It is however most noteworthy that the measures of evacuation and complete disinfection, which have been practised with much success elsewhere, have not been tried in Hong Kong, doubtless owing to the peculiarities of local conditions.
You will notice that only one floor of an infected house has been disinfected (par 12). The question is what is to be done to prevent a recurrence. We must confess that we have failed badly. We have not even kept the disease in check.
As at Port Said, we kept the Governor informed (par 7) that a preponderance of the disease in the Chinese community is attributable to overcrowding, insanitary dwellings, and a bad system of drainage - facts which seem to him inexplicable. He then proposes (par 13) that on this basis a Sanitary Engineer should be sent out to advise on remedial measures.
In a private letter (annexed) Mr Lockhart suggests that Mr Chadwick be chosen.
I differ from Mr Lockhart, for the following reasons: I gather from the perusal of reports and opinions that have passed through my hands that the local authorities consider that the conditions favouring plague are dissimilar to those favouring other diseases. While typhoid and cholera depend principally on the drainage and water-supply, plague is more directly connected with overcrowding, inefficient ventilation, and dirt.
I believe that as regards water supply and drainage, Hong Kong is much above the average of tropical cities. I understand Mr Chadwick's experience is chiefly with water and drains; his recommendations for the improvement of both, while of the highest value, might not be effective for the purpose of stamping out plague.
There are officials in this country attached to great sanitary authorities...
Page 454 has been removed as it is not part of the main body of text and is kept as a page information indicator. Here is the revised version with the page information included.It is however most noteworthy that the measures of evacuation and complete disinfection, which have been practised with much success elsewhere, have not been tried in Hong Kong, doubtless owing to the peculiarities of local conditions.
You will notice that only one floor of an infected house has been disinfected (par 12). The question is what is to be done to prevent a recurrence. We must confess that we have failed badly. We have not even kept the disease in check.
As at Port Said, we kept the Governor informed (par 7) that a preponderance of the disease in the Chinese community is attributable to overcrowding, insanitary dwellings, and a bad system of drainage - facts which seem to him inexplicable. He then proposes (par 13) that on this basis a Sanitary Engineer should be sent out to advise on remedial measures.
In a private letter (annexed) Mr Lockhart suggests that Mr Chadwick be chosen.
I differ from Mr Lockhart, for the following reasons: I gather from the perusal of reports and opinions that have passed through my hands that the local authorities consider that the conditions favouring plague are dissimilar to those favouring other diseases. While typhoid and cholera depend principally on the drainage and water-supply, plague is more directly connected with overcrowding, inefficient ventilation, and dirt.
I believe that as regards water supply and drainage, Hong Kong is much above the average of tropical cities. I understand Mr Chadwick's experience is chiefly with water and drains; his recommendations for the improvement of both, while of the highest value, might not be effective for the purpose of stamping out plague.
There are officials in this country attached to great sanitary authorities...
has been revised toPage 454
It is however most noteworthy...
The final output isPage 454
It is however most noteworthy that the measures of evacuation and complete disinfection, which have been practised with much success elsewhere, have not been tried in Hong Kong, doubtless owing to the peculiarities of local conditions.
You will notice that only one floor of an infected house has been disinfected (par 12). The question is what is to be done to prevent a recurrence. We must confess that we have failed badly. We have not even kept the disease in check.
As at Port Said, we kept the Governor informed (par 7) that a preponderance of the disease in the Chinese community is attributable to overcrowding, insanitary dwellings, and a bad system of drainage - facts which seem to him inexplicable. He then proposes (par 13) that on this basis a Sanitary Engineer should be sent out to advise on remedial measures.
In a private letter (annexed) Mr Lockhart suggests that Mr Chadwick be chosen.
I differ from Mr Lockhart, for the following reasons: I gather from the perusal of reports and opinions that have passed through my hands that the local authorities consider that the conditions favouring plague are dissimilar to those favouring other diseases. While typhoid and cholera depend principally on the drainage and water-supply, plague is more directly connected with overcrowding, inefficient ventilation, and dirt.
I believe that as regards water supply and drainage, Hong Kong is much above the average of tropical cities. I understand Mr Chadwick's experience is chiefly with water and drains; his recommendations for the improvement of both, while of the highest value, might not be effective for the purpose of stamping out plague.
There are officials in this country attached to great sanitary authorities...