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The first consideration is the prevention of both ever- crowding and the lack of proper ventilation. This applies to railways as well.
During the prevalence of an epidemio, it is advisable to
prohibit the departure by rail or shiy of say netual contact with a ones especially those contacts shown by bacteriological examination to be dangerâus carriors.
It is not necessary to restrict any trading with arohan➡ dise as goods or inanimate objects, have not as yet proven to
be sources of infection,
tre
D. The Treatment of damsdóma.
In general, it may be stated that in an individual who
is lightly infected (designated above by "plus-minus" or "one
plus" on plate oulturas) the meningococcus ime tendency to
disappeur. from-czomiera. In others, however, the mioréorganism
tends to be persistant and requires mergetic treatment before
it disappears from the nasopögrynx. Indeed in sotas cuess, in
spite of active treatment, the healthy carriers or convalescenta
kowe not been frend of the meningococcus for à period of mentùs.
At the present time the most efficacious treatment, as
demonstrated by investigations carried on under the direction
of Dr. Flemer, is that which takes in consideration the goudá-
tion of the rateous mansbrane of the nasoplinarynx, a
as well as the
eherical disinfection. In a heavily-infected currier it becomes
a very tedious process to destroy the noningococous wilese mny
pathological condition of the mucous membrane is remedied.
Binusitis, plaxyngitis, tonsilitis and diseased adenoids must
be treated and the membranes restored to normal; otherwise the
menẳngodooous will have a tendency to persist (und sometimes in
pure cultures) in spite of any disinfection.
ective
The most
Zlondiewa dhoricki disinfection is the steam-
chamber devised by Gordon and Flack (British Medical Journal,
November 18, 1916, page 675). The construction of the chamber
(43)