THE SUPPRESSION OF A CHOLERA OUTBREAK IN THE 

 PROVINCES OF THE PHILIPPINE ISLANDS/ 



By Allan J. McLaughlin.- 



The measures necessary for tlie suppression of an outbreak of cholera 

 in the provinces are simply the measures applicable for the suppression 

 of cholera anywhere, with such modifications as may be necessary because 

 of local conditions. 



These measures naturally group themselves into general and local. 

 Under the head of general measures, or measures calculated to prevent 

 widespread dissemination from unknown sources of infection, must be 

 placed : 



1. The securing of a good water supply; or general measures to render the 

 water supply safe. 



2. Safe disposal of faeces of the entire population. 



3. House-to-house inspection. 



4. General disinfection of large areas where the foci can not be located 

 definitely. 



5. Campaign of education. 



6. Prohibition of certain food stuffs. 



7. Enactment of necessary ordinances. 



Under local measures, or measures directed toward preventing spread 

 and eradicating infection from known foci of infection, are placed : 



1. Early quarantine of house and inmates. 



2. Disinfection of house and inmates. 



3. Observation of contacts for five days. 



4. Examination of stools of contacts. 



GENERAL MEASURES. 

 1. WATER SUPPLY. 



The best water supply for the small provincial towns and barrios is 

 undoubtedly furnished by the artesian well. The sum of ?150,000 was 

 appropriated last year by the Insular Government of the Philippine 



* Read at the Sixth Annual Meeting of the Philippine Islands Medical Associa- 

 tion, February 12, 1909. 



' Passed assistant surgeon, U. S. P. H. and M. H. Service, assistant director of 

 Health. 



107 



