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.‘••vi.C J.nJ f 
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TABLE OF CONTENTS. 
Page. 
1. Introduction 11 
2. Milk as a cause of epidemics of typhoid fever, scarlet fever, and 
DIPHTHERIA 10 
Typhoid fever 22 
Bacillus Typhosus in milk 23 
Summary of epidemics 24 
Stamford epidemic 25 
Scarlet fev<er 27 
Summary of epidemics 29 
Scarlet fever in Norwalk, Conn 29 
Diphtheria 32 
Klebs-Loffler bacilli in milk 33 
Summary of epidemics 36 
Outbreak of diphtheria in Dorchester, Milton, and Hyde Park_ 36 
Epidemics of sore throat and pseudo-diphtheria 37 
Character of milk epidemics 37 
(a) Explosive onset 37 
(b) Disease follows the milk 38 
Elkton epidemic ^ 39 
(c) Special incidence in milk drinkers 40 
( d ) The better houses suffer greater invasion 40 
(e) Age and sex 41 
Source of milk contamination 41 
(1) From hands of milker 41 
(2) Air and dust of the stable 44 
(3) The milk pail 44 
(4) Water supply 44 
(5) Milk cooler 44 
(6) Cans 45 
(7) Transportation 45 
(8) Distributing dairy 45 
(9) Bottles ! 45 
Montclair epidemic 46 
Points of interest in reporting milk epidemics 47 
Busey & Kober — Summary of epidemics 47 
Milk epidemics 49 
Table I.— Typhoid 49, 116 
Table II.— Scarlet fever 93, 134 
Table III.— Diphtheria ' 105, 143 
Table IV. — Sore throat and pseudo-diphtheria 113 
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