Show utah state board of health salt luke lake city july to health officers health officers should bo be impressed with the special necessity for vigilance during the summer months in which intestinal tes diseases prevail and the increase in typhoid fever begins as many lives may bo be saved and much suffering prevented by timely action the foregoing diseases are usually convoyed conveyed through contaminated water or contaminated milk and every effort should be made to safeguard these substances WATER in man many y localities irrigation ditches are used as a source of drinking water in all such cases strict precautions should be taken to prevent their ion ion and the watersheds should be protected surface wells which are so generally used are liable to dangerous contamination by drainage from vaults and the law specifying the mini mum distance between tham the m should be enforced in any case if there is reason to io suspect the purity of the water supply people should be advised to boil witter water used for culinary purposes and alid health officers are request to report fact face state board of health MILK contaminated milk is extremely dangerous at this season and is is responsible for most of the cases of summer complaint in infants as well as many cases of typhoid fever and other diseases by strict supervision of the milk supply and care ill in handling the milk after delivery these aisea diseases es may he be greatly restricted dairies should be inspected and their sanitary operation including thorough cleaners cle aness and the sterilization of utensils rigidly insisted upon poll milk should at all times be protected from flies as it is a cul ture lure medium for the disease germs that may be carried upon their legs it should dilso be coalt d at the time tit ne of milking and kept cool until used milk should not be sold from promises premises on which there is a case caie of contagious disease including intestinal diseases of infants ill n till all cases of typhoid fever the source source of the milk and water used should be ascertained the state board of health will cause the tuber tuberculin eulin test to be applied free of charge to cows suspected of having tuberculosis an and notification of such cases should be made madeko to the board GENERAL sanitation premises should be kept in as perfect sanitary pani Fani tary condition as possible garbage manure and and other filth should be frequently removed these materials furnish the breeding place for flies and otherwise are injurious to the health in a former bulletin the danger from flies and the importance of preventing them from breeding and from entering houses bouses was de described and is again emphasized it is of the utmost importance that all vaults shoud be kept in ill a sanitary condition and lime and dr yearth dry earth should be freely used in them to observe these precautions is sible for many cases of typhoid lever fever and other intestinal diseases inthis in this connection you are urged to strictly enforce sec 1 chapter 81 of tho state stale law requiring the thorough disinfect dia infect ion of typhoid excreta people should always be instructed to disinfect excreta in cases of in tes diseases of infants being reminded that therein is given off the infective material which may be deposited in milk by flies and thus infect other infants this is without doubt one of the most common meth by which the disease is conveyed yours truly T B BEATTY MI MD secretary |