It seems possible that rats and mice may become infected with certain
bacteria of this group without human intervention, and that these
infected animals may be the means of contaminating foodstuffs and so
causing outbreaks of food poisoning. Proof of the frequency with which
this actually occurs is naturally difficult to obtain.
There is no escape from the conclusion that in any given case of food
poisoning the exact source of infection is often largely conjectural.
Even when suspicion falls strongly on a particular article of food, it
may not be possible to establish beyond a reasonable doubt whether the
material (meat or milk) came from a diseased animal or whether it was
infected from other sources (man or other animals) at some stage during
the process of preparation and serving. The most definitely attested
cases yet put on record are those in which it is possible to trace the
infection to food derived from an ailing animal.
_Means of prevention._--The most obvious and probably the most important
method of preventing infection with paratyphoid bacilli is the adoption
of a system of inspection which will exclude from the market as far as
possible material from infected animals. To be most effective such
inspection must be directed to examination of the living animal. The
milk or the meat from diseased animals may give no visible sign of
abnormality. In the Ghent outbreak of 1895 the slaughter-house
inspector, a veterinary surgeon, was so firmly convinced that the meat
which he had passed could have had no connection with the outbreak, that
he ate several pieces to demonstrate its wholesomeness. The experiment
had a tragic ending, as the inspector was shortly attacked with severe
choleraic symptoms and died five days later, paratyphoid bacilli being
found at the autopsy. Müller[89] also has described a case in which
paratyphoid bacilli were found in meat that had given rise to a meat
poisoning outbreak although the meat was normal in appearance and the
organs of the animal showed no evidence of disease to the naked eye. It
is evident that inspection of the live animal will often reveal evidence
of disease which might be missed in the ordinary examination of
slaughter-house products.
Although inspection of cows used for milking and of food animals before
slaughter is highly important, it does not constitute an absolute
protection. Emphasis must be repeatedly laid on the fact that meat, and
especially milk that is derived from seemingly healthy animals, may
nevertheless contain paratyphoid bacilli. To meet this difficulty in
part the direct bacterial examination of the carcasses of slaughtered
food animals has been proposed, but this seems hardly practicable as a
general measure. In spite of all precautions taken at the time of
slaughtering it seems probable that occasionally paratyphoid-infected
meat will pass the first line of defense and be placed on the market.
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