Pierre weekly free press. (Pierre, S.D.) 1889-19??, 1917-05-24
Typhoid CARRIERS.

SeVeIlteSH years ASo MIS-. J.. iido
typhoid fever. Later her son had the
disease. Her daughter was v%accinated
against it. During the last five ears
six country school teachers had board
ed in Mrs. Y.'s home. -Four Of them
had typhoid. Mrs. Y. was the cook in
her family.
Last year they had a country school
picnic near Helen, Cal, Mrs. Us home.
Mrs. Y. made the chocolate ice cream.
She skinned some milk. mixed the
cooked it, cooled it, added the whipped
cream, and put 1t in the freezer. 1t
stayed in the uniced freezer from $3.50
until l O'Clock, when she froZe 1T and
took it to the picnic. They a all
sorts of picnic foods supplied by the
neighbor brought vanilla ice cream.
An epidemic of typhoid fever devel-
oped in the community. There were %
cases and three deaths. The inVesti-
gators We're speedily able to settle on
the picnic as the time and place of the
infection. There were 20 persons at
the picnic. Seventeen ate chocolate ice
cream but no vanilla. Eight ate both
chocolate and vanilla. OF the rs who
ate chocolate ice cream % had typhoid
fever. The only persons to escape We're
Mrs. Y. and her daughter. None Of
those who ate vanilla ice cream but no
chocolate contracted the disease.
The evening of the picnic all those
who ate Mrs. US ice cream except
Mrs. Y. and her daughter were taken
sick with vomiting and diarrhoea. This
lasted two days. About eight days after
the picnic the chocolate ice cream eat
ers began to develop typhoid. Those
who had eaten the most chocolate ice
cream developed it quickest n had it
worst.
Upon examination it was found that
Mrs. Y. was a typhoid carrier. She in
fected the ice cream probably when she
had skinned the milk or when she
whipped the cream. The mixture OF
boiled custard and whipped cream set
aside in the freezer for six hours before
freezing was n fine culture media and
the typhoid baciIli in it multiplied
greatly. When the cream was eaten
the dose of bacilli was so great that it
caused diarrhGea and vomiting within
a few hours II typhoid a few days
later.
Mrs. Y. had heen a carrier for years
and somebody should have guessed it.
Her own son and four school teachers
boarding in her home had had the dis
ease in less han 10 years. She was
the cook. Yet she suspected nothing
willing to keep up the supply of VIC
tiras.
In spite of his history of typhoid in
her household her neighbors and fellow
school patrons were anxious TO eat her
ice cream. No doctor had "smelt a
house." The health officers had never
wondered why the Y. household had
had SO much typhoid.
1t is the rule of the California state
board of health that typhoid carriers
must enter into a contract with the
state board. In consideration OF being
allowed liberty to go and come the
carrier agrees:
/. To take no part in the preparation
and handling of food. Not to partici-
pate in the management of a boarding
house, restaurant, food store, or to be
involved in the preparation or handling
of food.
2. Always to dispose Of excreta by
mixing with S per cent carbolic or for
malin.
3. To notify the health department OF
cases of typhoid among persons in con-
tact.
4. To notify the health department OF
changes of address.
5. To submit specimens on request.
6. To report to the state health de
partment twice a year on a blank sub.
mitted for the purpose.