Typhus in Bombay. Part I: Clinical Features
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چکیده
the past fifty years, had unfortunately produced an impression amongst the physicians as well as the public health personnel that typhus was not present in Bombay. It is regrettable that this false sense of security should have prevailed also in other parts of India, in spite of the fact that localized outbreaks had occurred from time to time in the mountainous regions of the north, and in the Frontier Provinces. Covell (1936) has given references to historical outbreaks of typhus in various parts of India and more recently Sharma (1940) has given an account of non-epidemic typhus in the civil population of Bangalore. During the period 1914-20, only 3 cases of ' typhus', 2 in 1917 and 1 in 1918, were reported by the Executive Health Officer of the Bombay Municipal Corporation. In the City Fever Hospital (for infectious diseases) according to Patel (1940) no cases had been diagnosed for the period 1921-38. In the following year, however, 10 cases were found. This finding was commented on by him as follows: ' This disease (typhus) seems to be occurring sporadically in the city. This year there were 10 cases reported from the City Fever Hospital. Most of the cases were in the indigenous population and were found to be occurring in the different parts of the city. They were all of a mild type. By a proper clinical and serological examination many more could be isolated if they were looked for ' (italics ours). .In the succeeding years from the same hospital were recorded 5, 2 and 2 cases respectively for the years 1940-41,1941-42 and 1943-44. An account of the 15 cases that had been
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Typhus in Bombay. Part II: Epidemiology
the Executive Health Officer. As endemic typhus has many clinical features resembling the enteric group of diseases and as laboratory aid is not sought in all cases of continued fevers, and, further, as the practitioner is less familiar with typhus than with enteric, it is probable that many cases of the former are clinically mistaken for the latter and notified as such. It is obvious, therefor...
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