Observations upon the Natural History of Epidemic Diarrhoea

Abstract

The following observations upon the Natural History of Epidemic Diarrhoea were made in Mansfield during the summer and autumn of 1908. The fact that at the time the writer was engaged in preparing a paper—to which the present paper is to some extent complementary—upon the epidemiological relations of season and disease, lent special interest to the enquiries regularly made from the Health Department of this town into the circumstances attending fatal attacks of diarrhoea. Early in the season a more than usually extensive enquiry was made into one of these fatal attacks in an area where an outbreak of diarrhoea appeared to be spreading outwards from a group of old privy-middens. To test how far the condemnation of the latter was justifiable another area was taken on the other side of the town, where the houses were newly built and provided exclusively with water-closets; and records, collected by house-to-house visitation, were obtained of all cases of epidemic diarrhoea, whether non-fatal or otherwise, occurring in these localities. The enquiries thus begun were afterwards extended so as to embrace two fairly large districts, a chance of doing this being provided by the opportune postponement of the addition to the department of certain work of inspection which had been impending at the beginning of the summer. These districts were several times revisited and scattered observations were also made throughout the other parts of the town. During 1909, while there was no opportunity of making extended observations, there were valuable opportunities during the course of the routine inspections of the summer of testing and re-testing the principal results obtained during 1908.