in the rural districts of Virginia
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1089745/?page=1
1908
1. most common beginning of June-middle of September
2. in winter months localized water-bourne outbreaks sometimes occur
3. direct contact with patient spreads disease
4. milk & foods coming from infected houses frequently carry infection
5. general dissemination of feces by flies, animal feet spreads
6. mild undiagnosed cases can spread
to prevent:
1. isolation of sick and the disinfection of the excreta, body, bed linen
2. inform public of nature & spread of disease...food & contact infection
3. recognition of human excrement as the most dangerous material on the farm, providing for its care and disposal that it be kept off the ground, in a water tight receptacle, screened against flies and animals until burned or otherwise safely disposed of.
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