lU) :\l'LAUGHrjN. 



LOCAL MEASURES. 

 1. QUARANTINE OF THE INFECTED HOUSES. 



A quarantine of an infected house to be effective must be placed 

 early and maintained rigidly. The local police are usually worthless, 

 and the best results are obtained by employing outsiders, preferably the 

 Constabulary, who have no interests, "parientes" or "amigos" in the 

 iarrio and who will obey instructions implicitly. 



2. DISINFECTION. 



As the cases must remain and be cared for in the houses in which 

 they are found, one room is first disinfected, and the patient placed 

 therein with a person acting as nurse. Disinfecting solution is furnished 

 for the treatment of excreta, and instruction in the care of the sick and 

 in self-protection is given to those in attendance on the patient. The 

 rest of the house and its contents are then disinfected by washing or by 

 immersion of the articles in a disinfecting solution. The contacts are 

 disinfected and isolated; they are held under obsen^ation for five days, 

 and whenever possible their stools are examined for cholera vibrios. 



When, through the apathy or incompetence of local officials, it be- 

 comes necessary for Insular officers to take charge of a cholera situation 

 in a provincial town, they usually find that little, if any, effort has been 

 made to carry out these two very important factors which are so suc- 

 cessful in combating cholera. 



■ The first two cases of cholera in the Mariquina Valley, during the 

 present fiscal year, occuiTed in the municipality of Mariquina on the 

 30th of August, one of them dying on the same day of the attack and 

 the other living until the next day. During the month of September, 

 from the 11th to the 31st, a total of 61 cases and 48 deaths were reported 

 from this town. 



In Pasig, the disease broke out on the 2d of September, there being 

 during the month 60 cases and 50 deaths. 



In San Mateo, the disease appeared on the 7th of September, the 

 total for the month being 46 cases and 40 deaths. 



The outbreak was coincidental with the Manila epidemic, but neverthe- 

 less men were sent from Manila to organize the available force and to 

 direct operations. Sanitary Inspector Percy was detailed for duty in 

 the Mariquina Valley from September 19 to October 20; medical in- 

 spector Vicente de Jesus from September 30 to October 24; and 

 Sanitary Inspector Palmer from October 18 to October 30. 



Troops were sent to Mariquina to protect the water supply of the city 

 of Manila and remained on duty until the water from the new water 

 system was turned into the mains. 



Permission was granted for the withdrawal of the troops guarding the 



