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on the other. The first is accomplished by instituting those
measures which seek the prevention of overorowding, the isola- tion of the patient, the control of the contact and dangerous
carrier and the prevention of droplet infection; the second, by what is hoped will prove efficacious, preventive inoculation
14J by means of antimeningoseosic vaccine.
Conclusiong.
1. The local production of potent antimeningococcio serum
and the systematic specific treatment of patients will serve
to allay the distress of an appalling mortality during a
epidemio.
2. In four of ten moribund patients the meningococcus WAS
found in the blood. This mphasizes the need of intravenous
combined with the intraspinous methods of treatment.
.. ▲ more extensive use of the diagnostic methods especially
in relation to the cerebrospinal fluid will aid in the detec-
tion of mild or missed cases.
the pissoners.
A
4. The Victoria Gnol, where" primises are kept isolated from
+ each other, has shown an incidence of 24.61 per cent of carri-
ers but no onoon of epidemic meningitis.
This and the other facts stated above, have led to the
conclusion that the dense overcrowding of the population,
rather than the actual number of healthy carriers of various
types of meningococci, is the cause of the great spread of the
apidemia.
6. With regard to prevention, the important measures have
been shown to bet
Ho attempt is made here to interpret the various types of
meningococci found among the healthy carriers of the gaol.
This is left for further laboratory investigations.
(BA)
(TA)
(49)