The Birmingham age-herald., 1916-07-01
CUNNINGHAM MAKES REPORT 0N W0RKF0R
 THE MONTH OF JUNE
City Physician Cites Pre- ventives of Typhoid in Document to Com
 misSiOners

Dr. R. M. Cunningham, city health of- ficer, submitted his report for the month of June to Commissioner of Health and Education John R. Hornady yesterday. The document was lengthy and dealt with the various health problems now con- fronting the city.
 The report of Dr. Cunningham speaks of the present typhoid fever scare" and cities some preventives and the causes.
 Following is the report in part
 That typhoid fever prevails as an en- demic in all districts in the city of Bir- mingham; that the incidence begins to in- crease in March and reaches it's maxi mum in July; the incidence begins to that the increased maximum and mini num- with the exception of the month of January, are coincident with tempera- ture; that the water, food, milk supply, closets, etc, being the same for the year, there must be something that prevails in the warm and hot season that in- creases the incidence; that this some thing is in all probability flies as car riers of the typhoid fever germ. In other words, the incidence of the dis ease is coincident with the prevalence of flies; that insanitary closets as foci of infection and flies as carriers explain the increased incidence of typhoid fever in the hot months. Therefore, sanitary connections for dry closets and the de- struction of flies will prevent the large number of typhoid fever cases during the warm months
 The the fnllOWinp a c the cause of typhoid and the means ot it's prevention:
 Typhoid fever is caused by defi- nite, specific germ called the typhoid bacillus. This germ increases and null tipies in the bodies of those affected with the disease. These germs are dis charged from the bodies of those af- fected in their bowel and kidney dis charges Under favorable conditions they may live for sometime outside of the body. They are generally disposed of in closets-sanitary or insanitary. If emptied into a sanitary closet they are carried off with the sewage. If empried into a dry closet they remain for an in definite period, and constitute a focus for the the supply of typhoid germs that may infect water. milk or other food directly or by being carried by flies and other carriages of the germ. To produce the disease it is necessary that the germs be swallowed and in that way reach the intestines. Therefore, it is through the contamination of food and drink that they reach the intestines. "The disinfection at the time of their passage of bowel and kidney discharges from typhoid fever patients. That the bowel and kidney discharges of typho fever patients be disposed of in a sani- tary sewer. which is a closet connected with a sewer. The protection of all drink and food supply from contamina- ton of bowel and kidney discharges which if derived from a typhoid fever patient will communicate the diseases. "The stupendous and all-important sani tary problem in the city of Birmingham is connection of all closets with sani tary sewers, and to do this it is abso- lutely necessary that the city under write and charge to the property thu cost of a very large percentage of con meeting closets with sanitary sewers. The reports state that there have beer insufficient sanitary inspectors. and thu following is the recommendation to th'