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July 29, 1933


Author Affiliations

From the Massachusetts Department of Public Health.

JAMA. 1933;101(5):348-352. doi:10.1001/jama.1933.02740300016006

Typhoid carrier control presents one of the most troublesome of public health administrative problems. It is easy to say that such carriers should not be allowed to handle food for the consumption of others, yet application of this principle is often difficult if food handling is the only livelihood that the individual has. Too close surveillance may accomplish nothing further than to drive the carrier under cover, only to reappear in connection with further cases. To the administrator, therefore, any means of dealing effectively with such a carrier is just as valuable a tool as is the epidemiologic procedure that brought his existence to light.

Subsidy of carriers, the offering of an official reward for good behavior and abstinence from food handling has been attempted in some states. At best it can hardly be held out as an ideal solution, since it must always fall short of the normal earning

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