Bearing directly on this question is the discussion concerning the
distribution of the food poisoning bacilli in nature. Most investigators
in Germany, where the majority of food poisoning outbreaks have
occurred, or at least have been bacteriologically studied, are of the
opinion that _B. suipestifer_ (the same in their opinion as _B.
paratyphosus_ B) is much more widely distributed than _B. enteritidis_
and that it occurs, especially in certain regions, as in the southern
part of the German Empire, quite commonly in the intestinal tract of
healthy human beings. Such paratyphoid-carriers, it is supposed, may
contaminate food through handling or preparation just as
typhoid-carriers are known to do. A number of outbreaks in which
contamination of food during preparation is thought to have occurred
have been reported by Jacobitz and Kayser[72] (vermicelli),
Reinhold[73] (fish), and others. Reinhold notes that in one outbreak
several persons who had nursed those who were ill became ill themselves,
indicating possible contact infection. In another outbreak also reported
by Reinhold it was observed that those who partook of the infected food,
in this case dried codfish, on the first day were not so severely
affected as those who ate what was left over on the second day. A
bacillus belonging to the paratyphoid group was isolated from the stools
of patients, but not from the dried codfish. These facts were
interpreted as signifying that the fish had become infected in the
process of preparation and that the bacilli multiplied in the food while
it was standing.
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