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138
At this point, it is important to emphasize the futility of the bacteriological examination of great numbers or all of the population (a method which has been suggested). In the first place even in the hands of skilled workers, many my escape detection: the techinque of bacteriological examination
is very difficult. Secondly, if the same number of the popula- tion is infected, as I have detected at the gaol, what disposi-
tion could be made of the hundred thousand or more individuals
which would be classed as carriera ? Thirdly, cases only very
rarely develope amongst isolated carriers (as in the onse of
the guol). Fourthly an attempt has been made to show that other
factors, as the dense overcrowding of the population is more
important in the wide-spread dissemination of the disease then
the presence of numerous healthy carriers.
Hence in the present state of our knowledge the detection of the contact carriers, especially the dangerous carrier, azd the elamination of their influence, should suffice.
0. be Means of Prevention of the Dipponiustion of
Eridania Meningitis to Pistant Perte,
As Mongkong depends for its existence in a great measure
upon the steamship traffic, import and export business, and as
there is usually heavy migration of the population the problem
of limiting the spread of the disease to distant areas become Y
important.
The number of cases which have recently occurred among
the coast and trans-Pacifio eteamship have with a very few
exceptions been localixed to the steerage passengers. Uwing to
heavy traffic and limited steamship space, there has been a
tendancy to overcrowd the passengers.
Besides the messures stated above the following is
emphasized.
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