I 
9320 
TABLE OF CONTENTS. 
Page. 
1. Inteoduction (by Walter Wyman) 18 
2. Milk as a Cause op Epidemics of Typhoid Fever, Scarlet Fever, and 
Diphtheria (by John W. Trask) 23 
Typhoid fever 26 
Bacillus typhosus in milk 27 
Summary of epidemics 29 
Stamford epidemic 30 
Scarlet fever 32 
Summary of epidemics 33 
Scarlet lever in Norwalk, Conn 33 
Diphtheria 34 
Klebs-Loffler bacilli in milk 35 
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 
(а) Explosive onset 37 
(б) Disease follows the milk 38 
Elkton epidemic 39 
(c) Special incidence in milk drinkers 10 
(d) The better houses suffer greater invasion 40 
(e) Age and sex 41 
Bacillus carriers 41 
Source of milk contamination 44 
(1) From hands of milker 44 
(2) Air and dust of the stable 44 
(3) The milk pail 44 
(4) Water supply 44 
(5) Milk cooler 45 
(6) Cans 45 
( 7 ) Transportation 45 
(8) Distributing dairy 45 
(9) Bottles J 46 
Montclair epidemic 46 
Detection of milk epidemics 47 
Prevention of milk epidemics 48 
Points of interest in reporting milk epidemics 49 
Busey & Kober — Summary of epidemics 49 
Milk epidemics 51 
Table I. — Typhoid 51 
Table II. — Scarlet fever 95 
Table III. — Diphtheria 107 
Table IV. — Sore throat and pseudo-diphtheria 115 
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