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WEDNESDAY, JULY 30, 1924.
THE TYPHOID FEVER EPIDEMIC.
SANITARY BOARD' DISCUSSION."
Is the Milk Supply to Blame?
At yesterday's' meeting of the chance of infection, but when this Sanitary Board, tho Medical cannot be done the utmost precur Officer of Hoaith. (Dr. W. W. tion is needed to proteet food fram Pourse) made an important state- fies In Hongkong the domestic ly ment on the outbreak of typhold breads chiefly in, dirty dust, bins fever and suggested tho pas-
sibility of contamination of milk The present epidemic, however, is at the Dairy Farm owing to the net to be explained merely throngh U60 of a questionable water the abovo possible" sostfera-af-infec supply. On the other hand, Dr. Lion. During the last fortaight so Koun declined to accept this many enses have occurred, that it! explanation, exprossing the opin· has been evident that there has been ion that the infection was carried one comeron suuree of infertitits by flion.
The discussing arosa over the fol lessing question put by Dr. Koch: To enquire what progress has been madu in the investigation of the suuree of infection in rerent cases of Typhoid Fever, The Medical Ofeer of Health re plied:
The first question lo be consittered way that of the probialde a coll tumination of water as supplied to Ge publie by the water-kaps_fram which they wanld upturally inko their supply,
As the disease hins been widely spread thronglout the Colony, ir- Ifore replying_directly_to_Dr respective of the different sources of water supplied to different parts-of- Kuch's question, I propose to say something with the intention of cor the Colony and, as the majority of tecting popular beliefs as to these infected had their milk from] cause of typhoid. It is commonly the Hongkong Dairy Farm, atten supposed that had smells causes this then was early directed to the milk disease and that the so called ply being the cause of the
Lepidostig germs" of the lisense live for Jonk
Milk Contamination.
**
214
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periods in sail whence they may Milk may be contaminated Puerge into the air and by being food in private houses by carriera | breathed into, ile langs set up this femployed in a dairy. It may also disease. Typhoid Fever is a parasi-be contaminated by the use of con-
While in cases which ftaminated water used for tie disse
clean- elinically
thesting milk pails and dairy machinery. } recogniser parasites are entstained in the blood It may also be contaminated by the of the patient, the port of entry of use of typhoid-fouled water the parasite is via the digestive adulterate the milk. but this
application 亲情 systrin. A tout aeqitizen typhoid spears to have no cating or drinking something which the present epidemic.
The Hongkong Dairy Fum de- Typhaid-buzilii-rapidly ille out in th the Colony day by day during that untilered water was being has been contaminated by the rives its water supply from Pok-reservoirs, so that any attempt the month. The number - of used, then the Public Works unitrojde parasite krawn as the folam reservoir, and the water is to detect them several weeks after Chinese and Japanese cases was Department was to blame for pot Typhoid Bacillus, Every patient unfiltered. It is true that the their presumed date of access to 14, and the number of European 41, waining the people that the water suffering from typhoid voidy in his Dairy Farm Company has its own the water, is usually a failure. pinking a total of 55.
WAR not lit for consumption. faners or crine or both. elormous so-called filter, but this is in realty However, the bacteriological tests, The Medinal Odicer of Health Every month a report was made mumbers of these parasiters. An merely a strainer, and the water, of the Dairy Farm water, made at added, in reply to further by the Government Analyst on the midetermined number of persons after passing through, is no better my request, has undoubtedly shown question from Dr. Koch, that at the quality of the Water,
the that the water is badly contuminat-fast mealing of the Heard he The Director of Public Workce: "cartiers" of typhoid bacilli than the water brought to Such persons may have anffered uppuratus.
fed with th which may be reason-reported that up till then three The Tairy Farm is not supplied Certainly, the Dairy Farm has ably be assumed to have been mix-cuses of paratybeid and use of from the town supply-11-bas-n- from reengnised typhoid fever, or
ample means at its disposal for ed with human excreta. The typhoid had occurred. All the supply of its own. The water in they mug oever have been recognised sterilizing its water by boiling, bat human element cannot be entirely other cases and bean, notified since Pakfolum reservoir is filtered ani sufferers aml yet he carriers. If the it has been admitted that for the eliminated from work on a Dairy the list Board meeting. dejecta of such persons, shooubl con-cleansing of one Important ap-Farm, and although it is possible
Dr. Korh: beg your pardon. faminate food
is drink, the comparatus, unsterilised water has for the Dairy Farm. Company to
I stand corrected. "I hold na brief uters of such a dilde te las in been used. The Investigation of use no unsterilised water in their Over of Health for his abitement, shares in it and I have never been
Dr. Koch thanked the Medicalf the Dairy Farm, 1 have fecte: xul to suffer in their arm possible sources of contamination workshops, it is desirable that it was very interesting to compare to it but what I say is that it is
Ways of Infection.
of milk at the Dairy Farm, has not their water supply shall be modified wit the Medical Oficer of Health very unfair to throw the blame muny ways by which been completed, but it is quite so that no water shall be used that had said that day with what be any vertain process in a wido of the has not passed through the Gov-aid fortnight age, when he attempt to get at the source val and drink van be s'evocaumat possible that the
epidemic has been this weak point ernment filter hads. This could referred to Peak Tram gossip." of the infection. It reminds me of Ted size
in the defensive armour of By the handling of food Dairy Farm. Pokfulam Reservoir water to the Farm from the Peak then had been absolutely straw. There are other sources of the doubtless be managed by bringing Ltatruck him (Dr. Kochi that as a drowning-man olutching atm earrings such as rook's amul
has long been known to be a ques-or more directly from Eliott Alter chance of discovering the suuren of infection. Dilukisans domestieille em- +fumable suurou of water supple,beds:--
the interlion, on stterapt had
Dr. Koch went on to say that st plovesi
but the water derived from it and The Sanitary Board can, if it simply
Minde to distributed to the Colony generally, wishes, require the Dairy Farm to back
the last meeting the Medical on -the general iden of Officer of Health mentioned that first passes through the Govern-use no water but that which comes the prevalence and the sprend certain latrings used by water ment filter beds and has also lately from the Government mains. of typhoid, A long time ago,coolies employed in the erection of heen chlorinated,
The Manager of the Dairy Farm in a
audia reports new buildings, did not comply with People who draw water directly has now promised to cut out en-of that Department, a page or two the regulations,
was devoted to warning people The Medical Officer of Health: have been maand by fresh from Pokfulam Reservoir run great tirely the use of unsterilised water, Toni mainre derived from risk from time to time of drinking out i would be
safer to have "gainst the gues of raw salads and I did not say that. Dr. Peare water which has been polluted by water from the public supply after green stuffs. That was in Dr. added that he mentioned that ment area. Their only defence is fulam Reservoir to be cut out of only source of infection. He re were fouling of the Pokfulam catch-aftration and safer still for Pok-that time it was looked upon as the plied with the regulations there
Pearse's predecessor's time, and at while the majority of cases can
There are
-
By the rating of shell is, eg,
mystis lapel in taunted water.
sewage.com.
fly the eating of raw regetne ides, such as lettuces which
STUBBAN SORUETTA A
chuse
to bell their' water.
Fouling of Catchment Area.
the
Dr. Koch's Criticism.
of the
chlorinated.
The methods of infection doubtedly nevnt for the usual in
the public supply.
sume which were not in eirohyes of typisund in a calny like
Imetabered a case in point, which accordanes with the desires of that The explanation offered especia lads went up to the Peak to stay Department. Hongkong. The natural defence! It probable that recently ally as regarils the use of unsteri-for a short while and shortly after against this mode of infection lisse in there has been an unusual fouling Hood water for une eleansing shoe down she developed
"Only Guesswork." avaidynce of queooked vegetables, of this entchment area, owing to
process at the Dairy Farm syploid. The Medical Officer of Dr. Koch expressed the ophion Aystems, from impendable, the number of coolles entplayed in theoretical and merely a possible lealth insisted it must have been that the infection was carried sores, and most of all in domestic constructing the new motor road way by which milk may have been the to enting raw salad, but it is by fles. Even though, the
from Mount Kellet Rond to
contaminated, for the Dairy Farm opened flat the lady bad not Maligal Officer of Health.......bad Peak Tran
ani "Station.” Noother impertura sonure of inffnes
'Company follows this washing by touched saind. He was afraid that issued a warning a short while ago tun Fox in the earrying of filth must have washed into the reser of getting rid of any contaminat-when they were unable to put their lile, personally bond all along The heavy rains of June and Jay other processes with the intention they had got to that stage now that mille and water should be This legs of "probosves, of flies from voir a great deal of filth, which ing matter which may have thus finger on the surve of the infee- tes drinking unboiled milk and sight soil receptacles to foot in the may well have been mixed with gained access to the apparatus. As, tin, and the Medien! Olices of water from the pipe. Fortunately Litelen, pantry or dining rosto. In excreta from typhoid carriers.
however, even the best intentions Health was.compelled to fall table to had not had typhoid yet. It The incubation period of typhoid are able to fail sometime, it can on the Dairy Farm. Personally he showed that if the milk supply was fever is so long-two to three The hulition of the day lofrine in weekend its onset so insidious bald that the Dairy Farm considered That if the Iniry Farm contaminated or it the water supply is safe as long its water supply is was responsible, there would have was contaminated, the disent *which the exerela are nut covered that every case notified may be unsafe.
been a much wider sprand", a would be more, widespread Thero have been infected by waith or some disinfectant and experted to
The Medical Oficer of Health greater incidence of typhoid than would be a inrger umber of caste three weeks at least before notifies produced a chart showing the in-was the case. Assuming it was reported that 4in: a fortnight. the substitution therefore of the
Continued uù Papé:3). water closet, will greatly reduce this made to the Medical Officer vidence of paratyphoid and typhoid from the Dates Forms and assuming
!
this case again the precautions are anestly domestic.
of Health.
$ALESMAN SAM
GOLLY PAPER SAYS TI SHERIFF IS WATCHING TH' HOUSE CONTINUALLY TRYING TO CATCH MEJ GOING OUT OR COMING IN GUESS: I'LL HAVE TO KEEP ON WEARING THESE WOMENS DUOS TILL 1 GET TO THE STORE UNTIL HE GETS TIRED LOOKING FOR ME.
Almost But Not Quite
BEG YOUR PARDON MAM- ARE YOU GOING | TOWARD DOWNTOWN ?
YOU DONT CRICH ME WALKING TOWN TOWN IF I CAN HELP IT- WATCH ME MNKE A HIT WITH SOME PASSING
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