STREET CARS, ETC.: Ventilation and cleanliness should be insisted upon
in all transportation facilities. Over-crowding should be discouraged. A
staggering of opening and closing hours in stores and factories to
prevent overcrowding of transportation facilities may be cautiously
experimented with. In small communities where it is feasible for persons
to walk to their work it is better to discontinue the service of local
transportation facilities.
FUNERALS: Public funerals and accessory funeral functions should be
prohibited, being unnecessary assemblies in limited quarters, increasing
contacts and possible sources of infection.
4. MASKS.—The wearing of proper masks in a proper manner should be made
compulsory in hospitals and for all who are directly exposed to
infection. It should be made compulsory for barbers, dentists, etc. The
evidence before the committee as to beneficial results consequent upon
the enforced wearing of masks by the entire population at all times was
contradictory, and it has not encouraged the committee to suggest the
general adoption of the practice. Persons who desire to wear masks,
however, in their own interest, should be instructed as to how to make
and wear proper masks, and encouraged to do so.
5. ISOLATION.—The isolation of patients suffering from influenza should
be practised. In cases of unreasonable carelessness, it should be
legally enforced most rigidly.
6. PLACARDING.—In cases of unreasonable carelessness and disregard of
the public interests placarding should be enforced.
7. HOSPITALIZATION.—The theory of complete hospitalization is that, if
all the sick were hospitalized the disease would be controlled. In
certain somewhat small communities where hospitalization of all cases
was promptly inaugurated the disease did come quickly under control. It
must be recognized, however, that unless every infective person can be
detected and identified as such and removed to the hospital before he
has infected others, hospitalization cannot be depended upon to
eliminate the disease.
In general, home treatment is to be advocated where medical, nursing and
other necessary facilities are adequate, and where home treatment is not
directly contra-indicated by the danger of infecting others. The
hospitalization in any case, mild or severe, should be undertaken only
when facilities for home treatment are inadequate with respect to
medical and nursing care or otherwise. The objection to routine
hospitalization of mild cases lies in the fact that patients not already
suffering from secondary infections may acquire them by exposure to
hospital cases already so infected. The objection to the routine
hospitalization of severe cases lies in the danger to the patient
necessarily incident in the transfer from home to hospital.
8. COUGHING AND SNEEZING.—Laws regulating coughing and sneezing seem to
be desirable for educational and practical results.
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