5. The measures recommended are calculated to be effective in the
promotion of respiratory hygiene in general and particularly in the
control of pneumonia and other respiratory infections.
ADMINISTRATIVE MEASURES FOR RELIEF.
The committee on administrative measures for relief would submit the
following considerations as constituting a summary of the important
measures for meeting epidemic conditions:
_I. General Rules._
1. Compulsory reporting.
2. Isolation by co-operation and education, to a point where it does not
diminish the willingness of the physician to report.
3. Placarding would seem to be subject to the same limitations as is
isolation.
4. The closing of schools, prohibition of funerals, etc., being
preventive measures, are not touched upon in this report, except to
mention that the closing of many agencies will release medical, nursing,
and volunteer services for special influenza work.
5. It may be necessary to grant authority and power to the health
authorities to administer relief.
_II. Preliminary Measures._
1. The listing and distribution of resources, including physicians,
nurses, social workers, nurses’ aids, clerks, domestics, laundresses,
automobiles, chauffeurs, mask makers, and volunteers of all kinds.
All available publicity channels should be used to promote volunteer
service.
An appeal should be made for voluntary donors of human blood serum from
convalescent influenza patients, to be held in readiness for use in
treatment.
2. The centralization of resources, under one control, with central and
branch headquarters, the city being districted for medical, nursing and
other work.
The central headquarters should be ordinarily under the supervision of a
board representative of the most important agencies concerned, the
board’s work to be administered through a manager (presumably the health
officer) selected for his fitness.
3. The service should be maintained on a 24–hour basis, and a system of
outgoing and incoming telephone service is essential.
4. The local authorities should get and keep in touch with state and
national agencies.
_III. Current and Continuous Analysis of Case Situation._
1. In the smaller communities a canvass should be made of all
physicians, soliciting information as follows:
(a) Number of cases under care.
(b) Number of cases needing hospital treatment.
(c) Number of cases needing home nursing care.
(d) Number of cases requesting medical service but not reached.
This information will indicate the situation as regarding the need for
emergency nursing and medical service, and should be acquired as fully
as possible in larger communities, through various agencies such as a
current lay or police canvass of homes, etc. The continuous
classification of cases according to these groupings is of practical
value.
_IV. Analysis, Augmentation and Organization of Principal Facilities._
(A) _Field Nursing._
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