22 APPENDIX. 



SMALLPOX. 



15. The perfect protection from this disease is efficient vaccination. 

 This is known by a good large mark, or scar. Ee- vaccination after the 

 fourteenth year is advisable. An unvaccinated case of smallpox in 

 Scotland is so rare, that precautions in regard to it are needless. 

 Should such a case occur, the precautions already named should be most 

 strictly adhered to, as it infects at a greater distance than any other in- 

 fectious disease. 



DIPHTHERIA. 



16. Diphtheria poisons by means of the breath and expectoration ; and 

 the utmost precaution to avoid contact with these on the part of those 

 about the patient is absolutely necessary. The expectoration should 

 be received into a vessel containing Cond^s Fluid, or on cloths that 

 may be at once burnt ; and the throat frequently gargled with a solu- 

 tion of the same, of the strength of a small teaspoonf ul to a quart of 

 water. A mother should on no account kiss her children during this, 

 nor, indeed, any of the other infectious illnesses. 



WHOOPING-COUGH. 



17. Whooping-cough is a disease to which children are more especially 

 susceptible, and most fatal to children under two years of age. It is so 

 extremely fatal to infants, that every effort should* be made to keep them 

 out of the range of the infection by separation. The poison comes 

 chiefly from the mucous secretions of the lungs and air passages, and 

 is readily imparted to the clothes of those who nurse the patient. 

 These secretions are infectious from the beginning of the illness. 



ASIATIC CHOLERA. 



18. This only occasionally visits this country. As in typhoid fever, 

 it spreads by means of the bowel discharges ; and the same precautions 

 are necessary. 



GENERAL STATEMENTS. 



19. In any of these infectious diseases, where there is not sufficient 

 accommodation for fully carrying out these precautions, it is urgently 

 recommended that the patient be removed at once to the Hospital 

 appointed for the reception of such cases. It need hardly be added, 

 that no time should be lost in obtaining medical advice when any of 

 these diseases appear. 



30. "We abstain from giving directions as to the disinfection of a 

 house either after death or recovery, as the authorities gratuitously and 

 efficiently do this when applied to ; besides making ample compensation 

 for any articles of furniture, &c., they consider it necessary to destroy. 



