A. Efficient organization to meet the emergency, providing for a
centralized co-ordination and control of all resources.
B. Machinery for ascertaining all facts regarding the epidemic:
1. Compulsory reporting.
2. A lay or professional canvass for cases, etc.
C. Widespread publicity and education with respect to respiratory
hygiene, covering such facts as the dangers from coughing, sneezing,
spitting, and the careless disposal of nasal discharges; the
advisability of keeping the fingers and foreign bodies out of the mouth
and nose; the necessity of hand-washing before eating; the dangers from
exchanging handkerchiefs; and the advantages of fresh air and general
hygiene. Warnings should be given regarding the danger of the common
cold, and possibly cold should be made reportable so as to permit the
sending of follow up literature to persons suffering from them. The
public should be made acquainted with the danger of possible carriers
among both the sick and the well and the resultant necessity for the
exercise of unusual care on the part of everybody with respect to the
dangers of mouth and nasal discharges.
D. Administrative procedures:
1. There should be laws against the use of common cups, and improperly
washed glasses at soda fountains and other public drinking places, which
laws should be enforced.
2. There should be proper ventilation laws, which laws should be
enforced.
Since the disease is probably largely a group or crowd problem, the
three following sub-heads are especially important.
3. CLOSING.—Since the spread of influenza is recognized as due to the
transmission of mouth and nasal discharges from persons infected with
influenza, some of whom may be aware of their condition but others
unaware of it, to the mouths and noses of other persons, gatherings of
all kinds must be looked upon as potential agencies for the transmission
of the disease. The limitation of gatherings with respect to size and
frequency, and the regulation of the conditions under which they may be
held must be regarded, therefore, as an essential administrative
procedure.
Non-essential gatherings should be prohibited. Necessary gatherings
should be held under such conditions as will insure the greatest
possible amount of floor space to each individual present, and a maximum
of fresh air, and precautions should be taken to prevent unguarded
sneezing, coughing, cheering, etc.
Where the necessary activities of the population, such as the
performance of daily work and earning of a living, compel considerable
crowding and contact, but little is gained by closing certain types of
meeting places. If, on the other hand, the community can function
without much of contact between individual members thereof, relatively
much is gained by closing or preventing assemblages.
SCHOOLS: As to the closing of schools there are many questions to be
considered.
Public-domain text, read in full here on John Shaqi.
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