In the presence of an existing epidemic effective measures that will lessen the likelihood of an attack of meningococcic meningitis are the establishment of free ventilation and the avoidance of overcrowding. Close association with some one already infected is necessary in order to contract the disease, since the survival time of the isolated organism is short. It has been shown1 that the carrier rate could be reduced in dormitories from 29 per cent to 5 per cent by increasing the space between the beds from 9 inches to 3 feet. Fatigue has been found repeatedly to be a contributing factor in the development of the disease. A well balanced diet is important in any scheme of preventive medicine. An absence or deficiency of all the requirements mentioned are presumed to contribute to the outbreaks of epidemic meningitis which usually develop in time of war or when large numbers
Hoyne AL. THE THERAPY OF THE COOK COUNTY HOSPITAL: THE THERAPY OF MENINGITIS. JAMA. 1941;117(23):1973–1978. doi:10.1001/jama.1941.72820490002015
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