APPENDIX VI 



The under-mentioned. Eeports and Rules illustrate the precautions 

 taken by certain large English milk companies to prevent the milk 

 which they handle from acting as a vehicle for the spread of in- 

 fectious disease. The forms printed are those in use by Messrs. 

 Welford and Sons, London. 



MEDICAL OFFICER'S REPORT 



{The report sheet leaves spaces for the ansmers to the under -mentioned questions.) 



I. Do you find the occupants of the farm-house, the persons em- 

 ploj'ed on the farm and their families in good health ? 



Note A. — The skin for evidence of eruptive diseases or desquamation. 

 Note B. — The throat for evidence of diphtheria and allied conditions. 

 Note C. — The state of the bowels for typhoid and diarrhoea. 



II. Are any of them suffering from disease of a communicable nature 1 

 If so, give name and age, with the nature of such disease, and probable 

 source or cause of same. 



III. Do you consider the sanitary conditions of the farm-house and 

 premises with the dwellings and other buildings thereon satisfactory ? 



IV. Where is the cooling performed, and is the position of the 

 refrigerator satisfactory and the surroundings airy, sweet, and clean ? 



V. Sources of water-supplies. State depth of wells and nature of 

 ground. 



(A) For domestic use. 



(B) For cooling. 



(C) For washing utensils. 



(D) For cattle-drinking. 



VI. Is the water-supply satisfactory from a sanitary point of view ? 



VII. If any danger from contamination, please describe it. 



Note. — Any suggestion for remedying the same will be much appreciated. 



VIII. What is the general health of the population of the district ? 



IX. Are there any cases of zymotic disease in your district or neigh- 

 bourhood ? 



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