One food animal, the oyster, frequently eaten raw, has been connected on
good evidence with certain typhoid outbreaks.[57] The number of
well-established oyster typhoid epidemics is not great, however, and
the danger from this source has sometimes been exaggerated. The source
of oyster contamination is in sewage pollution either of the shellfish
beds or of the brackish water in which the oyster is sometimes placed to
"fatten" before it is marketed. State and federal supervision of the
oyster industry in the United States in recent years has largely done
away with the taking of oysters from infected waters, and although
oysters--and clams and mussels as well--must be steadily safeguarded
against sewage contamination, the actual occurrence of oyster infection
at the present time is believed to be relatively rare.
Probably the most effective method of preventing typhoid food infection
is to investigate every case of typhoid fever and trace it, so far as
practicable, to its origin. In this way typhoid-carriers may be
discovered and other foci of infection brought to light. Carriers, once
found, may be given proper advice and warned that they constitute a
danger to others; the complete control of typhoid-carriers who are not
disposed to act as advised is a difficult problem and one not yet solved
by public health authorities.
ASIATIC CHOLERA
With Asiatic cholera, just as with typhoid fever, domestic animals are
not susceptible to the disease, all cases of infection having a direct
human origin. Drinking-water is the usual vehicle of cholera infection,
and even in countries where the disease is endemic, food-borne outbreaks
of this disease are far less common than those of typhoid fever.
Occasional instances of Asiatic cholera due to milk supply and to
contaminated fruits or lettuce are on record, but these are exceptional
and cannot be regarded as exemplifying a common mode of spread of this
disease. The extent, however, to which dwellers in tropical
countries--and indeed in all lands--are at the mercy of their household
helpers is illustrated by the following experience of the English
bacteriologist, Hankin. "I have seen," he says, "a cook cooling a jelly
by standing it in a small irrigation ditch that ran in front of his
cookhouse. The water running in this drain came from a well in which I
had detected the cholera microbe. He cleaned a spoon by dipping it in
the drain and rubbing it with his fingers; then he used it to stir the
jelly."[58]
TUBERCULOSIS
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