A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
When the patient is fully convalescent and all desquamation has
ceased, cleanse him thoroughly with a warm bath and soap for four
successive days. If at the end of that time no roughness of the skin
remains, he may be dressed in clean clothes and taken from the room,
for he is no longer a source of danger. The room itself and the
furniture are then to be thoroughly cleansed and disinfected. The
ceiling and walls, if of ordinary hard finish, are to be scraped and
whitewashed. All woodwork should be rubbed with damp cloths and the
floor well scrubbed. Care should be taken to remove all dust from the
ledges over windows and doors. All the cloths used in this cleansing
process are to be burned.
If these directions have been carefully carried out, there is no need
for further disinfection. But if upholstered furniture has been
allowed to remain in the room, or other articles which cannot be
burned or scrubbed or soaked in the zinc solution, it may be desirable
to attempt to disinfect the whole room and its contents by means of
chlorine or sulphurous acid gases. Of these, sulphurous acid gas is
the cheapest, and upon the whole the best, but it must be used in
large quantity, and for a longer time than is customary, if it is to
be relied upon. For this purpose all openings into the room should be
closed, and pillows, mattrasses, upholstered furniture, and articles
which cannot be treated with the zinc solution should be opened, so
that they may be exposed throughout to the fumes. The sulphur should
be burned in an iron pan or pot, placed in a tub containing water or
upon a large surface of sand. About 18 ounces of roll sulphur should
be used to each 1000 cubic feet of space, and after twenty-four hours
12 ounces more should be burned and the room be then closed for
twenty-four hours longer, after which it may be opened and aired. In
case of death the body should at once be wrapped in a sheet thoroughly
soaked with the chloride of zinc solution, and either be placed in an
air-tight coffin at once or be buried without delay. The funeral
should be strictly private, and the sheet referred to should not be
disturbed or the body exposed to view.
The cases most liable to spread the disease are those in which the
attack is very light and the child is not confined to its bed. It is
desirable that children in a house in which there are cases of scarlet
fever should not be allowed to attend school or mingle with other
children who have not had the disease.
Public-domain text, read in full here on John Shaqi.
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