Hygiene: a manual of personal and public health (New Edition)Newsholme, Arthur, Sir
Science
Hygiene: a manual of personal and public health (New Edition)
Newsholme, Arthur, Sir
Hygiene; Public health -- Great Britain; Sanitation
Throughout the progress of the disease, except in the period of
incubation, the patient is able to communicate his disease to persons
about him who have not been rendered safe by a previous attack. The way
in which he thus communicates his disease varies in different cases. In
scarlet fever, the throat and skin are the chief sources of contagion;
in influenza, whooping-cough, and measles, the secretions from the
respiratory passages; in hydrophobia, the saliva; in enteric fever and
cholera, the vomit and stools.
=Prevention of the Spread of the Chief Acute Infectious Diseases.=—We
may divide these into three classes. (1) Those which are infectious by
contact with the patient or by the atmosphere around him. (2) Those in
which the intestinal and renal evacuations are almost alone infectious;
as enteric fever and cholera. (3) Those in which inoculation through
an abraded surface is generally if not always necessary to produce
infection.
SMALL-POX OR VARIOLA.
The contagium of small-pox is very tenacious of life. All parts of the
body, and all secretions and excretions contain it. As in typhus it
adheres to every article in the room, but unlike typhus is possessed
of great vitality, and if not exposed to the air may be active after
many years. There is considerable evidence indicating that the
contagion of small-pox may occasionally be _conveyed aerially_ for a
considerable distance, for even a quarter or half a mile from hospitals
in which small-pox patients are isolated. Whether this is the aerial
convection of infection, or in part at least due to carelessness of
persons connected with the hospital in their movements to and fro,
may remain an open question; but such hospitals in the midst of towns
are in practice a mistake; and in London small-pox has been found to
be more manageable since its small-pox patients were all conveyed to
extra-urban hospitals. The means for the prevention of small-pox are
(1) Isolation of infectious patients. (2) Disinfection of all infected
articles. For particulars under these two heads, see pages 319 and 324.
They must be carried out most rigidly in this disease. (3) Vaccination
and re-vaccination.
=Inoculation of small-pox= virus was largely practised as a means of
ensuring a comparatively mild attack, until it was made illegal in
1840. Sometimes, however, the attack thus produced was fatal, and every
case of inoculated small-pox became a new focus of infection, and a
source of high mortality, especially among young children.
Public-domain text, read in full here on John Shaqi.
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