CO129-449 - Governor Sir May & Acting Governor Claud Severn - 1918 [7-9] — Page 142

139

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The first consideration is the prevention of both ever- crowding and the lack of proper ventilation. This applies to railways as well.

During the prevalence of an epidemio, it is advisable to

prohibit the departure by rail or shiy of say netual contact with a ones especially those contacts shown by bacteriological examination to be dangerâus carriors.

It is not necessary to restrict any trading with arohan➡ dise as goods or inanimate objects, have not as yet proven to

be sources of infection,

tre

D. The Treatment of damsdóma.

In general, it may be stated that in an individual who

is lightly infected (designated above by "plus-minus" or "one

plus" on plate oulturas) the meningococcus ime tendency to

disappeur. from-czomiera. In others, however, the mioréorganism

tends to be persistant and requires mergetic treatment before

it disappears from the nasopögrynx. Indeed in sotas cuess, in

spite of active treatment, the healthy carriers or convalescenta

kowe not been frend of the meningococcus for à period of mentùs.

At the present time the most efficacious treatment, as

demonstrated by investigations carried on under the direction

of Dr. Flemer, is that which takes in consideration the goudá-

tion of the rateous mansbrane of the nasoplinarynx, a

as well as the

eherical disinfection. In a heavily-infected currier it becomes

a very tedious process to destroy the noningococous wilese mny

pathological condition of the mucous membrane is remedied.

Binusitis, plaxyngitis, tonsilitis and diseased adenoids must

be treated and the membranes restored to normal; otherwise the

menẳngodooous will have a tendency to persist (und sometimes in

pure cultures) in spite of any disinfection.

ective

The most

Zlondiewa dhoricki disinfection is the steam-

chamber devised by Gordon and Flack (British Medical Journal,

November 18, 1916, page 675). The construction of the chamber

(43)