CO129-449 - Governor Sir May & Acting Governor Claud Severn - 1918 [7-9] — Page 147

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Physicians, nurses and those forced to come in contuot

with great numbere of persons during the course of un epidemie

are advised to employ a mask similar to that in use for the

prevention of pneumonic plague.

144

An important general measure which has been reomtly

developed is preventive inoculation. While this is still in the

experimental stage, the outlook from preliminary work appears

hopeful - indeed, so much so that the Government is advised to

encourage its use generally, The laboratory is prepared at

present to supply vaccine adequate into the needs of the Colony.

With respect to the patient and his environment, it has

been shown that immediate isolation of the patient is necessary.

The definite clinical knowledge of the disease and the more

extensive use of lumbar pundture suggest themselves as uide in

the detection of mild or "missed" unse. For their isolation is

just as important.

It is also recommended that the discharge of the patient

from isolation should wait upon the freeing of the nasopharynx

of the meningooooous »

The search for carriers among the contacts with timm

patient, is a necessary procedure. The treatment of the contact

Qarriers and the isolation and treatment of the dangerous

carrier (one narbouring numerous meningvoodai, especially of

the same type as found in the patient) we indicated. The

treatment of persistent carriers has been shown to depend on a

great measure on the restoration of the nasopharyngeal muosUS

membranes to its normal condition. In connection with the

detection of carriers, the futility of swabbing great numbers

or all of the population has been demonstrated.

In conclusion preventive measures are directed towards

the prevention of the spread of the meningococcus from one

nasopharynx to another, on the one hand, she increasing the

resistanos against infection, or depressing the susceptibility,

(48)