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The Health bulletin [serial] - University of North Carolina at Chapel Hill

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10 <strong>The</strong> <strong>Health</strong> Bulletin June, 1927<br />

least about, yet it is one <strong>of</strong> the most<br />

important avenues <strong>of</strong> infection. <strong>The</strong><br />

only recognized typhoid fever epidemic<br />

in <strong>North</strong> <strong>Carolina</strong> in the past few years<br />

was milk bourne. Milk is a perfect food<br />

for the growth and multiplic<strong>at</strong>ion <strong>of</strong><br />

p<strong>at</strong>hogenic or disease bearing bacteria.<br />

<strong>The</strong> temper<strong>at</strong>ure <strong>of</strong> the milk as it is<br />

taken from the cow is ideal for bacterial<br />

growth. One case <strong>of</strong> diarrhea <strong>at</strong><br />

the farm supplying the milk even if<br />

the person is not sick in bed may be<br />

responsible for the entire child popul<strong>at</strong>ion<br />

<strong>of</strong> the camp developing diarrhea.<br />

This accounts for much <strong>of</strong> the intestinal<br />

disorders <strong>of</strong> children on vac<strong>at</strong>ion<br />

trips, commonly <strong>at</strong>tributed by mother<br />

to unsuitably prepared food and sundry<br />

other less likely causes. A case <strong>of</strong> typhoid<br />

fever or the presence <strong>of</strong> even an<br />

unsuspecting typhoid carrier among the<br />

milk handlers will subject the whole<br />

camp popul<strong>at</strong>ion to typhoid fever, one<br />

<strong>of</strong> the prevalent sources <strong>of</strong> "vac<strong>at</strong>ion<br />

typhoid."<br />

<strong>The</strong> majority <strong>of</strong> the summer camp<br />

popul<strong>at</strong>ion are accustomed to protected<br />

milk supplies <strong>at</strong> home, where milk<br />

handlers are given frequent physical examin<strong>at</strong>ion,<br />

the milk is produced under<br />

cleanly conditions, and the milk is properly<br />

cooled.<br />

Wherever ijossible the camp milk supply<br />

should be obtained from a source<br />

<strong>of</strong> highest grade under careful public<br />

supervision. When this is impossible<br />

the source <strong>of</strong> supply should be carefully<br />

investig<strong>at</strong>ed to secure milk produced<br />

under cleanly conditions, and to<br />

make sure th<strong>at</strong> there is no sickness<br />

among any <strong>of</strong> the persons connected<br />

with the handling <strong>of</strong> milk. <strong>The</strong> St<strong>at</strong>e<br />

Board <strong>of</strong> <strong>Health</strong> will furnish to any<br />

person upon request, a copy <strong>of</strong> the<br />

"Standard Milk Ordinance" which is<br />

the regul<strong>at</strong>ion in force governing the<br />

majority <strong>of</strong> the milk supply <strong>of</strong> the<br />

St<strong>at</strong>e, and will serve as a very useful<br />

means <strong>of</strong> appraisal <strong>of</strong> the character <strong>of</strong><br />

milk supply available.<br />

Garbage Disposal<br />

Improper garbage disposal in itself<br />

is not usually a positive health menace,<br />

for the only filth th<strong>at</strong> is dangerous<br />

filth is feces <strong>of</strong> man himself. Aside<br />

from the nuisance and unsightliness it<br />

cre<strong>at</strong>es, improper garbage disposal increases<br />

the prevalence <strong>of</strong> flies by providing<br />

a suitable place for fly breeding<br />

and an abundant food supply. If there<br />

is any disease bearing m<strong>at</strong>erial anywhere<br />

about or near the camp, the<br />

chance <strong>of</strong> the food supply becoming<br />

infected is proportion<strong>at</strong>e to the in-<br />

Fig. 2. Section <strong>of</strong> a dug well with pump<br />

showing proper type <strong>of</strong> casing and pi-otection<br />

about the top. Curbed with vitrified socket<br />

pipe. (a) Pump stand: (b) pump rod; (c)<br />

riser pipe; (d) cylinder; (e) check valve;<br />

(f) vitrified socket pipe; (g) joints packed<br />

with a strand <strong>of</strong> oakum dipped in grout and<br />

filled with cement mortar; (h) pump rod<br />

guides; (j) pl<strong>at</strong>form; (k) gravel found<strong>at</strong>ion;<br />

(1) cross-planked cover.

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