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Endemic Bacillary Dysentery

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MartinJJB_1935_v1redux.pdf (8.182Mb)
MartinJJB_1935_v2redux.pdf (9.652Mb)
Date
1935
Author
Martin, J. J. B
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Abstract
 
 
SCOPE: This thesis is devoid of idyllic propensities. The subject chosen is hackneyed, and the treatment afforded to it is neither original or entirely comprehensive. The work described is the work of numerous institutions and was undertaken with a strictly practical objective, the control of the disease within one particular Mental Hospital. But the problems involved are not altogether local. Bacillary dysentery is a disease of world-wide distribution, and it clinical signs have been known in this country for many centuries. It was once a popular scourge, but its epidemic violence died out with improved sanitation and personal hygiene, so that major epidemics are rare, except in Mental Hospitals, which, on statistical evidence, harbour more than 99% of the disease. In Mental Hospitals the disease lingers on. Much work is being done in the pruning of the pathological growth and lopping off the grosser excrescences, but no one appears able to strike at the roots of the disease. When sporadic, dysentery is an accepted concomitant of lunacy when epidemic, the laboratory is cluttered with faecal specimens, until, on the analogy of typhoid, the scare is resolved on a solitary carrier and a faulty drain. With a few notable exceptions, there is no realisation that the epidemic is the periodic phase of a constant activity, and no effort is made to assess and control the endemic level of the disease. This we have attempted to do.
 
URI
http://hdl.handle.net/1842/35154
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