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Updated: May 5, 2025
Cholera inoculation was the mildest, typhoid or paratyphoid sometimes gave sore arms and headaches, tetanus only the wounded received and it was far the worst of the lot, but any one who has seen a man die of tetanus is not likely to complain.
By getting rid of cases of intestinal disease, and "carriers" of intestinal disease, destruction of excreta and garbage, screening of food, destruction of breeding places of flies, sterilization of drinking water, boiling of milk and vegetables, and in the case of typhoid and paratyphoid fevers, inoculation, the chances of intestinal disease germs getting through from one person to another are comparatively small, as the results would indicate.
The paths were made of Turkish tombstones, which were always used in Uskub for road metal. The hospital staff was saddened by the recent death of Mr. Chichester, who had, like ourselves, just returned from a tour in the western mountains, where he caught paratyphoid and only lived a few days. One of the doctors had been in Albania, on an inoculating expedition.
At Amara, paratyphoid A was commonest in the troops coming down from the Front. It was not a very grave disorder, but sometimes, particularly when complicated by other factors, it was fatal. It must be remembered that many patients reached us as emaciated skeletons, in the last stage of exhaustion. Special wards were set aside for typhoid cases.
Malaria is transmitted in this way by the anopheles mosquito; typhus fever by lice, and plague by the rat flea. These are all diseases greatly to be dreaded in the army. The third group, including typhoid and paratyphoid fevers, cholera, and dysentery, all of which are intestinal diseases, is largely conveyed from the sick to the well indirectly through contaminated water and food.
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