154 
have practically no germicidal effect. We foimd that in some 
instances these patented and aesthetic preparations were recom- 
mended for use by the physician, or even by the professional nurse, in 
attendance on the patient. 
Of other measmes to prevent the spread of the infection, such as 
treatment of clothing, bedding, dishes, hands of attendants, etc., in 
contact with the patient, the precautions carried out were considered 
efficient for 90 cases, fairly efficient for 83, inefficient for 163, and 
not determined for 4. 
The following table shows the prophylactic measures carried out 
for the patients treated at private residences dmmg the periods of 
1908, 1907, and 1906: 
Number of c-ases 
190S. 
1907. 
1906. 
Treatment of stools and urine: 
EflScient 
152 
128 
145 
Inefficient 
146 
180 
286 
Of doubtful efficiencv 
38 
48 
51 
Method not determined 
4 
3 
10 
Total 
340 
359 
492 
Other measures to prevent spread of infection: 
Efficient 
90 
79 .. 
Fairlv efficient 
83 
96 
212 
Inefficient 
163 
181 
270 
Not determined 
4 
3 
10 
Total 
340 
359 
492 
The findings, as shown by this table, make it evident that there is 
yet in the District of Cohunbia much that can and should be done to 
prevent the spread of infection from the patient’s bedside, which is 
the fountaia head of typhoid fever infection. 
SUMMARY AND COXCLUSIOXS. 
Summary for 1908, with corresponding figures for 1907 and 1906. 
1908 (May 1 to 
November 1). 
1907 (May 1 to 
November 1). 
( 1906(Jtmelto 
November 1). 
i Cases. 
' 1 
Percent- 
ages. 
i 1 
j Cases. 
1 
i Perc-ent- 
ages. 
1 
Cases. 
1 * 
1 Percent- 
ages. 
1 
Infection contracted out of District of Columbia. . 
144 
2LS0 
1 
j 174 
25.97 
129 
, 14.89 
Infection attributed to milb 
52 
7.82 
48 
7.17 
85 
1 9.81 
Infection attributed to contact 
114 1 
17. 14 
102 
15 22 
54 
1 523 
Accounted for 
1 
310 j 
46.76 
1 
324 
48.46 
268 
30.93 
E'naccounted for 
355 1 
53.24 
346 
5L64 
598 
69. 07 
Total 
1 
665 1 
100. 00 
670 
100.00 
866 
100.00 
1 
