Instructions on procedure in outbreaks of cholera.

  • Ministry of Interior (Egypt)
Date:
1918
Catalogue details

Licence: Public Domain Mark

Credit: Instructions on procedure in outbreaks of cholera. Source: Wellcome Collection.

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    oa In the case of pilgrims, passenger control on return is exercised in virtue of the powers conferred by an Arrété dated June 14, 1914. (See Appendix IV.) The details of this Passenger Control System, both as regards pilgrims and ordinary passengers, are laid down in Departmental Orders and Instructions. It must not be forgotten that the main object of it is the discovery of first cases of cholera, and in view of what has already been stated regarding the history of epidemics in this country, the importance of discovering these cannot be overestimated. MetuHop oF CONVEYANCE. With regard to the actual method of conveyance of the disease, this takes place in the persons of passengers arriving in the country and only very rarely by the importation of infected materials such as water. The only known standing danger from the importation of infected ‘““Zemzem” well of Mecca. Arrangements exist for the sterilization of flasks containing this water by the Quarantine Authorities. Failure to prevent the importation of the disease by the persons of passengers probably takes place from the occurrence of an undetected slight case or chain of such cases. It is therefore most important that in passenger control work, shght diarrhcea in persons under observation should not be overlooked. Its existence should in every case be inquired for and a specimen for bacteriological examination should be taken whenever it is met with. The possibility of importation by vibrio carriers cannot be made the basis of any practical measures. It will therefore not be further discussed. It is hoped by the efficient carrying out of the Quarantine and various Passenger Control Measures to detect and deal with any cases introduced in ordinary times into the country. It is essential that medical officers should be thoroughly familiar with the procedure to be adopted on discovering any suspected case of cholera among all classes of persons, or an unexplained death among persons still under or just emerged from Passenger Control. PROCEDURE ON DISCOVERING A SUSPECTED CASE. The procedure should be as follows :— 1. Take a specimen of the faeces and send it for examination to the Public Health Laboratories.
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