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137
The patient is kept isolated not only during the course of the fever but also at least one week after the fever has sub- sided. The object in to avoid the discharge of a "dangerbum" carrier. Cultures are taken from the nasopharynx and when there are no meningococci demonstrable for three examination at five- day intervals it in reasonably safe to discharge the patient.
b. Establishment of hospitals. If the Kennedy Town and the Tung Wah Hospitale prove insufficient for the number of cases, it is advised that additional hɛopital facilities be
provided. The #solation in a hospital is preferable; isolation at home (as it is constituted now) is to be avoided. The addi-\
tional hospital space om be obtained by constructing matshade,
or other temporary structures, which need not be expensive but
should be confortable and roomy, Camps or barracks serve the
purpose when the necessity arises.
0. Nurses and physicians attending to meningitis omnes should protect themselves especially from droplet infection, by
wearing maske while on duty. Those articles, whether eating or
drinking utensils, toothbrushes, or bedding, whieli become api-
taminated with the nasopharyngeal secretions of the patient are
thoroughly disinfected. The terminal disinfection comprises the
thorough cleansing of all artioles coming in contact with the
patient.
d.
Search for carriers among contacts. The families of
patients as well as those whẻ have been in contact with the
patient are examined bacteriologically for the presence of
meningococci in the nasopharynx. In this way, carriers and
especially the "dangerous" carrier that is, the one who har-
boure numerous meningodoaed and particularly of the same type
sue the patient, can be recognized mid their influence control-
lod. The former are treated (as will be indicated below) until
the nasopharynx is free from the reningoooood; tue latter are,
as well, islosted.
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