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
There are a number of infectious eye diseases that occur among
school-children. Acute Contagious Conjunctivitis, {200} or "pink eye,"
is one of the most important. One form of acute Contagious
Conjunctivitis is caused by the Koch-Weeks Bacillus; it is "pink eye,"
properly so called, and it is very infectious. Objects handled by the
patient can infect others and spread the disease. The attack is
severe, but the prognosis for full recovery is good. The child should
be strictly quarantined until all secretion from the eyes has ceased,
and whatever he has touched is to be carefully disinfected.
Another form of Acute Infectious Conjunctivitis, less contagious than
that caused by the Koch-Weeks bacillus, is brought about by the
introduction into the eye of the bacteria that give rise to pneumonia.
Commonly the pneumonia bacteria do not cause conjunctivitis unless the
patient is susceptible in a special manner. As it is difficult to
differentiate this second form from the first, the same precaution
should be used.
Trachoma, called also granular conjunctivitis, Egyptian ophthalmia,
and military ophthalmia, is a very serious inflammatory disease of the
external eye which has of late years become prevalent in American
cities, whither it has been brought by immigrants from eastern and
southeastern Europe. Persons that have this disease on landing in the
United States are deported, but despite this precaution it has crept
in and is now endemic. It is contagious, and when well established it
is extremely difficult to cure. If untreated it lasts for years and it
may destroy the cornea and consequently the sight. A trachomatous
child should be kept from school until it has been cured, and that
cure will take a very long time.
The Gonococcus can be carried into the eye by handling objects like
soap, towels, wash-basins, which have been used by persons afflicted
with gonorrhoea. The infection of the eye is very severe and
dangerous, and the usual quarantine is to be observed. The ophthalmia
of the new-born is gonorrhoeal.
The Diphtheria Bacillus also may get into the eye, and set up a
primary infection there. A membranous conjunctivitis, too, is at times
induced by pus organisms. {201} Xerosis Epithelialis, tuberculosis,
leprosy, and syphilis may affect the eye primarily, and additional
forms of eye-diseases are found that are infectious. The general rule,
then, is that children with any inflammation of the eyes are to be
kept out of school until a physician pronounces them harmless.
AUSTIN ÓMALLEY.
{202}
XVI
SCHOOL HYGIENE
Priests have to put up buildings for parochial schools, colleges,
seminaries, orphan asylums, convents, and the like, but in such work
sanitation is commonly given only a passing thought in connection with
sewer-traps and these are left to the wisdom of a plumber. The
physical welfare of youth is almost as important as its mental
training, and there are many factors beside sewer-traps involved in
the effort to sustain it.
Public-domain text, read in full here on John Shaqi.
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