Frostbite should be treated first by vigorous friction with snow or
pounded ice. The affected parts should then be well wrapped with cloths
wet with cold water. It is extremely dangerous to bring them near a fire.
Afterwards, the part should be wrapped in cotton-wool.
_Cholera._
Cholera is a serious acute disease, characterised by frequent watery
motions, vomiting, cramp and collapse.
_Cause._—It is often contracted by drinking contaminated water.
Research has shown the importance of the cholera “carrier,” that is to
say the person, usually a native, who harbours in his bowel the specific
organism of the disease. He may be perfectly healthy and yet be able to
transmit cholera to other people by infecting water or food. The rôle of
flies, infected clothes and rags, and faulty conservancy methods must be
kept in mind.
_Symptoms._—Giddiness, faintness, persistent vomiting and diarrhœa, great
prostration, feeble pulse, cold perspiration, colic, intense thirst, and
constant desire to pass urine. The vomit and motions rapidly become like
rice-water in appearance, and the urine is more or less suppressed. There
are severe cramps in the legs, belly, and other parts of the body. If
then the pulse becomes weak, the temperature low, and the countenance
dusky, the patient will probably sink. On the other hand, reaction may
set in, all the symptoms abating, and the pulse, temperature, and colour
becoming natural; the water is passed more freely, vomiting is less
frequent, and the motions become more natural in colour.
_Prophylaxis._—Anti-choleraic inoculations are now practised. They not
only afford a considerable degree of protection but lessen the risk of
a fatal issue in the inoculated. Hence it is advisable to be vaccinated
against cholera whenever there is risk of infection. The inoculation
must be repeated after the lapse of four months if the epidemic still
persists, as the protection afforded is only temporary. Persons
travelling in regions where cholera is present in an endemic form should
take a little lactic acid in tea, or add a little vinegar or thirty drops
of dilute hydrochloric acid to every ounce of drinking water.
At times of epidemic prevalence it is essential that all water should be
boiled. The practice of hand-shaking should be discouraged, indigestible
diet should be avoided, and raw fruit, raw vegetables, and meat jellies
should not be eaten. Lettuces and celery, being moist and eaten uncooked,
are specially dangerous. Patients and contact cases must be isolated,
and the former should be protected from flies. It is very necessary to
maintain a strict supervision of cooks and cooking arrangements. All
kitchen cloths should be washed in permanganate solution or boiled. Milk
should always be boiled.
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