29 cases of scarlet fever were
reported between Oct. 25 and
Nov. 9 in 25 families living in
24 houses; cases widely sepa-
rated in distant parts of
town; contact and school in-
fection eliminated; no social
intercourse. 27 of the cases
obtained milk from milkman
H, who supplied only about
of the milk used in Norwalk.
It was found that child of
farmer supplying milk to
dairyman Ĥ had scarlet fever
and that other children with
the same disease had also
been on the farm. Milk from
this farm was excluded from
sale and epidemic ceased.
(The 2 cases not on milk route
of H were in 1 family.)
The few previous cases which
had existed in Montclair were

In child on dairy
farm and in
playmates of
this child.

Probably at
first from bot-
tles returned
from infected
houses and
later by child
of dairyman
who was
found in des-
quamating
stage on farm.
Probably acci-
dental from
children.

3 April, 1907.

7242

same

dairy.

69 Outbreak ex plosive; all cases
occurred between April 12
and 19, and 32 were reported
on 1 day, the 13th. 69 of the
cases took milk from either
milkman A or milkman B,
both of whom bought part of
their milk from farmer J,
whose grandchild took sick
with diphtheria Apr. 11. The
milk utensils were washed in
the house by the same person
who nursed the child. The
3 cases not taking this milk
were in the same house and
secondary to a case reported
on April 11 in Milton.
"Beginning Oct. 3, 1906, within
a few days 36 cases of diph-
theria developed in the sub-
urb of Clifton within 4
squares of each other. The
membrane appeared in all the
cases first on the tonsils.
There are several reasons for
believing the milk was the
carrier of the infection. First,
each of the 36 cases drank
the suspected milk. Second,
where only 1 member in a
family drank the milk, as
happened in several families,
only that member contracted

36

36