The control of epidemic cerebrospinal fever among Filipinos in the steerage of ships from the Orient has been reviewed by Geiger.1 The epidemiology of pneumonia in these people has often been contrasted with that of epidemic meningitis. In studying means for the prevention of these cases, it has been determined that special attention must be given to one of the most important contributory accessory factors: detention in the "quartels" in Manila. The length of the detention, the absence or presence of respiratory infections within the group previous to sailing, the weather at the time of embarkation and immediately afterward, whether sufficient clothing and bedding were given or properly used, the question of ventilation or the intelligent use of available facilities in the steerage by the ship surgeon, and the administration of suitable physical exercises and suitable diets en route must also be investigated.
The absence of specific laboratory information
PNEUMONIA AMONG FILIPINOS TRAVELING IN THE STEERAGE. JAMA. 1931;96(24):2039–2040. doi:10.1001/jama.1931.02720500033014
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