翻刻
【右丁】
三四
該細菌ヲ排泄スルガ故ニ便所以外ノ放尿ハ成ルベク禁セ
サルベカラス然レトモ赤痢患者及赤痢回復者ノ尿中ニハ赤
痢菌ヲ排泄セズ従テ尿ヲ消毒スル必要ナシ
(十一)患者發生後ニ於ケル病毒散蔓ノ程度ヲ知ルハ豫防上必要
ノ事ニ屬スルガ故ニ少クトモ左ノ各項ヲ調査シ適切ナル豫
防措置ヲ講スルヲ要ス
(イ)患者發生後ノ家族ノ健康狀態如何
(ロ)患者發病後患者及其家族ガ他家ヲ訪レタルコトアリヤ
又ハ他ヨリ患家ニ來リシモノアリヤ
(ハ)若シアリシテトスレバ其際飮食物攝取、便所使用、物品授
與等ノ事ナカリシヤ
(二)患者排泄物ノ処置ヲ如何ニセシヤ
【左丁】
(ニ)患家ニ於テ使用シタル河、堀、井戸等ヲ使用シタル人ア
リヤ
(十二)前項調査ノ結果患家以外ノ家屋、井戸、便所等ニシテ病毒
ニ汚染シ若シクハ汚染ノ疑アル塲合ニモ之ガ消毒ヲ行フベ
キハ論ヲ俟タズ
(十三)患家ニ交通シタル人アラハ其人ノ着衣、食器等ニ対シ消
毒方法ヲ施行シ赤痢ハ少クモ十日間膓窒扶私、パラチフ
スハ二十日間其人ニ對シ相當ノ監視ヲナスベシ
(十四)病毒汚染ノ溝渠ハ消毒ヲ行ヒ河川ハ一定期間使用(勿論
遊泳モ)ヲ禁ズベシ
(十五)患者發見後患家ニ對シテハ凡二週間尚其附近ニ對シテモ
一定期間健康視察又ハ健康診斷ヲナスヲ可トス
三五
現代語訳
三四
該細菌を排泄するが故に、便所以外の放尿は成るべく禁ぜざるべからず。然れども赤痢患者及び赤痢回復者の尿中には赤痢菌を排泄せず、従って尿を消毒する必要なし。
(十一)患者発生後における病毒散布の程度を知るは予防上必要の事に属するが故に、少なくとも左の各項を調査し、適切なる予防措置を講ずるを要す。
(イ)患者発生後の家族の健康状態如何
(ロ)患者発病後、患者及びその家族が他家を訪れたることありや、又は他より患家に来りしものありや
(ハ)若しありしとすれば、その際飲食物摂取、便所使用、物品授与等の事なかりしや
(ニ)患者排泄物の処置を如何にせしや
(ホ)患家において使用したる河、堀、井戸等を使用したる人ありや
(十二)前項調査の結果、患家以外の家屋、井戸、便所等にして病毒に汚染し若しくは汚染の疑ある場合にも、これが消毒を行うべきは論を待たず。
(十三)患家に交通したる人あらば、その人の着衣、食器等に対し消毒方法を施行し、赤痢は少なくとも十日間、腸チフス、パラチフスは二十日間、その人に対し相当の監視をなすべし。
(十四)病毒汚染の溝渠は消毒を行い、河川は一定期間使用(勿論遊泳も)を禁ずべし。
(十五)患者発見後、患家に対しては凡そ二週間、尚その附近に対しても一定期間、健康視察又は健康診断をなすを可とす。
三五
英語訳
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Since these bacteria are excreted, urination outside of toilets should be prohibited as much as possible. However, dysentery patients and those recovering from dysentery do not excrete dysentery bacteria in their urine, therefore there is no need to disinfect urine.
(11) Since knowing the degree of pathogen spread after patient occurrence is necessary for prevention, at least the following items must be investigated and appropriate preventive measures must be taken:
(A) What is the health condition of family members after patient occurrence?
(B) After the patient fell ill, did the patient and family members visit other homes, or did others come to the patient's home?
(C) If so, did they consume food and drink, use toilets, or exchange goods during such visits?
(D) How were the patient's excretions disposed of?
(E) Did anyone use the rivers, moats, wells, etc. that were used at the patient's home?
(12) As a result of the above investigation, if houses, wells, toilets, etc. other than the patient's home are contaminated or suspected of contamination with pathogens, it goes without saying that disinfection should be carried out.
(13) If there are people who had contact with the patient's home, disinfection methods should be applied to their clothing, tableware, etc., and appropriate surveillance should be conducted for at least ten days for dysentery and twenty days for typhoid and paratyphoid.
(14) Ditches contaminated with pathogens should be disinfected, and the use of rivers (including swimming, of course) should be prohibited for a certain period.
(15) After patient discovery, health surveillance or health examinations should be conducted for approximately two weeks for the patient's home, and for a certain period for the surrounding area as well.
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