Report on the late outbreak of enteric fever in Archdeacon Johnson's School, Uppingham, Rutland, June- November, 1875.

  • Haviland, Alfred, -1903.
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: Report on the late outbreak of enteric fever in Archdeacon Johnson's School, Uppingham, Rutland, June- November, 1875. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    ON IN ARCHDEACON JOHNSON’S SCHOOL, UPPINGHAM, RUTLAND, JUNE—NOVEMBER, 1875. Mr. HAVILAND’S Report to the Rural Sanitary Authority of Uppingham, on the late Outbreak of Enteric Fever in Archdeacon Johnson’s School, Uppingham, Rutland, June—November, 1875. To the Chairman and Members of the Rural Sanitary Authority of Uppingham. Gentlemen, On the 15th October, 1875, I visited Uppingham, in accordance with your instructions, for the purpose of investigating an outbreak of Fever, which had been prevailing in the above School for some weeks previously, but which had not been reported to you until Wednesday, the 13th of October, during one of your usual weekly meetings. On the fact that your Authority’s aid was not sought by the school authorities until thirty scholars and others had been attacked by the Fever, and one of the cases was expected hourly to terminate fatally, I shall make no comment: I shall, however, ask your permission to give a detailed account of the history of this outbreak, in order that you may be enabled to understand the reason why it assumed such extensive pro- portions, and was attended by such fatal consequences as you have seen. THE DISEASE. On my arrival I immediately proceeded to the house of the Rev. R. J. Hodgkinson,M.A., Master of the Lower School, where I saw several cases, which presented the well-marked typical characters of Enteric Fever. This Fever is in most instances an Endemic disease, and has been generally known under the name of Typhoid Fever. The misleading term “ Gastric ” has also been applied to it, but it has long been discarded by all who have a real knowledge of its anatomical character and true nature. The poison which produces this Fever is generated during the putrefactive fermentation of foecal matter; especially of that voided by feeders on animal and other highly nitrogenous food, amongst whom must be classed man; also the domestic pig, when fed on the offal and blood from the butcher’s slaughter-house. A