( 84 ) 



The best form of isolation hospital — and the cheapest — is a shed j 

 of ataps, bound to iron supports, the floor should be cemented if 

 possible, and the " whole show " burnt when the epidemic is at an 



Chicken-pox. 



The rash comes out on the first day of the fever, all the symptoms 

 are less severe than small-pox, and the eruption comes out in crops. 

 The feel of the pimples is not so hard as those of small-pox. Suppu- 

 ration occurs in the pimples just as in small-pox, but the two diseases 

 are really unlikely to be confused. 



Plague. 



Perhaps the first remark to be made upon this disease to the 

 layman is, that there need not necessarily be any buboes, and indeed 

 the most serious cases show no external sign of the terrible affection, 

 as is now well known the form from which the disease obtained its 

 name was the bubonic form, in which swellings of the glands in various 

 parts of the body do exist (groins, neck, armpits) this form of the 

 disease— given the fact that cases have been occurring in the neighbour- 

 hood— is at least easy to suspect, and the extreme depression and very 

 acute lever, lead one to isolate the case promptly, but the cases whic 

 i wish to put you on your guard against are, the pneumonic and 

 me septtacmic forms, these occur with some frequency in all 

 epidemics and I think that perhaps the safest dictum I can givey* 

 as a working and standing order is this, "isolate all cases of high 

 rever which is accomnain^ri k,. — „u^a a^^^^ ™- <r\AA 



c^T C ° Ugh ' and tr y not to mistake a plague 

 coolie, the symptoms frequently resemble each other, but the sev»< 

 rever must settle the diagnosis for vou. 



metW (^^^^ COnfirmed microscopically by Dr. R»* 



which^fS? bat L° n 15 kid down at three to ei g ht da ^ but i"stancesin 

 been oh=Ir !? n OCCurr ed from clothing, and after months, ha e 

 hPnrWh • - ltlal s y m Ptoms are shivering followed by severe fev* 

 the gl^ToTtS 



Little children usually succumb. 



Plague patients are infectious for about one month after recover/- 

 Rats are known to disseminate plague, 

 throi \?hlh n Tf Uk r place throu S h wounds and scratches, and 

 mosques * ° f inSGCts > 4- rat " fleas > h ^ a " d P 



The excreta and s 



accompanied by marked depression, or giddiness,or 



Attenda 



1 sputum are infective, 

 upon plague cases should < 



