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April 22, 1944

OUTBREAK OF SEPTIC SORE THROAT DUE TO RECONSTITUTED POWDERED MILKEPIDEMIOLOGIC OBSERVATIONS

JAMA. 1944;124(17):1191-1193. doi:10.1001/jama.1944.02850170027006
Abstract

It is well known that most epidemics of septic sore throat are traceable to contaminated raw milk. This, we believe, is the first such outbreak caused by milk from a contaminated "mechanical cow" to be recorded in the literature. As this machine is being widely used to supply our armed forces with fluid milk and ice cream, medical officers should be cognizant of the danger inherent in its improper operation.

CHRONOLOGY OF THE EPIDEMIC  The outbreak studied by us can best be visualized by referring to figure 2, which shows the total number of cases according to the date of onset of symptoms. A total representing approximately 10 per cent of the complement of the station were sick.A careful inspection of the galley and food handlers was made when it became apparent that an epidemic was starting. Defects noted in the dairy room and preliminary case cards filled out

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