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114. Plague as an epidemic disease has disappeared from Hong Kong and the same may be said of South China. The whole truth concerning the factors which have caused this disappearance are not known. The disappearance from Hong Kong may be, and probably is, due in some degree to the sanitary measures which have been and are being taken but this cannot be the case in many of the Chinese towns where the conditions are as they have always been. The fact is the cause of the rise and fall in plague figures has not been satisfactorily explained. We know that plague is a disease of rats communicated to man through the medium of the rat flea, but we know little of the reason for the rise and fall in the incidence of the disease among rats or what natural causes have an influence on the virulence of the plague bacillus. In spite of the continuous campaign against them, owing to the rapidity with which they multiply, there still is and probably always will be a sufficiency of rodents in the Colony to light up and maintain an epidemic. The value of a continuous anti-rat campaign lies in the early information it affords of an epizootic.
115. The cases of Plague recorded in the Colony since the discovery of this disease in 1894 are given in the following Table:-
Year Cases. Year. Cases 1894 5,000 1913 408 1895 44 1914 2,146 1896 1,204 1915 144 1897 21 1916 39 1898 1,320 1917 38 1899 1,486 1918 266 1900 1,087 1919 464 1901 1,651 1920 138 1902 572 1921 150 1903 1,415 1922 1,181 1904 510 1923 148 1905 272 1924 0 1906 893 1925 1 1907 240 1926 0 1908 1,073 1927 0 1909 135 1928 4 1910 25 1929 2 1911 260 1930 0 1912 1,957 1931 0Enteric.
116. The number of cases reported was 214 as compared with 221 for the previous year. All the cases were sporadic and, as is usual in such, the source of infection could not be traced. There is no evidence that any case contracted the disease through the public water supply.
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114. Plague as an epidemic disease has disappeared from Hong Kong and the same may be said of South China. The whole truth concerning the factors which have caused this dis- appearance are not known. The disappearance from Hong Kong may be, and probably is, due in some degree to the sanitary measures which have been and are being taken but this cannot be the case in many of the Chinese towns where the conditions are as they have always been. The fact is the cause of the rise and fall in plague figures has not been satisfactorily explained. We know that plague is a disease of rats communicated to man through the medium of the rat flea, but we know little of the reason for the rise and fall in the incidence of the disease among rats or what natural causes have an influence on the virulence of the plague bacillus. In spite of the continuous campaign against them, owing to the rapidity with which they multiply, there still is and probably always will be a sufficiency of rodents in the Colony to light up and maintain an epidemic. The value of a continuous anti-rat campaign lies in the early information it affords of an epizootic.
115. The cases of Plague recorded in the Colony since the discovery of this disease in 1894 are given in the following Table:-
Year
Cases.
Year.
Cases
1894
5,000
1913
408
1895
44
1914
2,146
1896
1.204
1915
144
1897
21
1916
39
1898
1.320
1917
38
1899
1,486
1918
266
1900
1.087
1919
464
1901
1.651
1920
138
1902
572
1921
150
1903
1.415
1922
1.181
1904
510
1923
148
1905
272
1924
0
1906
893
1925
ก
1907
240
1926
0
1908
1.073
1927
0
1909
135
1928
4
1910
25
1929
2
1911
260
1980
0
1912
1.957
1931
0
Enteric.
116. The number of cases reported was 214 as compared with 221 for the previous year. All the cases were sporadic
and, as is usual in such, the source of infection could not be traced. There is no evidence that any case contracted the dis- ense through the public water supply.
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