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2. The overcrowding of the population. As the disease was limited to a great degree in the overcrowded sections, it is important to investigate this phase of the epidemiology of @pidemic meningitis.
Three causes operate to affect overcrowding. In the first place there are too many houses on too mall a space, in this way causing structures to be in close proximity. In turn this gives rise to insufficient ventilation and for the most part very little light. The areaways and the streets or lanes are so narrow and the houses are so high (in proportion to the narrowness of the street) that not only ventilation and light becomes deficient but the air is always dasp from wetness of the passageways. They are never thoroughly dry, possibly from the position of the Chinese community, namely, at the foot of the Hills where the water from the higher attitudes is continually settling.
In the second place, there are no arrangements for ventila- tion within the house. A typical example may be cited.
On June 7th, 1918 through the courtesy of ir. Adam Gibson, Head of the Sanitary Department, I was permitted to make an
inspection of No. 15 Chinese Street. This was done at about 11
p.m. I was accompanied by Inspector R. R. Wood of the Sanitary
Department. The first and second floors were inspected. The
three house is a storeys high. The measurements of the first floor is
as follows:
Length, 31 feet 9 inches;
width,
height,
15 feet 10 inches;
13 feet 3 inches;
thus making 5818 cubic feet or 5295 net cubic feet allowing for
a stairway. The total window area equalled 51.8 square feet; one
of the windows opens into a narrow street, theother into a
chimney-like areaway.
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