APPENDIX VI 



THE under-mentioned Reports ano} Rules illustrate the precautions 

 taken by certain large English milk companies to prevent the milk 

 which they handle from acting as a vehicle for the spread of in- 

 fectious disease. The forms printed are those in use by Messrs. 

 Welford and Sons, London. 



MEDICAL OFFICER'S REPORT 



(The report sheet leaves spaces for the ansivers to the under -mentioned questions.} 



I. Do you find the occupants of the farm-house, the persons em- 

 ployed on the farm and their families in good health 1 



NOTE A. The skin for evidence of eruptive diseases or desquamation. 

 NOTE B. The throat for evidence of diphtheria and allied conditions. 

 NOTE C. The state of the bowels for typhoid and diarrhoea. 



II. Are any of them suffering from disease of a communicable nature ? 

 If so, give name and age, with the nature of such disease, and probable 

 source or cause of same. 



III. Do you consider the sanitary conditions of the farm-house and 

 premises with the dwellings and other buildings thereon satisfactory ? 



IV. Where is the cooling performed, and is the position of the 

 refrigerator satisfactory and the surroundings airy, sweet, and clean ? 



V. Sources of water-supplies. State depth of wells and nature of 

 ground. 



(A) For domestic use. 



(B) For cooling. 



(C) For washing utensils. 



(D) For cattle-drinking. 



VI. Is the water-supply satisfactory from a sanitary point of view ? 



VII. If any danger from contamination, please describe it. 



Note. Any suggestion for remedying the same will be much appreciated. 



VIII. What is the general health of the population of the district ? 



IX. Are there any cases of zymotic disease in your district or neigh- 

 bourhood ? 



