The Annual Report on the Health of the Parish of St. Mary Abbotts, Kensington, during the year 1874 — John Shaqi
The Annual Report on the Health of the Parish of St. Mary Abbotts, Kensington, during the year 1874Dudfield, T. Orme (Thomas Orme)
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The Annual Report on the Health of the Parish of St. Mary Abbotts, Kensington, during the year 1874
Dudfield, T. Orme (Thomas Orme)
Public health -- England -- London
Referring to this subject, Professor Parkes, in his “Practical Hygiene,”
states that scarlet fever has appeared to get into milk from the cuticle
or throat discharges of persons affected with scarlet fever who were
employed in the dairy while ill or convalescent. Remarkable cases of
this kind have already been reported, and the fact that another zymotic
disease—viz., enteric or typhoid fever—has been spread widely through the
medium of milk, only serves to increase the importance of the subject in
a sanitary point of view. It is well ascertained, however, that enteric
fever has been conveyed in the foul water used in diluting milk—a double
evil being thus inflicted on unwary purchasers.
At about the same time as the scarlatina outbreak my attention was again
directed to milk as a probable source of disease by a leading
practitioner, who gave me the particulars of a very interesting series of
cases of dysentery, attributed on apparently sufficient grounds to the
use of milk from diseased cows; and of a further series of cases of
diarrhæa, attributed to some change in the character of milk supposed to
depend on the food on which the cows were being fed. The information
came too late to admit of an investigation of the subject, but the facts
deserve to be put on record for future guidance.
In the first set of cases, seven in number, the symptoms were generally
of a severe character. Three of the patients were young children, and
the other four adults. The child first attacked, aged 2½ years, died
after seventeen days’ illness. The dysenteric symptoms were sharp and
constant, and marked on the first evening by a strong convulsion. The
little patient sank, worn out by incessant tenesmus and exhausted
brain-power. The body temperature was high throughout. This was the
only fatal case. The second case was that of the child’s nurse. She was
sent home showing signs of fever, and was ill a long time. In the third
case the child, aged six years, had dysenteric straining of almost pure
blood. There was little constitutional disturbance, and the attack soon
yielded to treatment. The fourth case was that of a middle-aged
gentleman attacked with diarrhæa, which assumed a dysenteric character,
as many as twenty-five motions being passed in a day. The attack, which
left marked debility; lasted ten days. The next case was that of an old
nurse, who, ridiculing the idea of the milk being the cause of illness,
drank all that was left after tea one day, and was rewarded with a
violent diarrhæa that lasted a whole week. Another case was that of a
child (who, however, was teething, and) who, after partaking of milk from
the same source, suffered during six or seven days under a severe
dysenteric attack. The seventh case was that of a lady, who after some
days of bowel irritation, was prostrated with acute dysentery which was
long in yielding and left great debility.
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