Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measlesOpie, Eugene L. (Eugene Lindsay)
History
Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measles
The increase in the S. hemolyticus carriers among patients with measles
after a period in the hospital might depend upon two factors: First, the
exposure to contact infections in the hospital ward, depending on the
length of time in the ward as well as on the character of the ward
management; second, the passing of the acute stage of measles with a
return of the bacterial flora of the throat to the condition existing
before the onset of the acute disease. The first appears the more
probable. The second has only the support of the observation that the
streptococci were absent from the throat during the acute stage of
measles or were much less frequently found in patients with measles than
in normal men and later their incidence approached that in normal
individuals. The rather high incidence of hemolytic streptococci in
normal men at Camp Funston may have been due to the very recent
assembling of the 10th Division which now occupied the camp. It is
probable that the housing of large numbers of men in barracks is
attended by the same contact dissemination of mouth organisms that
occurs in hospital wards.
=Measles at Camp Pike.=—All cases of measles coming into the base
hospital at Camp Pike between September 15 and December 15, 1918, a
total of 867 cases, are included in the report. Upon the arrival of the
commission at Camp Pike early in September, a plan for the separation of
cases carrying hemolytic streptococci and those free from these
organisms was put into operation. The preliminary arrangements included
the allotment of suitable wards for treatment of the different classes
of cases; a throat culture survey of all patients with measles under
treatment at the time; their separation in accordance with the results
of bacteriologic examination, and the transfer of each group of patients
to its designated ward. By September 15 these preliminary arrangements
had been completed. Cases of measles admitted on this date and
afterwards were held in an observation ward pending the report upon a
throat culture before they were transferred to the treatment wards.
Beginning September 15 the following system of handling measles cases
was maintained in the wards of the base hospital.
Public-domain text, read in full here on John Shaqi.
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