Second report by the Director-General, Army Medical Service, on the transmission of enteric fever by the "chronic carrier" : in continuation of Command paper, no.4,609 / Army.

  • Great Britain. Army.
Date:
1909
Catalogue details

Licence: Public Domain Mark

Credit: Second report by the Director-General, Army Medical Service, on the transmission of enteric fever by the "chronic carrier" : in continuation of Command paper, no.4,609 / Army. Source: Wellcome Collection.

    27/50 (page 11)
    11 (p) Outbreaks uf enteric fever have a marked seasonal incidence, and to explain this we must believe either that the carrier has a corresponding seasonal excretion of typhoid bacilli, or that under climatic and other conditions there is a seasonal wave in the virulence of the bacilli. The work carried out in the Royal Army Medical College has shown that in some carriers there is neither a special seasonal excretion nor a seasonal virulence of typhoid bacilli. Much more work must be done before definite statements can be made on these points. (ze) Since the establishment of the Naini Tal Depét for enteric convalescents, it has been found that the admissions for enteric fever from all stations which send convalescents there show a reduction of 9 per cent. on the figures for 1907, while the remaining stations show an increase of 26°6 per cent. Taking all these points into consideration, the Advisory Board believe that there is sufficient evidence to justify the policy pursued, and recommend that “ since arrange- ments are now being made for early treatment on discovery of these cases, it 1s desirable that any man ascertained to be a carrier should, after a period of observation in England not exceeding three months, be discharged from the Service, unless he elects to remain in hospital for treatment. When any man is discharged the Medical Officer of Health for the district in which he will reside should be notitied.” This recommendation has been approved by the Army Council. (3 488) Wt. 21169—2426 1500 12/09 H&S