The communication of ague from person to person has not been observed,
and supposing this disease to be communicable, it may be so only
indirectly, for the _materies morbi_ eliminated from one patient may
require to undergo a process of development or procreation out of the
body before it enters another patient, like certain flukes infesting
some of the lower animals, and procreating by alternate generations.
The measures which are required for the prevention of cholera, and all
diseases which are communicated in the same way as cholera, are of a
very simple kind. They may be divided into those which may be carried
out in the presence of an epidemic, and those which, as they require
time, should be taken beforehand.
The measures which should be adopted during the presence of cholera may
be enumerated as follows:—
1st. The strictest cleanliness should be observed by those about the
sick. There should be a hand-basin, water, and towel, in every room
where there is a cholera patient, and care should be taken that they are
frequently used by the nurse and other attendants, more particularly
before touching any food.
2nd. The soiled bed linen and body linen of the patient should be
immersed in water as soon as they are removed, until such time as they
can be washed, lest the evacuations should become dry, and be wafted
about as a fine dust. Articles of bedding and clothing which cannot be
washed, should be exposed for some time to a temperature of 212° or
upwards.
[Sidenote: MEASURES REQUIRED FOR THE PREVENTION OF CHOLERA.]
3rd. Care should be taken that the water employed for drinking and
preparing food (whether it come from a pump-well, or be conveyed in
pipes) is not contaminated with the contents of cesspools, house-drains,
or sewers; or, in the event that water free from suspicion cannot be
obtained, it should be well boiled, and, if possible, also filtered.
Works are in progress for supplying a great part of London with water
from the Thames, obtained, like that of the Lambeth Company, above
Teddington Lock. Although this is not the best possible source for
supplying a large town, it is a great improvement on the practice of
many of the water companies; and the water, owing to filtration, and
especially to its detention in large reservoirs, will probably be quite
salubrious: at all events it will be much safer than that of the shallow
pump-wells of London, which are fed from very polluted sources. It is
very desirable that the handles of nearly all the street-pumps of London
and other large towns should be fastened up, and the water used only for
such purposes as watering the streets. A proper supply of water for the
shipping in the Thames is much wanted. Water acquires a flat taste by
being boiled; but if it is filtered after it becomes cold, it gets
re-aerated, and the flat or vapid taste is entirely removed.
Public-domain text, read in full here on John Shaqi.
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