CO129-449 - Governor Sir May & Acting Governor Claud Severn - 1918 [7-9] — Page 145

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In respect to the wathed of treatment, it is advised that all omses be given the benefit of sema treatment. But jo, attain the best results, these factors are emphasized; the serum must

14%

be potent; it must be injected early and in sufficient quantity

and as shown above, intravenous as well as intraspineka inject-

ions may be given to advantage.

!

With an abundant supply of motive serum on hand and

with the full co-operation of the population, it is hoped the

devastating effect of the discuss will be in a great maJUTE

ameliorated.

The facts which lead to the conclusion that overgrond:

Ang rather than the actual numbers of carriers determines the

spread of the disease are (1) The meteorological conditions.

The colder the weather, the greater becomes the overorowding,

and as a consequence greater is the number of uases developed.

(2) The relative incidence of the diseuse iu drowded and

unorowded districts shows a protrats decrease in the latter

sections and a similar increase in the former (3) The prevalenos

of a single type in many of the patients (although all the types

of mendugea soci have been found in carriers) points to the

possibility of the infection travelling from one to another by

direct contact. In arowded conditions of existence this cont,

is, of course, closer. (4) The gaol in mich almost ideal

conditions exist with regard to an abemos of overcrowding,

although harbouring 24.61 per cant of carriers among 130

imates, yielded no osses during the epidemic (5) Furthermore,

the extent of carriere mong contacta was less than mương the

prisoners. Also (6) the number of Suropean contacts was greater

than Chinese although the disease was almost entirely limited

to the Chinese.

Attention has also been called to the disregard of the principles of personal hygiene among the natives in respect to the nasal and mouta discharges, fuotors which serve to continue

the development of on146.

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(46)