Show Daily Health Service Typhoid oid Is Controlled Through Water Slip Supply pI By DR MORRIS FISHBEIN Editor Journal of tho the American Mcd ical leal Association and of or Hygeia the Health Magazine Typhoid Is controlled largely today by proper control of or food supplies milk and water through municipal agencies It is difficult however to eliminate the source from which food water and milk may be contaminated when the contamination Is caus caused d b bj by bya a human carrier It If typhoid fever is iso isto isto to o be bc eliminated entirely the possibility possE possE- of oC continuous spread of the disease dis dis- case ease from the human carrier must be prevented In Chicago from April 1 1 1890 to April 1 I 1892 there were 2372 deaths from typhoid fever representing approximately approximately ap ap- proximately r cases In Cleveland Cleveland Cleve- Cleve land and in January 1903 notwithstanding Ing ng that some knowledge of typhoid and its control had already developed there here were er-e er durin during the 16 months following following following fol fol- lowing cases and deaths In each ach instance the outbreak was traced to o some contamination of or water by the he carelessness of an individual and the lack of ot suitable control In 1885 an in epidemic occurred in Plymouth Pa a a mining town with only in habitants There were 1104 cases reported reported re re- re ported and 11 1 deaths In this instance instance in in- stance the outbreak was caused by the careless disposal of excretions of ot one patient with typhoid fever who hap hap- pen d to live in iii n an isolated house on the he bank of one of the small brooks which joined the river from which water was put into the reservoir for the town Every now and then a dramatic outbreak occurs in n some ome city which has not given sufficient attention 10 to the dangers of water polluted by sew sew- age When the situation develops I committees get busy the city fathers are notified and a pure water supply is insured Prevention is far cheaper than cure The mortality from this disease has been reduced by 98 per cent The control of carriers indicates s that there arc are about half as many now as there were were In 1910 Dr James G. G Cumming Gumming estimates that It will require at least another 25 years ears to eliminate carr carriers ers entirely In the meantime the barriers against transmission cannot be low ered cred Public water vater supplies must continue to be purified and chlorinated chlorin milk must be pasteurized and human beings generally must be taught the Importance of day every hygiene particularly cleanliness of the hands |