CO129-449 - Governor Sir May & Acting Governor Claud Severn - 1918 [7-9] — Page 133

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130

Reds

In the former city, there are too many dwelling houses on too small a space but there are no cubicles within the houses, Each house has two storeys; the upper one ugually has an open skylight. Each floor is subdivided into two large rooms with bo along the walls, so that the usual number of occupants, five to seven have sufficient air spade; the front and rear walls open

completely on te bálgonies or to the street. In other words

the Cantonese live in better ventilated quarters and are less crowded within their dwellings than the natives of Hongkong.

This evidence based on the relative incidence in crowded

and unerowded living conditions shows the direct influence of

crowding upon the dissemination of epidemio meningitis.

The relation of the carrier to the spread of the epidemio offers an interesting study. Of course a carrier is a sing qua

non of an infection. He is the nouros of infection. But the

passive carrier per se, that is, the healthy carrier not

subject to the influences show to be contributing to the

dissemination of the disease has been found to have had little

influence upon the great spread of the epidemic.

Is. Iacfarlane and Harle have shown that the percentage of

carriers among Yuropeans contacts was 9.8 per cent, while that

smong Chinese contacts was 6.7 per cent. let the Chinese by

far outnumbered the European cases.

I have found that 24.61 per cent. of 130 inmates of the

gaol harbour various types of meningocoaci, yet not a single

ouse has developed in the gaol. Kore important is the fact

that the living conditions in the gaol, as far as overcrowding

is concerned, is mere hygéânéé than in the Chinese community.

The bacterioloʻrinal evidence obtained from patients

suffering from epidemio meningitis offers additional proof of

the spread of the epidemic by close contact, That almont nil

(95 per omt) of the patients examinad should be infected with

leth

(34)