TYPHOID FEVER 1U7 



number of epidemics during recent years, may be pointed 

 out that can be traced with more or less certainty to 

 infection through milk, or with which milk was con- 

 cerned in the great spread of the contagion. Dr. C'aroe -- 

 has reported about 90 large and small typhoid epidemics 

 \shicli occurred outside of Copenhagen during the period 

 from lS7S-()(i and which probably were due to infection 

 from milk, also .') milk epidemics which occurred in 

 ("openliagen during the years ISJli l.mi.'j. In 1900, no 

 less than 3 milk epidemics occurred in Copenhagen, and 

 it does not appear that these were related to each other. 

 The sanitary inspector, A. Tlrik,--' made a detailed re- 

 port on these outbreaks, and since they show very char- 

 acteristically the conditions that occur in milk epidem- 

 ics, they are cited as examples. 



In the first t^iidemic, the cases were grouped about 

 a city milcU lierd and the two sales ])laces connected 

 with it. Some cases of typhoid appeared in this (juar- 

 tei- of the city in August, but the origin of these was not 

 lierfectly clear. At this time, a saleswoman in charge 

 of one of the milk shops became ill of tyi)hoid fever and 

 was taken to the hosi)ital. It was discovered that she 

 had suffered with severe diarrhoea for about fourteen 

 (lays but she had not l)een under the physician's care 

 until high fever developetl. By degrees, 117) cases in all 

 broki' out, among them the woman in charge of the other 

 milk sboi> and these cases were, in part, traced directly 

 to infective milk ; in part they must have originated from 

 contagion cairied from one person to another. It was 

 found during the time that the disease prevailed that the 

 milk had twice been infective — at the beginning and in 

 the middle of .Vugust — but it was not possible to prove 

 the exact channel through which bacilli entered. 



"Ti(l>>krift for Smulhespleje, VI. Is'.K. 

 ■-■ Tid.lskrift for Sundliesple.je, VIII, 1001. 



