Remarks on some cases which occurred in the parish of Fulham this summer (1894), resembling scarlatina, but not of that nature : addressed to James Robert Hill, Esq., M.R.C.S., &c., Chairman of the Sanitary Committee of the Vestry of Fulham / by Robert Lee.

  • Lee, Robert, 1793-1877.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on some cases which occurred in the parish of Fulham this summer (1894), resembling scarlatina, but not of that nature : addressed to James Robert Hill, Esq., M.R.C.S., &c., Chairman of the Sanitary Committee of the Vestry of Fulham / by Robert Lee. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    • watching a case which bears out your views. In it there was sore throat followed by copious rash which was not scarlatina nor rubeola, but was more persistent than in the cases you described. I am, yours faithfully, (Signed) J. CHAS. JACKSON. I believe that we discussed the question whether some local cause such as the sewer gas escaping from the gratings in the roads, or some other agent of infection might not exist and be the origin of this disease. The subject certainly seemed deserving of careful observation, and perhaps before long some definite information may be afforded on this point. It is a remarkable fact that about a century ago there seemed to be some difference of opinion in the medical profession on the distinc- tion between the disease called cynanche maligna, and scarlatina. In the opinion of Dr. Cullen, the leading authority on such matters, the diseases were decidedly distinct, and the description he gives in his work on medicine of the sore throat, the eruption, and symptoms in cynanche maligna, is such as to make one think we have this disease in the same form as in Dr. Cullen's time. The chief point, however* which is of importance now-a-days is that these cases should not be notified as cases of scarlatina, for reasons which are apparent. We must not expect too much from Dr. Jackson in working out such a question as is here before us; but if he has the assistance of those practitioners who reside in Fulham in giving him facilities for observing cases when they occur in their practice, valuable results will no doubt be arrived at. The subject is one of great interest from a professional point of view; but it is of still greater interest in its relation to the question of public health. Let me apologise for these somewhat lengthy remarks and remain, Yours very faithfully, ROBERT LEE. To