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22
In three cases occurring several weeks after inoculation the Typhoid, but not any
Paratyphoid, reaction was obtained.
The epidemic was one of mild Paratyphoid Fever; two deaths occurred.
As a result of inspection in August the following general recommendations were
made and acted on :—
Thames water not to be used for washing out galleys.
Cook boys to be inspected for cleanliness when coming on duty and wear
clean caps and overalls.
Food stuffs to be protected from flies.
An ablution basin to be kept in the galley, with clean towels; the towels
of the boys not to be brought in.
Closet seats to be washed with disinfectant solution daily.
It was recommended that another urinal be fitted in the bows of the ship, and
fouling of the deck there be the subject of disciplinary action.
Carriers were sought amongst the cook boys, but none found.
The mildness of some of the attacks, in onset, led to delay in segregation of cases;
and there was a tendency to lodge the boys in a sick bay on board pending full
diagnosis. Many of the cases were ambulatory in the early stages. These were the
probable factors leading to the prolongation of the epidemic.
The source of the epidemic was not traced.