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January 27, 1940

Current Comment

JAMA. 1940;114(4):330. doi:10.1001/jama.1940.02810040040015

DOMESTICS AS TYPHOID CARRIERS  Recently there has been renewed interest in the public health aspects of domestic service and in attempts to minimize the health hazards incident to domestic employment by periodic examinations.1 Additional emphasis is given to this problem by the recent report2 from the director of public health, San Francisco, of four domestics revealed to be typhoid carriers in 1939. In each instance the carrier was identified after the development of typhoid in the family or, in one instance, in the cafeteria in which the domestic was employed. None of these four carriers ever gave a history of having had the disease. Such circumstances merely serve to reemphasize facts already well known; namely, that only healthy adults should be in contact with children or for that matter with other adults. Existing health regulations in most communities still neglect in large measure the safeguards for the health