SUPPRESSION OF A CHOLERA OUTBREAK. 113 



ities and the district health officer were continually urged to take note of 

 these measures, and it is hoped that their continuance will follow. 



In view of the rapid reduction in the number of cases, there is sufficient 

 local force, including sanitary inspectors, police, and other employees of 

 the municipalities to carry on the work provided the municipal president, 

 the other municipal officials, and the police do their duty. 



The chief difficulty arises from the reluctance of municipal officials to 

 prosecute "parientes" or "amigos." There is also no doubt that the 

 average native policeman for the same reason makes a very inefficient 

 quarantine guard or sanitary inspector; he hesitates or neglects to report 

 infractions of health Ordinances if the infractors are friends or relatives, 

 and he usually permits friends or relatives to enter or leave infected houses 

 when he is left alone in charge. 



It was deemed advisable to remove the president of the municipal 

 board of health of Pasig from office. This individual complied with ' 

 instructions inasmuch as he disinfected the house and placed it under 

 quarantine guard, but it was his practice to permit infected clothing, 

 bedding, dishes, food and drink to be removed and he then disinfected 

 the empty house. He permitted the contacts to escape and then placed 

 his quarantine guard on the empty house, which he had just disinfected. 

 This was not ignorance, but rather an exaggerated desire to please his 

 friends or to avoid making enemies. 



The success achieved in the towns of Mariquina, Pasig, and San 

 Mateo was repeated later in January in Taytay and Binangonan, which 

 towns are also in Rizal Province. 



The course of the outbreak is best shown on the charts appended. 



