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7
four cases were reported, of which 3 died. One
death occurred after 8 weeks' duration, and was
complicated with tubercular meningitis. In another
fatal case the patient was 76 years old, which is an
exceptional high age for enteric fever. In two
cases defective ventilating pipes were found, in the
other two no cause for the out-break could be
detected. The water supply was in every case
examined and found good. Attention was called
in all cases to the disinfection of the excreta.
Enteric Fever is essentially a communicable disease,
but the way by which it is usually communicated
differs considerably from that of some other communicable
diseases. The infecting agent is the
excreta from the bowels. The infection is not given
by breath or skin. The manner in which it is most
frequently communicated is by drinking water,
which has been contaminated by the excreta from
a person suffering from enteric fever. It may also
be carried by milk. In this case it is generally
due to the fact, that the vessels containing the
milk have been washed with water containing
enteric fever germs, or as has been proved, similar
water has been added to dilute the milk. It may
also, but less frequently, be carried by sewer-gas,
but only if the gas comes from a contaminated
source and carries the specific germs.
There was no case of Small Pox or Puerperal
Fever.
INSPECTIONS AND OTHER
SANITARY WORK.
A systematic Inspection of the District was
made in October and November, but various
inspections were made where nuisances existed
which might affect the public health. In May a
number of gipsies pitched on a vacant piece of land