FLIES ASL) DISEASE 22^ 



SPECIAL SYMPTOMS. 



(i) Tympanitis. Fomentations, turpentine stupes, turpentine 

 15 minims every three hours. Hypodermic injection of 

 eserine gr. sV . 



(2) Hcemorrhage. Stop aU food, drink sips of water only, rice- 



bag to abdomen, raise bedclothes on a cradle. Give simple 

 enema. Morphia useful if one is sure that perforation has 

 not occurred. 

 Calcium lactate gr. xv t.d.s. Lead acetate. 



(3) Perforation. Laparotomy as soon as possible. Salines per 



rectum, 2-6 litres per diem for a week. 



(4) Diarrhoea. Tannalbin gr. x-xii t.d.s. 



An enema with gr. v of Dover's powder also. 

 Avoid bismuth, as it obscures traces of blood. 



(5) Cholecystitis. Urotropine gr. x t.d.s., anti-typhoidal vaccina- 



tion or surgical treatment. 



(6) Hyperpyrexia. Sponging, bath immersion 75°-85° F. No- 



antipyretics. 



(7) Delirium. Bromides, lumbar puncture. 



(8) Cardiac failure. Digitalis and its preparations, or camphor 



and ether, strychnine and salines, 

 (g) Phlebitis. Wrap leg in cotton-wool after applying ichthyol 

 in lanoline (2 per cent.). 



(10) Bedsores. Harden skin with spirit lotion and disinfect H2O2 



twice daily; dust with zinc oxide powder. 



(11) Abscesses. Incise and drain. 



(12) Bone lesions. Supports as necessary; operative treatment. 



FLIES AND DISEASE. 

 FLIES ARE DANGEROUS TO HEALTH. 



(i) By carrying pathogenic organisms directly from infected matter 

 upon which they have settled to a wound abrasion, or absorbent 

 mucous membrane surface. Hence perhaps spreading disease 

 as anthrax, ophthalmia, yaws and tropical sore. 



(2) By feeding on infected matter and then carrying that infection 

 by means of regurgitation or defiecation upon a receptive surface 

 as above. The germs passing through the flies' intestines 

 with undiminished virulence or possibly multiplying therein. 

 Staphylococcus pyogenes and the tubercle bacillus has thus been 

 found. 



(3) By carrying the germs as above and infecting the food and 

 drink of man. Hence diseases can be disseminated as typhoid 

 fever and cholera, perhaps of infantile diarrhoea and dysentery - 

 They also carry the eggs of parasitic worms. 



