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!" INTESTINAL ANTHRAX 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. REFERENCE 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, M.D., Dr.P.H. 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. Dougherty.
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