MEDICAL SURVEY OF THE TOWN OF TAYTAY. 299 



here recentl)^ to vaccination against cholera and typhoid fever, partic- 

 ularly since vaccination against typhoid fever is being employed in our 

 Army in the United States. Vaccinations for obtaining immunity in 

 the treatment of furunculosis and gonorrhea are at present much in 

 vogue in Manila; but in these instances we have not been able yet to 

 demonstrate that any immimity is obtained by this procedure. In the 

 case of cholera, however, the question has been demonstrated not only 

 by experiment but from a practical standpoint. It is believed that if 

 a large epidemic were imminent the sanitary authorities would not 

 hestitate to employ vaccination against cholera. It would seem, however, 

 that in the case of towns with sanitary conditions similar to those 

 which exist in Taytay, general vaccination against cholera should be 

 performed in order to protect the inhabitants from a general epidemic 

 of this disease which otherwise might occur were the disease introduced 

 at a favorable season. It is true that the sanitary conditions in Taytay 

 can be improved greatly if artesian water can be supplied to the people, 

 but so long as they pursue their present habits in regard to sanitation — 

 particularly those of eating with their fingers from a common dish, 

 drinking water from a jar which is constantly soiled by the hands, 

 and bathing, washing and even drinking from the same stream; and so 

 long as faeces are exposed to flies and other insects in the vicinity of the 

 dwelling houses — so long will they be liable to epidemics of cholera. 



In conclusion, it would appear that the sanitary measures to be 

 particularly recommended in Taytay at the present time are supplying 

 the town with an artesian water supply, vaccination against cholera and 

 perhaps against typhoid fever, and an improvement in the present 

 method of disposing of the faeces so that the human excrement is not 

 exposed to flies and other insects and not allowed to lie in close proximity 

 to wells or to houses where food is partaken of. During certain periods 

 of the year something might be done in the way of distributing quinine 

 among those suffering from fever. More • extensive prophylaxis against 

 malaria in Taytay is not recommended at the present time. 



