TABLE OF CONTENTS.

1. INTRODUCTION

2. MILK AS A CAUSE OF EPIDEMICS OF TYPHOID FEVER, SCARLET FEVER, AND

DIPHTHERIA

Typhoid fever.......

Bacillus Typhosus in milk_

Summary of epidemics..

Stamford epidemic

Scarlet fever____

Summary of epidemics__.

Scarlet fever in Norwalk, Conn

Diphtheria.

Klebs-Löffler bacilli in milk_

Summary of epidemics____

Outbreak of diphtheria in Dorchester, Milton, and Hyde Park_

Epidemics of sore throat and pseudo-diphtheria_.

Character of milk epidemics..

(a) Explosive onset--

(b) Disease follows the milk.

Elkton epidemic

(c) Special incidence in milk drinkers.

(d) The better houses suffer greater invasion__

(e) Age and sex..

Source of milk contamination___.

(1) From hands of milker___.

(2) Air and dust of the stable__

(3) The milk pail____

(4) Water supply-

(5) Milk cooler

(6) Cans...

(7) Transportation_.

(8) Distributing dairy-

(9) Bottles

Montclair epidemic_

Points of interest in reporting milk epidemics..

Busey & Kober-Summary of epidemics..

Milk epidemics__.

Table I.-Typhoid

Table II.-Scarlet fever.

Table III.-Diphtheria

Table IV.-Sore throat and pseudo-diphtheria.

(3)

38517

Page.

11

19

23

24

25

27

29

29

32

33

36

36

37

37

37

38

39

40

40

41

41

41

44

44

44

44

45

45

45

45

46

47

47

49

49, 116

93, 134

105, 143

113

2994-42500

TREASURY DEPARTMENT.

Public Health and Marine-Hospital Service of the United States.

WALTER WYMAN, Surgeon-General.

HYGIENIC LABORATORY. BULLETIN No. 41.

M. J. ROSENAU, Director.
JANUARY, 1908.

MILK AND ITS RELATION TO THE

PUBLIC HEALTH.

(BY VARIOUS AUTHORS.)

WASHINGTON:

GOVERNMENT PRINTING

OFFICE.