On the Epidemiology of Plague

Abstract

In areas in which plague is present, or has recently been present, in India, as an epidemic, no definite relation has been observed between intensity of plague (apart from its persistence), and badness of sanitary condition of dwellings. On the other hand, in areas in which plague is present endemically, so far as evidence goes, very unsatisfactory sanitary conditions exist. Such areas are generally situated in mountainous countries (Garhwal, Yunnan, Beni-Cheir, Transbaikalia). The inhabitants of such places, owing to the difficulty of obtaining water for domestic purposes, are apt to be filthy both in their houses and persons. In Garhwal, Yunnan, and Beni-Cheir domesticated animals are stabled in the houses, the paucity of level area making separate provision for cattle a matter of difficulty. Stable refuse consequently is liable to accumulate in the lower floors of the houses, producing conditions favourable to the presence of swarms of fleas.