METHOD OF INVESTIGATION 



377 



ENTERIC FEVER. 



No. in Notification Register Age and Sex- 

 Name Occupation — 



Address Dr 



Date of Onset and Symptoms- 

 Xotific. reed 



. Date of Removal to Hosp. 



Date of Disinfection- 

 Day School 



Sunday School- 

 Work 



)J 



Xo. of Persons in House- 



Age, occupation, and sex of each Person in House, and whether 

 had Enteric Fever. If so, when ? 



Overcrowding 



Water Supply 



Washing done at- 



- Milk / 

 Supply y 



Sanitary condition of House, Yard, and Surroundings ; (clean, dry, ventilated, 

 W.C., ashpit, soil-pipes, gullies, sinks, interceptors, baths, cisterns, animals). 



-Drainage- 



Notes on Case. 



Possible sources of Infection (2 to 4 weeks previously) : — (i) Visits ; (2) '\^sitors ; (3) 

 Place of work ; (4) Food, milk, ice cream, shell&sh, watercress, etc. — what, when, 

 where purchased, condition; (5) Water; (6) Pre^-ious cases of Sick Headache or 

 Diarrhoea in the house or neighbourhood ; (7) School, including Sundays ; (8) Drain 

 Nuisances, at or near house ; (9) Tailoring, washing, mangling. 



[If the case was one of Diphtheria, infection from Cats or Birds nught be inquired into, 

 and previous cases of Diphtheria or Sore Throat or Scarlet Fever noted. ] 



Date. 



