Evening bulletin., 1911-03-09
CLEGG MAKES
STATEMENT
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| For instance, a person suffering with
castro intestinal disturbance. due to
improper diet, or following a period
of heavy drinking, is more susceptible
to the disease than those whose diges-
ton is normal. Some authorities claim
the normal acidity of the stomach con-
tents is sufficient to kin the bacillus.
In regard to the present outbreak,
and its source, l can only present a
few facts. The rest is deduction. Two
| days after the first case developed |
isolated the bacillus of Asiatic cholera
from "A pond in the vicinity where the
sickness occurred. 1t is very proba
ble this, water was infected prior to
the present outbreak of cholera, the
heavy rains of the week before playing
an important part, or the pond may
have been infected direct, as fecal ma
terial was undoubtedly drained into it
from the nearby privies and vaults.
Disease Brought Here.
The last epidemic occurred in this
city in the year 1895. The recent out
break then was not a latent one. but
due to a recent Importation of the ba
cillus At the present time or, at
least, three months ago, cholera was
present in twenty-three different places
in Japan, twenty eight places in Rus
sia and four places in the southern
part of the Philippines. The countries
| have mentioned are those from which
these Islands draw most of it's immi
grants one of whom harbored the ba-
cillus Of cholera, the carrier either be-
| ing immune to the disease or the ba-
cillus being an avirulent one and re-
gaining its virulence through suitable
media here.
Aasmuch as the present outbreak
was not general one, no large amount
of a single variety of foodstuff was in
fected. 1t was, then, probably carried
| by individuals. Considering the rapid
multiplication of the bacillus it can be
| readily understood, the ease with
which one bacillus, when introduced
| into bowl of poi or a bucket of wa
| ter may become a source of danger
| in twelve or twenty four hours
Bacillus on Surface.
! The bacillus has tendency to grow
ON the surface of the media infected,
| especially liquid media. Therefore the
first person to partake of recently-in-
| fected food would be in greater dam
ger of receiving a sufficient number of
| the bacilli to produce the disease than
| those who partook of the same food
| later T E
The disease known as cholera is
| toXemih- poisoning. The poison Is
produced by the bacillus, and up to the
present time there is no medical rem
edy known which acts directly on the
micro organism in the intestinal tract.
| If all early cases of cholera We're re-
ported to reputable physicians, the
mortality would be decreased to be-
| tween As and so per cent. Not only
would there be decrease in the NOR
tality, but a decrease in the number
OF cases, by giving the agents of the
Board of Health ample time to disin-
feet the premises before the infection
is spread. The average mortality in
large epidemics is rs per cent By
educating the people to report the
cases early, the mortality i'm Manila
has been reduced to So per cent.
| In regard to the method of preven-
| tinn | "a ci1 bat hos
already been stated by the Board of
Health--Be clean; pay especial atten-
tion to the hands.
l am, sir, very respectfully,
(Signed) NJ T. CLEGG,
Asst. Director, Leprosy Investigation
Station, U, S. p, II & NJ. II. s.
Today's Developments.
The suspected chdhra case that was
found yesterday in house on Asylum
road did not develop into cholera this
morning, and is still in doubt, accord
ing to statement of Dr. Pratt of the
| Board of Health this morning.
A second case of suspected cholera
was found on Punchbowl street this
| morning, near the Green tenement
house. Several cases have already ap-
peared in that locality and have been
traced to common source. 1t Is not
considered new source of infection.
The last two reports by the Board
of Health are as follows:
Case No. 23-Hulu Kea, male, %
years, Hawaiian; removed to Kalihi
Quarantine Hospital March 4; contact
of Cases Nos. 16, II and IS; taken sick
March Z; place of sickness, Kalihi
Quarantine Hospitals; diagnosis, Asia
tic cholera; attending physician, DR.. j.
r. Wayson.
Case No. 24-Agnes Gomez, female,
/ year 8 months 23 days; nationality,
Portuguese; place of death, lane off
Luso street. date of death, H. 80 p. m.,
March z duration of illness, IL hours;
attending physician, DR.. l., R. Gaspar;
cause of death, Asiatic cholera.
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