Essays In Pastoral MedicineWalsh, James J. (James Joseph)
Religion
Essays In Pastoral Medicine
Walsh, James J. (James Joseph)
First aid in illness and injury; Medicine
Diphtheria is a disease of children, but it also can be fatal to
adults and to children old enough to receive the last Sacraments. It
is caused by the Klebs-Loeffler bacillus, and it most frequently
attacks the throat and nostrils. It can start in a cut in the skin, or
on any mucous surface, as the inside of the eyelid. The contagion is
not in the breath, but it can be coughed out. It is in the saliva of
the patient and it gets on his hands and on what he and the nurse
touch. It is not nearly so infectious as smallpox and scarlet fever.
In visiting such a patient the priest should be careful not to touch
anything in the room, and he should wash his hands in the bichloride
solution after a visit. He must also wet the soles of his shoes with
the solution. He should be very careful lest a child suddenly cough
fine sputum containing the bacillus into his eyes. Diphtheria in the
eyes would destroy sight, and I have seen a pair of spectacles save a
man in a case like that. A detailed description of the disinfection in
diphtheria is given in the chapter on Infectious Diseases in Schools.
Glanders is sometimes transmitted from beasts to man, and it is almost
always fatal in the human subject. The disease is caused by the
glanders bacillus. Horses, asses, dogs, cats, goats, and sheep are
susceptible to the disease; pigs are somewhat susceptible; cattle and
birds are immune. The infection is in the discharge from the nose of
the patient and on the skin eruptions. The same precautions are to be
taken as are needed in a diphtheria case.
Influenza, called popularly the grippe, is caused by the bacillus
influenzae, which was isolated by Pfeiffer in 1891. The bacillus is
found in the nasal secretions and in sputum; it dies in from twelve to
twenty-four hours when dried. The disease is contagious, and it is
often fatal in alcoholics, the overworked and harassed, and in those
that have chronic diseases. In any case it is a serious malady.
Disinfect the hands after visiting a case.
Dengue becomes epidemic at times, especially in the Southern States.
The disease is very severe, painful, and depressant, but the mortality
is quite low except in complication with other maladies. Its cause is
not known. It is {182} very contagious and has symptoms which belong
to the class of disease in which are scarlatina and measles. The
priest should act as in a case of scarlatina.
There is a form of pneumonia which spreads so widely and rapidly that
it is called epidemic pneumonia. In visiting patients afflicted with
this disease the priest should act as in a diphtheria case.
Epidemic cerebrospinal meningitis is a very fatal disease at times in
America. Even those patients that survive are frequently made blind or
deaf, or are left injured otherwise. The malignant type is nearly
always fatal. In some epidemics the mortality is as high as 75 per
centum. The visiting priest should act as in a case of diphtheria,
although the danger of direct infection is not great.
Public-domain text, read in full here on John Shaqi.
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