MILK EPIDEMICS Continued. 
60 
Reporter and ref- 
erence. 
Dr. C. P. Bots- 
ford, superin- 
tendent board 
of health, Hart- 
ford, Conn. 
Special report. 
Dr. C. W. Young- 
man, health offi- 
cer, Williams- 
port, Pa. Spe- 
cial report. 
Dr. C. D. Phelps. 
In Conn. State 
Board of Health 
Report 1905, p. 
82. 
Reasons for be- 
lieving that milk 
carried the disease. 
Explosive out- 
break on 1 milk 
route. 
The limitation of 
cases to 1 milk 
route and the 
the cessation of 
outbreak when 
milk was re- 
fused sale. 
Explosive out- 
oreaic limitcu to 
and following 1 
milk route. 
Manner in 
which milk was 
. infected. 
P r e s u m a bly 
from use of 
contaminated 
stream wator. 
Probably by 
washing uten- 
sils in well 
water pol- 
luted from in- 
fected privy. 
1 
Location of 
original case or 
cases causing 
outbreak. 
Not known 
Circumstances of outbreak. 
Dairy used water from a spring- 
fed stream. About 2 weeks 
after a heavy rain a number 
of cases of typhoid appeared 
almost simultaneously on 
this milkman’s route. The 
stream showed contamina- 
tion, and the dairy was or- 
dered to cease using the wa- 
ter. After about 2 weeks no 
new cases occurred on this 
route. 
Cases were limited to the cus- 
tomers of 1 milkman, and al- 
most every family supplied 
by him had 1 or more cases of 
the disease. Members of 
families using milk only in tea 
and coffee did not contract 
disease. Well on farm was 
found badly polluted by near- 
by privy. Milk was excluded 
from sale and in 2 weeks new 
cases ceased being reported. 
In West Haven in 1905 typhoid 
was reported as follows: 
March, 1 case; June, 1 case; 
August, 28 cases. Of these 28 
cases in August, 2 cases were 
late in the month and second- 
ary to previous cases in same 
families, 1 case was of doubt- 
ful diagnosis. This leaves 25 
primary cases which were 
Num- 
ber of 
cases 
sup- 
plied 
with 
milk 
from 
the 
same 
dairy. 
24 
33 
23 
Num- 
ber of 
deaths. 
CO <N 1 
Num- 
ber of 
cases. 
24 
35 
27 
Place. 
Hartford, Conn... 
Williamsport, Pa. 
West Haven, 
Date. 
September, 1905. 
August, 1905. . . . 
August, 1905. . . . 
No. 
3 ’ g & 
