828 AMERICAN JOURNAL OF PUBLIC HEALTH Aug., 1936-
will undoubtedly help to keep many not acutely ill from being uneasy or dis-eased.
With noise on the increase, cities must be planned in the future to protect their
citizens. The proper construction of dwellings, the arrangement of streets and
parks, with sound-absorbing trees, shrubs and vines, and quiet, efficient trans-
portation systems leading to decentralization of overpopulated regions, hold
possibilities as yet but little realized.
This problem, so essential to cooperative living, should be a challenge to
education. Children should be taught noise prevention as well as cube root.
There was a time when we were ignorant of and indifferent to the consequences
of polluted water supplies. This is now interesting history. There will be a time
when society will look back and say, " How could they exist with such a jumble
of barbaric noises to harass the equanimity of man!"
THE older literature carries accounts of a number of serious outbreaks of
intestinal anthrax due to infected food. Such reports are now so extremely
rare that they deserve mention in order to keep physicians and health officers
on their guard, especially as the diagnosis is not easy to make and is only positive
after laboratory examinations.
The outbreak in question I occurred in September, 1934, in a Rumanian
regiment stationed on the western shore of the Black Sea. It was confined to
private soldiers, 14.5 per cent of whom were attacked with severe gastrointestinal
symptoms, muscular weakness and chills, with a case fatality rate of 30 per cent.
Autopsy revealed an extensive enteritis with hemorrhages in the lower part of
the ileum. The diagnosis was confirmed by the findings of the laboratory at
Bucharest. Several diagnoses were made-food poisoning, paratyphoid B, and
even cholera being suspected. The infection was traced to food eaten by the
troops in transit between Jassy and Constantza.
1. An Outbreak of Intestinal Anthrax. Rev. Igiena Sociala. Bucharest. 5:690-698, 1935. French
Summary (Reviewed in Bull. Hyg., Apr., 1936, pp. 302-303).
In September Journal
Development of Leprosy Clinics in the Control of Leprosy. Lee S. Huizenga,
Health Work on a Sugar Plantation in Hawaii. Ira V. Hiscock.
Administration of Health Education and Health Supervision in Negro
Colleges. Paul B. Cornely, M.D., Dr.P.H.
Effectiveness of the Mlethods of Dish and Utensil WN'ashing in Public Eating
and Drinking Establishments. Andrew Krog and Dorothy S.