On a localised outbreak of typhoid fever in Islington, during the months of July and August, 1870, traced to the use of impure milk / by Edward Ballard.

  • Ballard, Edward, 1820-1897.
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On a localised outbreak of typhoid fever in Islington, during the months of July and August, 1870, traced to the use of impure milk / by Edward Ballard. 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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    and on 11th clay a large black stool was passed. On 11th day, she had severe epistaxis, without relief of the symptoms. The pulse never went above 126 ; chest natural. About 19tli day, the pulse and tem- perature began gradually to fall. Convalescence moderately rapid. “ 3rd. A female servant, set. about twenty-three. Taken ill August 3, and next da}'- transferred to Guy’s, under my care. Her case was exceedingly like No. 2, except that no rose spots or other eruption ever appeared, and no abdominal disturbance of any sort. Her case was prolonged in its course. She left Guy’s on Septem- ber 24. She was carefully watched, and we have a chart of morning and evening temperature, &c.” C. The following case illustrates the kind of particulars which were courteously sent me by the practitioners who were in attendance upon individuals who passed through their attack in the country. Dr. Pirrie, of Aberdeen, thus writes of one of them, a young man:—“On August 12, at one o’clock in the morning, I was sent for in great haste to see Mr. , at one of the best hotels in Aberdeen, or in Scotland. He had come from London by the London steamboat, and on my arrival I found that he had lost a large quantity of blood, which I saw, in consequence of hsemorrhage from the nose, which was going on most profusely. I plugged both the posterior and anterior nares on each side by one very long bit of lint, and from the moment I did so he did not lose one drop of blood. On examining him after the hsemorrhage had ceased, I felt convinced he was labouring under the early symptoms of severe disease, and after some days I felt certain it would be found to be a case of typhoid fever. I then sent him to our hospital, where he was well cared for; and although I could not prescribe for him there, I being one of the surgeons, I saw him daily until he was convalescent, except on two days when I was from home. The rash and all the symptoms were as well marked, I think, as they possibly could be. I paid particular attention to the rash and to every symptom, so that regarding the diagnosis you need have no doubt.” Besides Dr. Pirrie and Mr. Hochee, I am under obligations, for information as to cases they attended in the country, to Mr. J. C. Proctor, of Lydd; Mr. Agar, of Ponders End; Dr. Fleury, of 1 Croydon ; Dr. Armstrong, of Gravesend; Dr. Warwick, of Southend; Mr. H. G. Philpott, of Brighton ; Mr. T. W. Bcnfield, of Leicester; and Mr. Tomlinson, of Oundle. n