196 ADDENDUM 



which several of the workers, including the wife (probably), 

 brother and daughter of the baker, suffered from enteric fever. 

 Further cases occurred in other families in the place in which 

 the bakery was situated, making 15 in all, of whom 7 died. 



According to Lumsden 1 several cases of enteric fever in the 

 Government Hospital for the insane at Washington were traced 

 to the fact that the attendant who cut the bread as his first duty 

 in the morning, had been taking care of a typhoid patient in his 

 home. 



As regards the procedures to be used for the bacterio- 

 logical examination of bread those described above sufficiently 

 indicate the methods which may be employed. The bacterio- 

 logical count, estimation of number of B. coli and examinations 

 for any pathogenic bacteria suspected to be present are the 

 most important. The methods to be used, after the emulsion 

 containing the bacteria from the bread has been prepared, are 

 similar to those generally employed for these examinations. 



1 Bulletin, No. 78, Hygienic Laboratory -, U.S. Public Health and Marine 

 Hospital Service, p. 165. 



