CO129-449 - Governor Sir May & Acting Governor Claud Severn - 1918 [7-9] — Page 137

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should also consider the oversrowding of tran-cars, schools, theatres or places of public assembly and work-shops.

d. The prevention of pharyngeal infections and influensa is necessary especially since these diseases have been general. – ly found te predispose to attanka and dissemination of epidem- ie meningitis. The means of prevention of nose and throat infections are, in the main, practically these indicated above for the prevention of contamination with the nose and throat di saharges.

Muployment of maks. During the height of an epidem- is extraordinary precautions should be taken by the physicians, nurses and sanitary staff (especially the sanitary inspectors) when coming in contact with numbers of natives or patients. Indeed, for these of the inhabitants of the Colony who are forced to come in close contact with a number of natives or Europeans, the mask offers a good means of prevention of dro- pist infection. The best mask is the one used in North China for prevention of pneumonic plague: a pad of cotton contained within two layers of gauze and tied by three tails, one over hend, two in back of the head, over and under the ears.

f. Preventive ánodulations (prophylactic vaccination). At the present time a great deal of work is being done with the view of decreasing the susceptibility of an individual to epidemic meningitis. It is logioni to nasume that when the individua) resistance against infection is heightened that the disease cannot gain headway,

Immunisation by repeated injection of saline suspensions

of dead organisms has been attempted elsewhere on large scales.

The results up to the present indicate that hopes my ba

entertained as to the efficacy of this method. Indeed, the

initial success warrants the advios to the Govemment to

(38)

(**)