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In respect to the wathed of treatment, it is advised that all omses be given the benefit of sema treatment. But jo, attain the best results, these factors are emphasized; the serum must
14%
be potent; it must be injected early and in sufficient quantity
and as shown above, intravenous as well as intraspineka inject-
ions may be given to advantage.
!
With an abundant supply of motive serum on hand and
with the full co-operation of the population, it is hoped the
devastating effect of the discuss will be in a great maJUTE
ameliorated.
The facts which lead to the conclusion that overgrond:
Ang rather than the actual numbers of carriers determines the
spread of the disease are (1) The meteorological conditions.
The colder the weather, the greater becomes the overorowding,
and as a consequence greater is the number of uases developed.
(2) The relative incidence of the diseuse iu drowded and
unorowded districts shows a protrats decrease in the latter
sections and a similar increase in the former (3) The prevalenos
of a single type in many of the patients (although all the types
of mendugea soci have been found in carriers) points to the
possibility of the infection travelling from one to another by
direct contact. In arowded conditions of existence this cont,
is, of course, closer. (4) The gaol in mich almost ideal
conditions exist with regard to an abemos of overcrowding,
although harbouring 24.61 per cant of carriers among 130
imates, yielded no osses during the epidemic (5) Furthermore,
the extent of carriere mong contacta was less than mương the
prisoners. Also (6) the number of Suropean contacts was greater
than Chinese although the disease was almost entirely limited
to the Chinese.
Attention has also been called to the disregard of the principles of personal hygiene among the natives in respect to the nasal and mouta discharges, fuotors which serve to continue
the development of on146.
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