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HONGKONG.
THE HONGKONG TELEGRAPH.
TYPHOID OUTBREAK
DISCUSSED.
INCIDENCE NO GREATER THAN LAST YEAR.
"DON'T GET SCARED)."
prosent
WEDNESDAY, JULY 24,
appears that he ate uncooked vegetables from his garden at Shek- 10. Human exereta were possibly: used, without his knowledge, s fertilisers.
1929.
4
possible for these people to ba Home carriers, and some pussed on the germs without ever having felt
In their lives. This was dan- gerous berause' such people wors liable to go to work as cooks in a restaurant and spread the gorm by that means.
Infection by, Water,
KEEP YOUR EYE ON THE "JACK"!
BY KEEPING YOU WELL PINI ETTES
ENSURE
THE CLEAR
EYE AND THE STEADY HAND
OF HEALTH.
Is Kowloon City, where the supply of water is mainly from wells, niore infected than any other locality? According to the seanly figures Recent analyses of the regular from Kowloon City the answer a water supplies at Shek-O sug- "No," bat we must remember that gest no rerious pollution but we this is a rural population, en- know that the septic tank sewage-tively native, and mostly immune disposal there is far from Ideal to the ill effects of a water supply
Dr. Fawcett pointed out that the and that at least one of these which has been in use there for
city was generally free from flies tanks drains into a stream from many generations.
Ap It cannot be compared with a which constitated a menace which the nearby native villagers
morc fro- "The incidence of notified cases have obtained wider.
mixed and ductuating population summer. They were is, so far, no less or no greater
requent in the villages such as For many reasons the condi- in a modernised city, which than the same period inst year, tons in this Colony are ideal for quires ever-increasing precaution. Pokfulam and Kowloon City where The widespread use of doubtful the maintenance of typhoid. Daily ary measures to combat the evil there was more matter in which water, open to pollution, increases domestic contact with people who and dangers which it, itzulf, they could breed, Water was noi an over commen calle of the The risks, which are normally are often of primitive and un-reates.
its the Colony. Ali
We are not taking routine aan spread of the disease but it con-
Your skill at games, epidemie of infectious fiscase hygienic habits establishes the
enak-jiny,ples at present, of well-water instituted a very sericus means of cycle. The Chinese
eurriage ina-inch as the water success in the affairs of life, would be far more difficult to car oven, in always a possible carrier." Kowloon City, trol under conditions, such as exist
My general impressing is that might supply a whele comumenity.depend chiefly upon the condition In the case of Infected milk or of your health, and this, in tari, at the mement" said the MedicalThe typhoid chain has many links.
The Mr. Whyte mentioned was the people there are surprisingly
from Ofleer of Health at yesterday's
infectious vegetables the consumption might is dependent largely upon daily meeting of the Sanitary Board not notified as a case of typhoid free
It was certified as dying from discases in Kowloon City. It is be limited to a certain batch of intestinal regularity. If you are when he answered questions
nlikely that they will remain so people and Cerefore the risk of constipated, liverish, billous, dull, dealing with the present incidence appendicitis.
I have no doubt that the member when closer contact is established spread was not so sprions, Shell- Pinkettes, the dainty little laxative Gish was a common cause of a liver regulators, are the best and of Typhoid fever in Hongkang.interled to refer to Mr. Cessert with larger Kowloon.
direct cases of typhoid, and ar quickest correttive. Dr. Pawrett's remarks, were, who lived at the Peninsula Hotel
other case of an epidemic might the whole, reassuring, but benquiries have been made it ! painted un the risks still existing have not been able to ascertain
people who left hospital loro they were enre and who there and described the methods by any source from which he might which the disease was spread, have contracteil the disease. I
fore became carriers, The questions asked stood in the have no doubt that the food was name of Mr. Wong Kwong-tin, who above reproach but of course he was not present at the meeting might have got some outside owing to a bereavement in his
do not know his movements and) family. They were then aked in under the conditions in the name of Me, T. N. Chan.
possible to tell how the infection The questions and the replies in bold that he locality; the geological formation
given by the Medical Omeer of Health were as follows;
was fond of oysters and shellfish If whether he took any or hot I [do not know.
Wells and the Disease!
Prior to the recent general opening of well, were there any cases of typhoid fever res ported this year?
there
Bueilli Coll
What is the percentage of" bacilli coll in water to be re garded as dangerous? It is impossible to lay down any vote or sulle on the barteriological content only. It must be taken in conjunction with the chemical analysis; the source of water; the
and above all the opportunities of contamination.
This technical iuatter needs con-: siderable experience and even an expert will hesitate to dle more than give a general opinion.
Open latrinet constituted· ap- other factor and provided another
link in the chain. There was no
subi that a modern water
lage system throughout the town was the best means of avoiding an epidemic.
Symptoms of the Dinguse. Dealing with the symptoms of Is it his opinion that an in- erease in the number of cases.
the disease Dr. Fawcett said that if spots did put the presence of typhoid fever is imminent?
necessarily Indis ate typhoid I can only repeat what I have
The bacillis coli is merely, an already said it the Proes that it
indicator of seware or animal con- Sometimes spots did need some is my duty, as M.0.3., to anticipate
Aamination, harmless in itself, int time after the disease had been all possible events affecting jule
warning if found in large mum-contracted, but they rarely ap peared before the second week of ii health and to act on the use zumption that even the most un-{
i: likely may happen. It ny when the general opening of The usual standard of purity the discape, policy to be prepared but not to walls started, but, if we take it aimed at is no B. coli in 16 ee. of prophesy or raise alarms,
as the middle of June, there were shallow well water. Suspicion of 68 notified cases previous to Jane polution rises in proportion as the 35, this year. Of these 18 were amant of water, from which this non-Chinese and 50, Chinese.bacterium Imported, enses (12) are not in-diminishes.. cluded.
A moito; summarising preven tive medicine, might be "Saspeet; Inspect: Protest."
I am prepared tray only that this is the season when typhoid
is most prevalent May to Septem- ler in Hongkong: that the inci dence, of nutiful rates is, so far, no less or no greater than the same period last year; that the doubtful widespread water,
pollution. in pelf creases the risks which he hop- tally present in the Colony and that an epidemic of infections disease would be far more dirult
1-0:
เป
i
It is diffeul to say exactly kors.
What are the statistics of typhoid fever 1or the last five ending June, 1929. Years
the following relating to Toralities. The City of Vir toria, the Peak 'residential area. Pokfulam, outlying dis- trict in the Island of Bong- kong, Tsimshatsui and Kow- Toon City?
to control 414 the condtionaled for in table form. They are
such assist at the moment.
Tracing the Cases,
Has Le Trave. The surge of infection of the first case? /
I have prepared 'the Ggures ask-
taken from the notification diseases.register and, for the sake,
u1
of simplicity. shown 45 whole
cal
he
It was father commonly thought. that iyphoid was ushered in by a violent attack of diarrhoea. in a On the other hand there large number of cases this was not cultured, Sv.
might be an attack of constipn-i
first symptom was Knowhy the average B. coli tion. The eantent of untreated sewage, we usually a headache and later thore can draw up a table to show the came a feeling the stomach. presumed excremental contamina-The earlier symptoms might bei tion of any sample. Thus R. cull those of a cold or of influenza buf present in 11, ce, but not in 0.01 one invariable thing happened, e, might represent pollution There was a rise of Temperature, in staircase fashion, until the with 40172 of sewage.
maximum was reached.
The batills of typhoid, self. is dificult to isolate from ordinary water supplies.'
NO SIGNS OF EPIDEMIC.
Dr. Fawcett Describes How the Disease is Carried,
years. The period o: 1929, Janu- Dr. Fawret! neldel that he did It is and clear whether this ques-ary to June, is shown separately not want the water shortage crisis tion refers to the first ense this Imported cuses
t. The year or
Dr. Fawcett added that his re- marks would show how vague the ymptoms were and how dimient diagnosis was. He concluded his emarks with "Go and consult a doctor if you feel anything wrong. Don't get stared and don't worry." Incidence Among Chinese,
WITH atten-
Dr. W. V. M. Koch spoke of the are not shown to be the starting point of a work about twenty years age of disease is and ali nationalities are added typhoid scare. So far there were Dr. Hunter the Government Bac no signs of epidemic. The num-teriologist who devoted much at- of The Incidence endemic here and sporadie cases together.
There are me fallacies, how-ber of cases this year was more tention to
mengel
native the er all the your round, 1 tl first
in davacry, ever, of wideh 4 lave mentioned or less the same as last year but typhoid
same time should an population, Dr. Koch said that all: 19029, de nem, I must reply "No," one; the dihenity of diagnosis and at the
epidemie arise it would be a scri- betties in the Mortuary
special and In any casu, with the many missedl ensen, tential sources of infection in In addition, it must be pointed us matter and no doubt the risks examined
was paid to children of ibis Colony, it is unlikely we could out that these district figures are were increased at the present moon
six or eight months of age. Dr. fo...r, one ra v tajam particular fat very little comparative value.ment.
There were many ways in which Kach said he assisted Dr. Hunter vipi. With a large series of They are based on addresses givenį cases efon, it is by no means easy on the notification forms and the typhoid could spread but there in this wark and in a large propor reported move was only une cause. The active tim of cares they found signs of to find the common farfor. We very uncertain seidon got a clear or accurate his ments of the native population. Inicilli had to be transferred. Typhoid infection, pointing to the tory especially of the Chinese Moover, it does not follow that could be transferred by flies but fact that the children had had
different. an attack of typhoid. eases. It is a sagne disease with the locality where the patient, is there the method
The inference was that if diese a produd based; a fairly long in- tak til is the same as that where The flies would have to pick the cubation period and difficult to the disease was contracted, some bacilli from infected exerela and children had survived it would carry it to food. The germ made have made them inmune and the that was reurhed diagnose in the earlier stages. 12 days previously. Several weeks may slapse between The danger of typhoid, from its way to the intestinal tract us-conclusion
typhoid would not occur so readily the "eatching" and the notifica public health point of view, liesally by way of the mouth, tion; cause and offert.pet
for even medieat men to tackle foreigners as they had acquired elated and many cases are miss. in this very difficulty of tracing Typhoid was a diffient discuss amongst the Chinese as amongst
inumtunity. Typhoid and Paratyphoid Fevers,
ed altogethe
It must also be remembered that There are many vectors of enteriel foyer heddes waler. One source may start an epidemic but it Spreads by varied means, of which flies and human "carriers" may be ones of importance. There is, in fact, only one cause the typhoid bariling but many agents for propagation.
European Camer
Was infection in the case of the hate. Mr. Buchanan of Shek- and Mr. Whyte of the Peninsula Hotel enused by the drinking of well water? For the reasons given in answer to question two, I am not in a position to give a definite reply.
In the case of the Jate Mr. Buchanan, the information second hand and seanty but it
SALESMAN ŞAM
W13
Yes, THIS IS MR, GUZZLEM! WHAT? WHILE SAM ITS TAM HOWDY- AND TER DOWH
(S STILL
IN TAMPA - WELL, WHAT LOCK? IN FLORIDA HAVE YA JOINED A TEAM YET? "TRYING TO
|BOOK UP WITHE
SOME. BIG-
children grow stronger
Each day become
rosy, plump and
Fall of life-try SCOTT'S Emul-
sion, the mother's
friend! Ask lor
SCOTT'S EMULSION!
#1:
|LEAGUE BALL TEAM, GUZZ- LEM GETS
A LONG
DISTANCE İPHONE CALL, BACK HOME
IN "THE
STORE
Notice
CREDIT CHESTCHE <GIVEN
PERCHES INCLUDVIG CME
$254
APPLES
#
Was
L. E. BASTO
and controlling it.
Districts
Victoria kenk Pokfulam
1921 1925 1926 1927 1928, Yearly Total..
1:7
81
141 UB
579 117
16
9
30
3
0
Ü
0
1
Villages of Hongkong etc. 11 Tsimshatsui Kowloon City
12
1-1
16
19
75
22
3
3
21
7
56
10 Queen's Road C.
8
18
Total Cases
195 121 101 194
151
762
Typhoid and Paratyphoid fevers because its progress was gradual from 1st. January to June 30, and the symptoms vague. The ra 1929.
Victoria Penk Pokfulam Villages of Hong-
kong Trimentani Kowloon City
sult was that people felt slightly
27
ill but did not go in a doctor until the disease had got a good hold.
Nil
6
3
If persons had been inoculated or were more or less inmune from the disease it was possible for them to get a mild attack and not'
It was also go to a doctor at all.
The Sensible Thing to Do
NO LUCK AT ALL! NO TEAM WANTS ME- BUT I'VE JUST RUN OVER HERE A SEC IF WALT JOINSON WON'T GIMME ANOTHER TRYOUT – THIS 'TEAM'S' PLAYIN' WITH TAMPA
T'DAY-
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