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THE

HONGKONG

THE MENINGITIS EPIDEMIC

DISCUSSION AT SANITARY BOARD MEETING

.

MOTION DEFEATED

TELEGRAPH.

WEDNESDAY, APRIL 27.

1932.

"With this end in view I suggest actual atops one must take against that steps bo taken to Institute an moningitis but I do feel that some- intensive form of propaganda to thing should be done. Dr. Basto Instruct the general public as ro. is a lighly qualified medical mann gard the methods of provention of and he has buggested that certain the disease. The propaganda mossures would bo effective. could be affected through the press, Whether they would or would not by means of Illustrated posters, bo effective I do not know but I public lectures in open spaces, or feel that any measures suggested better still through the agency of by a responsible doctor would be a Health Propaganda Bureau to be infinitely better than the alterna established under the auspices of tive of inertia. I therefore second thin Board.

Dr. Basto's motion without com. mitting myself to all the arguments he has advanced.

Dr. Pope's Vlewa.

The Medical Officer of Health (Dr. G. W. Popo) said he would be justified in protesting against: the wording of the motion but he did not intend to take exception to it.

The moningitis epidemic whe "It will be the work of this fully discussed at yesterday's bureau to disseminate health know- meeting of the Sanitary Board ledge to the public, not only during when a resolution was submitted epidemics, but throughout the by Mr. R. A. de Castro Basto, year. It will be its aim to develop urging that more effective methods in the community a certain degree be taken to check the sprend of of health-mindedness. In a colony the present outbreak. He urged like this where the practice of the promotion, of an Intensive western scientifle medicine is not health propaganda campaign. generalised, the measures adopted

Dr. k. A. de Castro Basto asked: by the authorities in the interest A great deal had been made out "Will the Head of the Sanitary of public health, are not only un- Dopartment kindly obtain the appreciated_but regarded with of the meningitis epidemic, he said, necessary particulars in reply to diffidence. This attitude on the but people should not lose their the following questions for the part of the uneducated has the sense of proportion. After all, information of this Board viz.:

been such an effect of frustrating the desired there had not 1. As the causative organism result. The compulsory removal enormous number of deaths-cer- of Corebro-spinal Meningitis has of the infected to the hospital is a tainly nothing compared with the been found to belong to severni

case in point. It must be recognia- number of deaths from tuberculoals groups or types, has there beened that the average Chinese have every year. any attempt nt typing the an intense horror of being removed

"I would like to ask what value organisms isolated from the cases to hospital, particularly a gov-propaganda would-be among the accurring in the present epidemic?ernment hospital. Therefore his coolies" he said. The coolies, ho

Answer-Yes. The necessary proliminary work towards doing this has been in progress from an early perlod in the epidemic.

If this has not been done, will the Government consider dolug so immediately?

Answer-Seo answer to 1.

Hi. If on the other hand, this has already been done, which is the particular type of meningo- coccus responsible for the greater number of crace occurring in this present outbrenk?

Answer-It has not been possible to complete this work yet. It will be a considerable time before the resulta are available.

friends and relatives will employ every device to conceal the from the knowledge of the sanitary caso nuthorities. Another objection the Chinese have against reporting a case, is not only the risk of re- moval, but also the subsequent process of disinfection. These two objections on their part form the great stumbling block on the path of the M.Q.H. It is with the iden of overcoming these difficulties that I presume the Macao authorities have tried the original expedient of permitting the relatives to accom-, pany their patient to the isolation hospital. This novel procedure is worthy of a trial.

Teaching the Public. "By way of preventative pro- prepara-paganda the public should be in-

structed:

the

iv. Is the corresponding anti- type serum (as distinct from the usual polyvalent sorum) being prepared, and if not, will Government consider its tion with regard to the present epidemic, seeing that according to the latest researches it has been found that the mortality rate is greatly diminished when the 'type' of organlam is known and the corresponding anti-serum employ- ed?"

contended, would never understand useful to tell them to take a six propaganda. It would be just as weeks summer trip annually as to talk propaganda to them.

Dr. Pope then attacked the hous- ing system among the coolle class and made a plea for more fresh air for them. It was the tunnel type of house, with one ood flocked that was

productive of disease. Meningitis was not bred in the open spaces. It originated in the hovels in the city.

about

"You must do something these houses" he concluded.

The President. Mr. G. R. Sayer, Oficer of supported the Medical Health.

Mr. Wong Kwong-tin supported Dr. Basto's resolution and thought that something should certainly be

Dr. Basto's Reply.

In closing the debate on his resolution, Dr. Basto said ho did. not mean to infer that the Medical Officer of Health had not done all in his power to check the spread of meningitis. "I was just thinking that as a medical man this was an occasion for me to come forward with a few suggestions" he said.

1. As to the ways by which in-done to check the meningitis: fection gains entry into the body. in the case of Cerebro-Spinal Fever this occurs through the thront, and the public should be warned to avoid breathing polluted air, by abstaining from gathering Answer-The preparation of in crowds. They should also be serum by Immunisation of animals told that when a person sneezes or takes about 3 months, hence the coughs into the atmosphere, minute serum now in progress of prepara- drops of discharge from the lungs, tion can hardly be of use in the nose and throat aro projected into present epidemic. The work at pre- the air. These droplets are henvi- Bont being done can only be const-ly-laden with germs, and persons dered in the light of the future. standing near are liable to become As a matter of fact no other serum infected by this means. We have

teach but a polyvalent serum is ever lately taken steps to

the employed in modorn treatment as public not to spit in public. It is the infecting organisms are always much more important that they of multiple types. Our present should learn to sneeze and cough serum has been tested against into their handkerchiefs, and If several of the organiams recovered these are not available, to stand in the present epidemic and found away from his neighbours when to be highly potent. The prepara- coughing or aneczing. tion of future serum will of course be modified, if necessary, by the information gained during the course of the present work.

that

Proceeding, he said Dr. Pepe had contended that the disease was practically confined to the coolie class and attributed this to their want of fresh air. He did not think the argument stood, for it. must be remembered that the coolle class was in the great majority and there it was only natural that should be more cases among them than in the European section.

B.

In conclualon, Dr. Basto pointed out that moningitis was sudden and tuberculosis was gradual. T. was 90 por cent chronic and there was plenty of time to bring It doctor. under the notice of a em-

Meningitis on the other hand was 11s op- very sudden in making pea:Lace and therefore, ha con- Bidered it was necessary that more should be known about it.

2. As to the methods whereby the nose and throat may be sterilis ed and kept clean, by the use of gargles, sprays, nose drops, nagal douches etc. The atomisers ployed in the Inst epidemic are not to be recommended as they may be the means of spreading infection the through several people using same apparatus.

3.

Proposed Health Bureau. After his questiona hud

been answered, Dr. de Castro Bastu moyed the following motion:

"That in the opinion of this board it is desirable in the public interest

As to the earliest signs and effective more mensures be taken to check the symptoms of the disease: In the sprend of the present outbreak of case of cerebrospinal fever they cerebro-spinal meningitis in theart-Suddeness in the onset of the Colony, including the organisation disease, headache, fever, cutaneous of an intensive health propaganda rash, inability to bend the head campaign for the purpose of in- forwards etc. structing the public both as regard the methods of prevention and cure of this disense.

"When I drafted the motion standing in my name a few days ago" he said "the incidence of the epidemic of cerebro-spinal fever was at its highest. I am glad to noto however that the discaso is on its wane, but nevertheless I shall let the motion stand.

Co-

4. As to the chances of cure if carly treatment is instituted. The Chinese are not entirely prejudiced against western methods of treat. ment. They are only too glad to themselves of western avail

Batis-

medicine provided they are fied that it is better than their Cown. It is for the government to bring about their gradual conver- sion, by conatant and repeated instructions in such matters.

"In combating a disease in its epidemic form, the carnest

If it is hoped that this colony operation of the public is of the will be freed from such unpleasant utmost importance. Unless the visitations as epidemics, if it is to as healthy a spot as public understands the mode of be made spread of a disease, the curative climatic conditions will allow then, methods employed with its chances it is most essential that the public of success; unless they understand he taught how to keep themselves the principle of the methods em- ployed by the authorities in check- ing it, It is impossible to expect motion. In doing so, however, I from them the desired co-operation. confess I really do not know what

FRECKLES AND HIS FRIENDS

DID FRECKLES TELL you ABOUT THE CLUB HOUSE WE'RE GOING TO BUILD, AN

HOW EACH KID WAS SUPPOSED TO BUILD A

PART OF IT?

YGAH...I SAID I'D BUILD THE BACK BECAUSE THERE ANT ANY WINDOWS

IN THAT SIDE!

healthy."

Mr. M. K. Lo: I second the

AN' I'M GOING TO BUILD ONE

OF THE

SIDES!

YES..NOW YOU KIDS HAFTA BUILD

A PART OF IT, IF YOU WANTA BE ÎN TH' CLUB..... YOU BETTER BUILD A SIDE!

Dr. Plato's metion was lost by

four votes to three. The voting was: For the motion-Dr. Basto, Messrs. Wong Kwong-tin and M. K. Lo. Against the motion-Dr. G. W. Pope, the Hon. Harold T Creasy, Mesars G. R. Sayer and F. C. Hall.

i.

WHEN AT HOME

The

Hongkong Telegraph.

MAY BE PURCHASED AT

SELFRIDGE

LONDON, W.I.

Not on This One!

-SURE...WE'LL GO HOME HOW AN' START RIGHT

TO WORK ON

IT....

YEAH.

OH! BUT HOW ABOUT THE

MORGAGE...

WHAT ABOUT: THAT?

10

OUR BRITISH CROSSWORDS,

10

Across 1 So met in the first place-bui

nok_luvariably, of course.

9 Look for this thoroughly.

Although always in front, the place for the second in first fight behind.

11 Go and mend it.

12 Say, “Oh," after making auch o blunder. It does sound easy to build in this

14 way.

15 Supports a picture with ease. 14 Incorporates a wish without

which no Jew would bo complete. 18 One of my ancestors-a well- known man-nided by an insect, became positively brilliant. 21 Irish river. 24 City of Syria,

20 In such a secluded spot where pelf, in itself was of no account (hidden).

30 Oar little mother, God bless her!" (Holmes, "A Good Time Coming.")

31 Sent from home. (Put in the

11.50.)

82 Ono gets nothing by a series of

such fruit.

39 Last month.

34 There was always something strange in auch a sign of con- sent in the past. 36 Its ftrat part contains its second,

and it's sound enough.

Down

2. Of coume you'll see through most of my clues easily enough. but you won't see through this. That I wil→→→

3 pledge.

4 la game conecaled in such like-

resses?

They are no longer in the first. fush of youth.

The way in which one might ex- pect a farmer to go back to re-

now a field.

7 Four letters are all that

simple rustic needs.

* Symbols which indicate that } owner would not make a gro planist.

potentate.

11 Easter burning matter

13

start with, it soon becomes set i its ways.

wild.

17 Faced by rising ground, the ci loses its temper, and become 19 Sho is well known in Australia.

Loop.

20

22 Tip-top.

23 Such liberality is scarcely mor

than a whisper.

25 A perfect little pig.

27 Doubtless you hold it yourself.

28 No strong partisan, apparently

this paper may

chango It colour when it gets into hot water.

גן

20 Quito suitable, in a word,

Yesterday's Solution.

TARAMEN COHERE F ANOHO. [UKNUR TI

PAIRED PUGIL 18:

UI AWE IN E BOBBIN CONVERB1 OLETA DELETED CONGURI

IN TUBBORN ENLACE TALAIR U L FONDLING CARPEE FEV EEN A CHEESE A BIDING YRRENITTO E

YOU CAN'T HIDE BACTERIAL-MOUTHI

es

Mon. Tues. Wed.

3 SHADES WHITER

TEETH WHITER

3 Shades in 3 Days When this Ugly Condition is Removed *VEN the unobservant notice Bac- terial-Mouth and the forgetful remember it. There's nothing more offensive than stained, decayed, ugly yellow, cloudy teeth and unhealthy looking guma. This condition is due to millions of germs that sweep into the mouth and defy the ordinary tooth pasta.

Kolynos kills those germs; 190 mil- lion in 15 secondo. Bacterial-Mouth dia appeareand your teeth become whiter, 3 shader in 3 days.,

KOLYNOS

DENTAL CREAM

MORGAGE? WHAT ARE YOU TALKIN' ABOUT? OUR CLUB WONT HAVE NO

MORGAGE!!

Use the approved Rolynos Dry- Brush Toaknique. A half-inchof Koty- non on a dry brush, that is the secret. Instantly it increases 25 times, to a surging, andseptic FOAM, that entere every crevice, pit and fissure, cleansing thoroughly and removing the ceases of decay. So long as you use this method your teeth will be whiter! Your smile will reveal a clean mouth, sparkling white tenth and healthy gums, Try i tube of Kolynos todagi

KOLYNOS

the antiseptic -DENTAL CREAM

By Blosser

WELL, I THOUGHT WE HAD TO HAVE ONE, B'CAUSE POP SAYS EVERY BUILDING.

IN TOWN HAS ONE !!!

Tel. 20345.

Asiatic Bullding.

Page 5Page 6

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