A District's Scheme for Cholera Control

This scheme was started five years ago as an experiment, with very meagre equipment, which I managed to S^t up myself, and as the venture proved particularly successful, we were permitted by Government to adopt 't as a permanent measure in our district for the following reasons:?(a) The outlay, to begin with was comparatively small; (&) the recurring charges reasonable; (c) the method of first information was Quickest, unlike the usual filtering through a chowkidari system; (d) the staff necessary to carry the scheme conS'sted largely of personnel already in District Board employment, and the organisation on the whole struck the authorities as practical. With the usual medical organisation of each district, consisting of: (a) the outlying rural dispensaries; V.f>) the sub-divisional headquarters dispensaries; (c) the ^strict headquarters sadr hospital. I have divided the cholera areas to be combated into three heads; all the rural dispensaries under (a) the first line of defence"; all the sub-divisional headquarters dispensaries under (b) as "the second line of defence"; and the district headquarters as the "base and reserves." From this it inlay be seen that an endeavour is made to link up the entire scheme by an 0rganisation already existing, and the administrative 9OIUrol under which the success of the scheme depends ls already there as a powerful nucleus to set the machinery KOing. The details of the scheme are as oilows, and must be considered under:? AThe division of the district into areas of control. Equipment. CStaff. pInformation or Intelligence. Initial cost and recurring charges. a he division of the district into areas of control. th outlying rural dispensaries may be considered t,e smallest unit of the district medical organisation, tj'cse units which are in direct touch with rural conditho .1>,ace as " first line of defence," and equip bov^' 1 onc un't of equipment called a " cholera unit