautions are not yet manifest, but it may be confidently anticipated that within a short time a considerable diminution in the number of phthisical patients in Germany will be recorded. |
eee3e440-1a18-4ad9-a1c3-7c7512e424c5 | As a single example we may take the Grand Duchy of Baden, where there was a diminution of deaths from Tuberculosis, from 3-08 per 1,000 inhabitants in 1882 to 2'8o per 1,000 in 1887, or no less than "28 per 1,000. |
8ff2fbe1-a8bf-4943-964a-4c0ccdd0efe6 | If similar results were obtained in the British Isles, and the patients were not carried off by other diseases, the saving to our community would be nearly 10,000 lives per annum. |
7507a25c-9a78-4e8f-97c9-8b684423912a | I notice that a leaflet has been sent by the Glasgow Health Committee to every ratepayer in that city, explaining in the clearest manner the infectious nature of the disease, and giving brief but excellent directions for the avoidance of infection. WATER SUPPLY. |
afd135ee-c248-45e9-9c75-4c8f65c23892 | The work of lowering the mains to 2 feet 6 inches below the surface is still being carried on, and will shortly be completed. This will, I trust, prevent the great inconvenience to householders that has occurred on former occasions owing to the frost. 14 DRAINAGE. |
27a43a13-6dae-49d0-9028-6367d95741f4 | Soil Sewers were constructed in Emanuel Avenue, Priory Road, Palmerston Road, All Saints' Road, Hereford Road, Shajimar Road, and a portion of Acton Lane. INSPECTION OF THE DISTRICT. Regular inspections of the District have been made. |
de942cdf-d10f-4e74-9e53-7eba066dee5c | Houses unfit for human habitation have been closed, nuisances arising from offensive trades have been repressed. In conclusion, I append a report of the Sanitary Inspector, and remain, gentlemen, Your obedient Servant, G. A. GARRY SIMPSON Medical Officer of Health. |
539f0252-b91c-48ff-b637-4f23ec92dbc9 | 15 REPORT OF SANITARY IN8PECTOR For the year ending 31st December, 1896. Visits to ensure continued isolation of infectious patients 760 Rooms, Bedding, &c., disinfected 139 Board school rooms, lavatories, and clothes racks disinfected 5 Disinfectantssupplied(exclusiveot supplies from the office) bots. |
ae673c13-c0ef-4304-979e-d323fef21cc8 | 287 Number of dwellings inspected 238 Found insanitary 225 House drains and sanitary fittings tested (dwellings) 126 House drains taken up and re-constructed t32 Visits to ascertain whether notices were being complied with, and to inspect sanitary work in progress 730 Soil pipes and drains provided with vent pipes 107 Soil pipes taken outside house-walls 6 Scullery waste pipes disconnected from |
b146728e-2216-4e8f-a602-569a626ac762 | soil drains and made to discharge in the open air over trapped gulleys 30 Rain water pipes disconnected from soil drains (dwellings) 11 Insanitary closets replaced by sanitary apparatus 81 Water-waste preventers fixed for flushing closets 33 Defective roofs made good 8 Defective guttering replaced or repaired (dwellings) 8 Dilapidated walls, ceilings, |
25989386-40e5-45a8-a3f0-a8fdf59a73ac | &c. repaired (dwellings) 39 Complaints registered 129 Notices served (supplemented by letters and personal interviews with owners or agents) 146 Additional closets provided in connection with laundries under the Workshop and Factories Act, |
3478fc20-e9d0-43f8-a62c-c1da969260f6 | 1896 10 Sanitary improvements ordered by Inspector of Nuisances (Acton) 20 Schools inspected 11 16 ORDINARY NUISANCES ABATED. Smoke 8 Manure, fish offal, and other offensive deposits 23 Cess-pools abolished 8 Choked drains, &c. |
37816ddf-5ce8-48e5-854e-080dd26f75f6 | 33 Overcrowding 10 Cellar flooding 13 Non-supply of water to dwellings 3 Pig-keeping abolished 6 Dustbins provided 25 Other nuisances not included in the above 53 GENERAL INSPECTIONS. |
8c2500d0-30be-4f94-a509-d12fcca010be | Bakehouses 26 Cowsheds, dairies, and milkshops 65 Slaughter houses 95 Piggeries 139 Brickfields 13 ARTICLES OF FOOD CONDEMNED. A large quantity of Meat-bones. 1 Trunk of Mackerel. 2 β β Plaice. 1 β β Haddock. |
026cfb92-bbd0-4bef-adda-37ebdebb6607 | 1 β β Cat-fish. WILLIAM T. BOVEY, Inspector of Nuisances. |
fd0f195b-a624-4f19-86f3-888e81a783d8 | ACT 5 8232 THE Urban District Council of Acton. ANNUAL REPORT of the MEDICAL OFFICER, FOR THE YEAR 1897. ACTON: Printed by J. Knowles, Market Place, & Hooper's Mews. ACT 5 THE Urban District Council of Acton. |
15a36d89-4362-4f8f-a7cc-2a2d363dfca5 | ANNUAL REPORT of the MEDICAL OFFICER, FOR THE YEAR 1897. ACTON: Printed by J. Knowles, Market Place, & Hooper's Mews. The Urban District Council of Acton. ANNUAL REPORT OF THE MEDICAL OFFICER FOR THE YEAR 1897. To the Chairman and Members of the Acton District Council. |
ad42cfa1-b625-4f5d-887b-dae407000046 | Gentlemen, I have the honour to present to you my Annual Report: together with tables setting forth the Births, Deaths and Sickness in the district during the year 1897. |
1d6e4bea-0140-4114-8c89-3a5331f03e22 | The public health was, upon the whole, satisfactory; the death rate for the year being 15.9 per thousand of the population, and I should have had the satisfaction of recording a much lower rate but for an outbreak of epidemic diarrhoea during the summer months, which was responsible for no less than eighty deaths. |
26ce1e80-1782-4f7c-8290-9519f4803791 | In this report I have dealt with the probable causes of the outbreak, and the precautions to be taken in the future with a view of preventing the disease becoming epidemic. |
d4e08b1d-cca6-4286-b577-1b22baad6920 | The Section of this report which deals with the prevalence of Zymotic disease in the district may, with regard to Small Pox, Scarlet Fever, Whooping Cough and Puerperal Fever be called extremely satisfactory, there being not one single death to record from these diseases, and only two deaths from Typhoid Fever, and two from Measles. |
4da05e3b-9cd3-47da-ade8-5eb4baf9e218 | Though we have no Isolation Hospital at present, yet the Notification Act is of great benefit to the district. |
e343afb1-cf4b-42d5-8ad5-016a75b1cc4b | In securing authentic reports of the first cases that are recognised, we are able, in many cases, to confine the disease to one house, by educating the people up to their responsibilities as set forth in the Public Health Act, and carefully explaining to them the danger likely to ensue to their neighbour's health from any careless disobedience to our instructions. |
41411961-d928-452a-8cb9-791a206a8261 | 4 The system that I have instituted of educating the public by means of Pamphlets and Leaflets has done more to stop exposure of infected persons than any method previously adopted. Although I have persistently and constantly urged upon you the necessity of providing an Isolation Hospital, or making proper and efficient provision for cases of Infectious Disease, I regret that I have been so far unsuccessful. |
e3c4b967-ddd9-461e-9cf2-4c2f9e7235df | With the exception of Edmonton (where the population in 1896 was estimated at 32,045) Acton is the only parish in Middlesex with a population over 30,000 which has no means of Isolation. Paving, Sewering, and Widening of Streets go on year after year, and cannot but lead to improved health. |
eaae0ae2-9975-484f-b3c2-46f044dcdaf2 | The old ill-constructed pan closets and defective ashpits are becoming rare, giving place to better arrangements, and the dangerous conditions of house drainage which passed muster at one time, are, I think, entirely cleared away. Among the public works of importance may be mentioned the building of a Cottage Hospital, the gift of Mr. |
ab9f3000-2b0c-47b8-8153-c103531f7697 | Passmore Edwards, on a site in Gunnersbury Lane, presented by Lord Rothschild. Certain houses unfit for human habitation have been demolished. A special report on the prevalence of Diphtheria during the quarter ending September 30th was presented to you in November. The Inspector reports to me that the state of the Cowsheds and Dairies throughout the district is satisfactory. |
785cab14-5693-4d09-9453-8bae2349dd5c | I have at intervals inspected the district as occasion may have required. I have the honour to be, Gentlemen, Your obedient Servant, G. A. GARRY SIMPSON, Medical Officer of Health. 5 POPULATION. |
f18579cf-4172-42d4-8b6c-5a14e648b0cc | In the middle of 1897 the number of inhabited houses was 5,272; allowing as usual six persons for every occupied house, the population is 31,632, an estimated increase of 2,178 compared with 1896. The following table shows the number of the population and the inhabited houses at the four preceeding censuses. Year. Inhabited Houses. |
7ada416b-f858-4bac-84fb-deaf35990f79 | Population. 1861. 610 3,151 1871. 1,568 8,306 1881. 2,844 17,110 1891. 4,084 24,207 BIRTHS. The total number registered was 973 (510 boys and 463 girls.) The birth rate is 307 per thousand persons living. |
f5e3b00f-3d5f-4aaa-99f1-386aacd10f3f | The following table shows the births since 1890. Year. Number of Births. 1890. 704 1891. 772 1892. 763 1893. 831 1894. 834 1895. 874 1896. 894 1897. 973 Birth Rate for London 30.0 per 1,000 persons living. |
fd8eb656-5a2d-483e-9c9d-b81b6eee0d95 | DEATHS. The number of deaths registered was 503, this includes 33 residents of Acton who died in Public Institutions outside the parish. The annual death rate calculated on a population of 31,632 was 15.9 per thousand, as against 15.7 in 1896. The average Death Rate for London was 18.2. 6 The following table shows the various ages |
755393ec-7be7-46a9-a4e3-7ee90a1a62ba | at which death occurred in the District:β Under 1 year 193 Under 5 257 1 year and under 5 64 5 years and under 15 24 Over 5 246 15 β β 25 19 25 β β 65 125 65 β and upwards 78 503 503 The following table compares the death rate of children under one year per thousand registered |
d6bae815-c6c9-4ab7-acf1-35f74ab419cd | births, and the birth rate for the last ten years. Birth Rate Per Thousand. Deaths of Children under 1 year. Per Thousand Registered Births. 1887 28.7 147 1888 31.1 182 1889 34.1 175 1890 28.3 151 1891 30.8 146 1892 30. |
4a24420a-b042-4c98-9ae3-41a03291b403 | 5 185 1893 31.9 192.5 1894 30.2 160.6 1895 31.6 168.1 1896 30.3 168.9 1897 30.7 198.3 It will be seen that our Infant Mortality is very high; |
fe04deb0-bfab-4b35-97db-2af21c00a17c | this is explainable by the number of children who died during the summer months from epidemic Diarrhoea. This disease was prevalent all over England during August; in London at this time the deaths of children under one year per thousand births was 243. |
ff3c746a-09a5-440d-82d4-4afe307311a5 | 7 Epidemic Diarrhoea is due to a Micro-organism, which is capable of leaving its primary abode, the earth, and becoming air borne, obtains opportunity for fastening itself on food ; and from food or organic matter which serves as pabulum, it can manufacture a virulent chemical poison, and this chemical poison is the material cause of Epidemic Diarrhoea. |
6f98a2e8-6742-43c8-89af-ed1700bef3ae | It will thus be evident that the means at the disposal of the Medical Officer of Health to prevent these recurring epidemics is limited, but I think much may be done by the distribution of leaflets, advising amongst other matters :β (i.) The importance of boiling milk. (2.) Only taking in sufficient fermentable food, as is required for the day's use. (3.) |
1e8e8a11-70d9-4a96-94d5-e96f06fd3efe | Advice as to the conditions under which food can be stored. (4.) Situation of the larder as regards ventilation &c., In the houses of the poorer class the household food is put in a cupboard, or simply exposed in the dwelling, or it may be a sleeping room ; in such cases as these contamination of the food is almost impossible to prevent. ZYMOTIC DEATH RATE. |
5337dd65-c9c2-43ab-9ea7-57b89b2c1b7b | The total number of deaths registered for the Zymotic diseases was 130, no less than 80 being due to diarrhoea. The Zymotic death rate for the year was 4.1 per thousand of the population. 8 In the following table the death rate and Zymotic death rate are so arranged that comparison can be made for the last ten years. 1888. |
c1acd9e2-8454-4fc0-bae9-f7fc65aba833 | 1889. 1890. 1891. 1892. 1893 1894. 1895. 1896. 1897. Small Pox - - - - - - - - - - Measles 1 25 11 9 24 2 15 6 24 2 Scarlet Fever 2 1 3 4 β 10 3 |
6a36951b-35ff-4d77-9255-52203d768001 | 3 1 β Diphtheria 2 8 7 2 4 2 5 5 8 28 Whooping Cough 9 13 3 6 25 5 17 5 21 β Typhoid Fever β 1 1 β 3 4 2 2 2 2 Diarrhoea and) Dysentery 10 |
65af509b-3775-401d-ac3d-994a875eeb98 | 12 18 24 34 60 17 44 37 80 Puerperal Fever β β β β 1 6 4 2 β β Total number of deaths from 7 Zymotic Diseases 24 60 43 45 91 89 63 67 93 130 Deaths from other causes 282 377 298 368 334 396 330 |
e2c00616-8806-4a54-93e7-dd53aa0865cb | 411 371 373 Total Deaths 306 437 341 413 425 486 393 478 464 503 D'th rate from 7 Zymotic diseases per thousand 1.09 2.8 1.9 1.8 3.6 3.4 2.2 2.4 3.1 4. |
508f9881-240b-473a-8e40-0ffccc7f7004 | 1 D'th rate from other causes per thousand 12.9 16.1 12.0 15.3 13.4 15.2 12 14.8 12.6 11.8 General death rate per thou- sand 13.99 18.9 13.9 17.1 17 18.6 14.2 17. |
09a28680-5ceb-405c-9f2a-c6ebd0b55dfa | 2 15.7 15.9 In London the Zymotic Death rate was 2.58 per thousand. 9 NOTIFICATION OF INFECTIOUS DISEASES. There were 221 notified, as against 259 in 1896. The following table gives the number reported each year since the Act came into force. 1890. 1891. 1892. |
d9675d54-e86c-45b3-b325-8f14e6e7dc43 | 1893. 1894. 1895. 1896. 1897. Small Pox β β 13 7 2 β β β Scarlet Fever 108 63 74 192 86 67 193 93 Diphtheria. 14 8 27 41 22 32 23 89 Membranous Croup 4 β 13 1 |
99138ab9-6698-4590-b1af-07cbae20ab69 | β β β 4 Typhoid Fever 13 13 15 19 15 28 14 10 Continued Fever β β β 1 β β β - Puerperal Fever 1 β 1 2 1 3 3 β Erysipelas 22 18 37 77 41 31 26 25 162 102 180 340 167 |
0eeb37be-f047-4f45-8c3c-f9d927032038 | 161 259 221 SMALL POX. No cases have been notified since 1894, and no deaths have occurred in the district during the last thirteen years. It is very probable that great changes will shortly be inaugurated by the Local Government Board with reference to the system of Vaccination. |
a7dfc0ce-d598-493c-9d2f-9107af5ebc1e | We shall have the use of humanised lymph prohibited, and vaccine lymph derived from the calf exclusively used for both primary and secondary vaccination. In Germany the system of Vaccinating direct from the Calf has been abandoned as completely as that from Arm to Arm, the use of Glycerinated Calf Lymph having become general throughout the Empire. 10 Ur. |
f4bf0e8a-1726-4094-9ea5-c8ba32e5a8bc | Copeman in this country showed some years ago that glycerinated lymph possessed many advantages; but the German Government have extended his investigations, and have turned the results to practical account. |
21e64763-9153-4fb8-be3f-061f21c755e2 | It has been proved by competent bacteriologists that, by the admixture to Calf Lymph of 50 per cent, solution of pure Glycerine in sterile water, and storage of the lymph material in tubes, under proper precautions for a term of several weeks, the preparation remains quite active as vaccine, yet all disease producing micro-organisms which may be in the lymph are destroyed or rendered harmless. |
c9e83653-5da2-43c1-9b5f-92fcc22abfaf | SCARLET FEVER. Ninety three cases were notified, but not a single death occurred. In 1896 we had only one death. This is a remarkably low death rate, and is highly satisfactory. DIPHTHERIA. Eighty nine cases were notified, and twenty one deaths occurred during the year. Most of the cases were of a purely sporadic form, viz. |
67711a6a-6978-4fd9-9f89-e717636df2f0 | :β attacking only one or two in a house, and not spreading. In a few of the houses where deaths occurred defective drainage was found and .at once rectified. |
10cfb40b-ae29-409b-b94c-363cd33c6fb8 | The long continued inhalation of diluted sewer air tends to produce a general loss of health, especially in children; shown in various ways, and one of these symptoms may be sore throat; or there may be only a condition of depressed vitality, which offers slight resistance to attacks of acute disease. |
1fc47e77-0be7-47cf-93ad-a0e255d169b5 | Occasionally a severe form of tonsillitis attacks the occupants of a badly drained house; this form is generally recognised as " Sewer air Throat." These throats are contagious and 11 directly transmissible from person to person, and without a bacteriological examination is made of the membrane on the tonsils or throat, it is difficult to say that these cases are not true Diphtheria. |
be176df6-5582-46e6-8a48-94fb8a68f701 | What is more common is to find in these throats not the true bacillus of diphtheria but a microbe that plays an important part in preparing the throat for Diphtheria, by weakening it so that the throat offers less resistance to the action of the specific organism. |
db0fd846-47ab-49cd-807e-bf2578f98874 | Dampness and moisture in the air of a house is also a strong predisposing factor in the production of Diphtheria outbreaks. MEASLES. In the early spring I caused the following Leaflet to be circulated amongst the poorer class, and it has produced a very beneficial result, as although we had a distinct epidemic in the Autumn there were only two deaths recorded during the year. |
c9e6039f-da3b-406a-9751-22a173cd22d6 | Instructions to the Public as pegapds Measles. Leaflet Issued by the Sanitary Authority of Acton. VERY IMPORTANT TO PARENTS. |
ac65d292-4905-4e5f-a0d2-3c54670e6b68 | In order that you may take steps to prevent Measles becoming prevalent here during the coming Spring, it is important that you should know the following facts :β Measles is a dangerous disease and must not be neglected ; it is also most contagious from the commencement of the attack, and remains so for four weeks. |
007c080d-c942-4e45-bf6f-85373775b647 | Measles begins with symptoms of a severe cold, watering of the eyes, running of the nose, pain in forehead, and irritable cough. At this stage, before the rash appears, the disease is extremely Catching. 12 Look upon all colds with suspicion just now, and keep any child with the above symptoms in a warm room to himself. Send at Once for Medical Assistance. |
be4533d6-9f89-4116-a1af-478ba8873fe5 | It is dangerous for parents to trust to household remedies. On the fourth day a rash appears, first on the forehead and face, in the form of minute dots of a dull red or raspberry colour, many of the spots join together.) The great danger in Measles is the tendency of the cold to spread to the lungs. So All Exposure to Cold Must be Avoided. |
c06cfd7a-d1a9-4719-958c-b044e75b1e58 | The Infection of Measles is easily conveyed by the clothing of persons not themselves attacked by the disease. Should you have the disease in your home, forbid your house to ALL, and let nobody from your house go into any one else's. Clothing and bed clothes should be disinfected by being well boiled in water. |
6f594a72-6bf0-440a-8b35-55b6958cb267 | Any articles which will not bear toiling should be thoroughly washed with Carbolic Soap, and then freely exposed to the out-door air. G. A. GARRY SIMPSON, East Acton, W. Medical Officer of Health. TYPHOID FEVER. Ten cases were recorded, and two deaths occurred. |
b4875f23-423d-47d9-b24f-abc5a7603521 | It will be noticed that we have had only eight deaths from Typhoid Fever during the last four years. 13 PUERPERAL FEVER. No cases were notified. There were 973 confinements during the year. WATER SUPPLY. No complaints reached me during the year. An analysis was made of a sample on October 9th, and the report was satisfactory. |
5100dc4f-81f2-41ce-b8d0-ce1e722bd4bf | DRAINAGE. The only sewers laid down during the year were short lengths in Bedford Park and Acton Lane. NUISANCES. Reference to the subjoined report of your Sanitary Inspector will show the various classes under which these have been treated. 14 REPORT OF SANITARY INSPECTOR For the year ending December 31st, 1897. |
e9e773d6-617c-45fc-96dd-d3899461065c | Visits to ensure continued isolation of infectious patients 511 Rooms, &c. disinfected by fumigation (Improved method) 146 Lots of Bedding, Clothing, &c. disinfected by Steam 110 Public school rooms, lavatories, &c. disinfected 2 Private school rooms, dormitories, lavatories, &c. |
5b761267-5be8-480c-83ab-422d07003d46 | disinfected 7 Disinfectant supplied (exclusive of supplies at the office) bots. 206 Number of dwellings inspected 380 Found more or less insanitary 320 (The large proportion of insanitary dwellings is accounted for by the fact that inspections, as a rule, followed complaints or private information). |
c7ff63c8-fb25-4c27-ac0a-74b593e40b3c | House drains and sanitary fittings tested (dwellings) 130 Re-tested (these do not include the water testing of reconstructed drains) 42 House drains taken up and reconstructed 81 Ditto partially reconstructed or repaired 28 Visits to ascertain whether notices were being complied with, and to inspect sanitary work in progress 987 Soil pipes provided with ventilation 73 Intercepting traps and air inlets fixed 69 Soil pipes taken outside |
4a35e510-c39d-473b-8059-9b718f82d192 | house walls 18 Scullery sink waste pipes disconnected from soil drains and made to discharge in the open air over trapped gullies 37 15 Rain water pipes disconnected from soil drain (dwellings) 30 Insanitary closets replaced by sanitary apparatus 84 New water waste preventers fixed for flushing closets 17 Defective roofs made good 12 Defective guttering replaced or repaired (dwellings) |
f5603ae7-febc-4079-b1b2-1aeb65ce1614 | 40 Dilapidated walls, ceilings, &c. cleansed and repaired (houses) 40 Complaints registered 135 Notices served (supplemented by letters & personal interviews with owners and agents) 317 School Inspections 25 ORDINARY NUISANCES ABATED. |
2561a046-c657-434b-aa8e-1794e74cef75 | Smoke 4 Manure, offal, and other deposits 22 Choked drains 50 Overcrowding 24 Cellar flooding 6 Animals, poultry, &c. 12 Pig keeping suppressed 2 Dust bins provided 82 Other nuisances not included in the above 41 GENERAL INSPECTIONS. |
ce0c6e7c-1364-49e5-81c4-9de942aedd3e | Bakehouses 26 Cowsheds, milk shops, and dairies 95 Slaughterhouses 140 Piggeries 182 Brickfields 14 16 ARTICLES OF FOOD CONDEMNED. |
7de3b471-5a46-496d-ab1e-22af0a3460cc | 6 Trunks of Plaice 1 Trunk β Haddock 5 Kits β β 1 Case β Cod Fish 1 β β Pocket Fish 1 Trunk β Soles 2 Bushels β Whelks About 60-lbs. of Butter β 70-lbs. β Cheese WILLIAM T. BOVEY, Sanitary Inspector. ' * β |
aca29f9a-4b23-427c-9a64-4053be376792 | BSX 1/18 A.R. 332 ACT 6 THE Urban District Council of Acton, ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH for the YEAR, 1898. by G. A. GARRY SIMPSON, M.R.C.S. L.S.A. Fellow of the Royal Institute of Public Health, Medical Officer of Health, |
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