3. Freventiva Hessures with RefereADU
136
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gud His KuTÁFongout.
Isolation of the patient. Isolation of the patient so
as to remove his area of influence, with regard to his infectivi- ty, is the prime consideration. Before this can be done, it is obvious that the patient must be recognised first. It becomes necessary then for the legal physicians to be trained in the recognition of the clinical symptons especially of the milder cases. At all times the clinical symptoms should be confirmed by microspie and bacteriological examination of the cerebro- spinal fluid, and where indicated, by the bacteriological examination of the nasopharyngeal secretions.
Important to note is the fact that the very mild oase, the patient who is "missed" in diagnosis, may be quite as infective as the fulminating type of case. The number of missed onses in the Chinese community apparently is very large. It
therefore baliooves the Saui tary Department to strengthen that
department, the activities of which include house-tonhouse
inspection. During an epidemio intelligent mid trained inspectors
should investigate every household and attempt to locate for
subsequent investigation patients auffering from fever, headache, hyperesthesia, stiffness of the neck muscles, Xernig'e sign,
apathy and weakness. A non-fading rash, as well, is an import- ant phenomenon, and horpes especially about the lips are sugges-
tive symtoms.
The difficulties in isolating the patient and the mild
or missed case in Hongkong are obvious. However, the establish-
ment of a corps of saní tarjı police by the Coverumet suggests
itself. It is hoped however, that by a thorough system of
education, the natives may be made recaptive to these activities
and co-operate with the Government for the benefit of their ow
welfare.
(20)
(40)