194. 



BEVIEW— TROPICAL MEDICINE, ETC. 



"^'llTtinuM Precautions against the Spread of Measles 



cLUdron, and the longer the d.easo oun be wardi'off ^rchiMhoodtrgrcl'^ a^f^ LtTor^Lre^^ ^"""^ 

 the sanitary inspectors!^ ^ impoitaut that the earliest possible intimation of its existence should bo made through 



witl/^e'Ss'olTS'drM in'tt L"""f h-^rru'?"'^' '"''' T.'i^'^''''' °' *'^'= '"^^•'^- - ''<^~y- " begins 

 The rash afpears firsfon the face and^V ad from ft ioXrl;\t 'o^^ '•^"'^ ''""'' ''"^ watery e^es. 



the face looks swollen. It seldom iDnearsnntTHf.n 7 ^ ^ *]"' ^"'^y- " ""^""^'^t^ °f ''sd blotches, and 

 disease is very infectious from"!!^ tgT n^ 1^^ S^^^^Z tsf SjSJ:^ ^f^- ^- ^'^^ 



look-ontt;"th{ fir-^Sadon"rm^^^^^ '^^^'''^ l^^^' P^'^''*^ ^-^ ^-^-l^-^ ^"^-ll be on the 



the head, it should aroncrbe Tso ated and aU ptcT.u"^^^ " attacked by what appears to be a cold in 



oases are equally infectious. A medical man shnn Ml, pl.ntf ^ "'* '^'''""^ "^ infection. Mild and severe 



regard the disease as not dangerous T^Lvsaf^ ^lZl\ "" T-t7- "'"'"; ^f^'''" " ^^ °«"' ^ ^^^"-^ blunder to 

 most of the deaths are due to che^t comnl^at ons ^IZu ^^%'^'^\]' '" ^ed, where it should be kept warm, as 

 noted below, the room shotud btilS v vent lated ^T^ f™"" "le supposed "cold." At the same time as 

 from the appearance of the rash and 11^0^,^. ^''1^'''''°'' '\''''^'^ ^^ "^'^^'^i^^'^'^d tor at le^st a iortnight 

 Complioationfmay readily extend these periods °"^'' ""* ''^''"' *" ''^'"'^ ^"^ ^^ ''^'^^t ^-^ot^er week. 



mixij^^ifh 'rrTsfof ?hituShoid. ''z:::^^ ^^T^.^s^'^^ '' r^ f "^'^•^"^"^ r '^^'" ^^™"^ -•-'1 



and a tire should be kept burning l,oth to warm thP ,^> nn,l t *'"^f t"™ should be removed fi-om the sick room, 

 a little open at the top, Lt the bfd should b'^out of r'aeh of aSghf *'''*""• ''^' "'"'"^^ ^'^""^'^ "^^ ^-^^^ 



room'^anVwi^hed ".'""' ''' °"" "'P^' l^^"*^^' ^"'''''- '^°"^'' ^'''^^^' f-'^^. etc., which should be kept in the 



beforftl^S^^cl'fr^t?h\'sKr°'S'^^^^^ 



the purpose, or by boiling in water. Disch.argel from the thr^t nnH f^'''}'^ f**^^l"°g \° a solution provided for 

 or pieces of linen or cotton, which shoulT .XmarTbe disinf.otPd „^i °"''^ ^^ 'T"/"'^ '" °^^ handkerchiefs 

 necessarily visiting the sick room shouW covei "othit wff^! a loo . n'''.'''' ^^"f '\^ worthless. Any person 

 patient and the bedclothes, and should wash Ss hands before'avingt^^^^^ ''"""^ '™'^ ""''''' ^^"^ *'"'' 



floor,''Xl7dtorl?furi^ittrlerardT^^^^^^ T^ "^T^^T^^ *°""^ ^^ ^'^--^'^'y «l--ed- 



should also be well aired by opeiling thrwindows ^' ^ ^""^ '^^*''" '''°"''' ^'^ abundantly used. The house 



be foldTthe 'sn-f^rli^r f ^'Vairs but bringing out some additional points, will 



a^i=?e:;;!i;£:;teS;nu2^rif^e^-Se^ii-! *^^ -^-°- °^ 



distrk^^St?t^--J:S,£---t=^^^^^ 



30 per eenttnd*'4t^erS^M'whrny^^^^^^^ ^'^-'^-^ ^^ ^^e extent of between 



between 15 per cent. to^lS per cent unprotected ^"° '' "°"*'""'' "''*^^ *'^'= proportion is reduced to 



time'in Londo^rxcrS o\;%rt:oTptiafdi^rr''irLtr /^ "^"'" "°'^i'', "°* "^^^ -'^--^^ ^- -- 

 question would again become acute in a few years ' ' "'''' successful m postponing attacks, the 



for etch''chnrLt&on1o^cTo:f "t^ r^^^^^^ '^^^f^ ' '^^ Tf ^ ^^^^^y ^^^0"'^ ^e elicited 



was made compulsory on cverv parent Xt chndtn.tr 1 ""'^'^^f"?; ,if "otihcation to the school authority 



Unless the amount of suscept ^le"^ materlll; fa^ y^'cefrate^^^^ "T'I ^^'^ \^ f^'^^y strengthened": 

 the dark, as heretofore, and n^othing of any ^^SnTeTSeX'^ecr^^ ""^^^ ''^ --'^-^ - 



practice If wa^t^n/S^tirrh^'aCnTLt^l^^^^^^^^^ P^''^^ '^^^°- *>>«.'■"-* -°P " f^"- The old 



did absolutely no good. "^^"^enaance tell to a certain limit was useless m arresting the spread of measles, and 



name'u-o-saSy bi.iirg"a!d?r:L'n°io7te:c1er^ '''\" "^~] '^'°^"^'=' '^^'^ °^ •="—- '-P-'*--- To 

 in determining thc'^xte.it of^s^rear^f anVutbreak ^ '"' '"'° ^''°'' P'^'^'^^^ ^^^'^ *"<= S'-'^^*'-^'^* «2ect of all 



measles haf a"red Tn " ctT tlTlnVX^^^rK'T'^'-. ^^?'^^ ^''""^'^ "^^ -°t ""* wherever 

 upon the slightest «uspFci^n of such ySXm to keeP the c '"'f'^S mothers to notice colds, and 



would probably be checked to a far grSTxtent than has 1 il pff w , ,' "" '^ Ti *"'°- ^° *''''' ^'^y- ""^^^'^s 

 come to our notice where heartbroken mothers hfvesLted that Lrftt t"'' '^''y "t^er means Instances have 

 seriously, of which they took no note, and1h:;:i!:;iLfr1hUt\ lives wJufd^i bcS. Tav!^' ''^"^ ^'^^^'^ =°"^^ 



