*Prophylactic Treatment.*--The prophylactic treatment of smallpox
is of vastly more importance than any therapeutic measure, since it
concerns a community and not merely an individual. In dealing with
smallpox cases many physicians discover only too late that an ounce of
prevention is worth many pounds of cure. When a case of smallpox is
first recognized, or even suspected, the patient should be isolated in
a room from which all unnecessary articles of furniture, especially of
soft texture, have been removed. A sheet moistened with some volatile
disinfectant should be hung before the door, and no one allowed to
enter the room save the nurse and doctor. A change of clothing should
be made outside by the former whenever leaving the room, and a gown
should be ready for the latter to wear at each visit. Upon leaving
the sick-room the physician should carefully disinfect his hands and
remain for some time in the fresh air before making another call. When
the diagnosis is positively made, all who have come in contact with
the patient, unless manifestly immune, should be found and vaccinated
without delay.
During the course of the disease all discharges, such as fæces,
urine, sputa, or vomited matter, should be received in glass or
earthen vessels containing a five per cent. solution of carbolic
acid. Handkerchiefs and soiled rags should be burned or with towels
and soiled sheets placed in a carbolic solution and allowed to remain
for twelve hours. The plates, knives, forks, and spoons used by the
patient should be kept in the sick-room and washed in a disinfectant
solution by the nurse, while any uneaten food should be treated in the
same manner as the patient’s discharges. When the patient has fully
recovered, and, after personal disinfection, has left the sick-room,
this should be thoroughly fumigated. The mattress and bed-coverings
should be burned or, in large cities, sent to the Board of Health for
disinfection. In case of death the corpse should be washed with a
strong bichloride solution or painted with carbolized oil (twenty per
cent.), and buried or cremated as quickly as possible. The clothing
worn by the patient at the beginning of the disease should be destroyed
or disinfected by baking for an hour in an oven at a temperature of
220° F., or steamed for five minutes at a temperature of 212° F.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account