Our knowledge of the precise cause of diphtheria, the Klebs-Loeffler
bacillus, has furnished us not only with the cure, but also with the
means of preventing its spread. While under certain circumstances,
particularly the presence of moisture and the absence of light, this
germ may live and remain virulent for weeks outside of the body, careful
study of its behavior under all sorts of conditions has revealed the
consoling fact that its vitality outside of the human or some other
living animal body is low; so that it is relatively seldom carried from
one case to another by articles of clothing, books, or toys, and
comparatively seldom even through a third party, except where the latter
has come into very close contact with the disease, like a doctor, a
nurse, or a mother, or--without disrespect to the preceding--a pet cat
or dog.
More than this, the bacillus must chiefly be transmitted in the moist
condition and does not float in the air at all, clinging only to such
objects as may have become smeared with the mucus from the child's
throat, as by being coughed or sneezed upon. As with most of our
germ-enemies, sunlight is its deadliest foe, and it will not live more
than two or three days exposed to sunshine. So the principal danger
against which we must be on our guard is that of direct personal
contact, as in kissing, in the use of spoons or cups in common, in the
interchange of candy or pencils, or through having the hands or clothing
sprayed by a cough or a sneeze.
The bacillus comparatively seldom even gets on the floor or walls of a
room where reasonable precautions against coughing and spitting have
been taken; but it is, of course, advisable thoroughly to disinfect and
sterilize the room of a patient and all its contents with corrosive
sublimate and formalin, as a number of cases are on record in which the
disease has been carried through books and articles of clothing which
had been kept in damp, dark places for several months. The chief method
of spread is through unrecognized mild cases of the disease, especially
of the nasal form. For this reason boards of health now always insist
upon smears being made from the throats and noses of every other child
in the family or house where a case of diphtheria is recognized. No
small percentages of these are found to be suffering from a mild form of
the disease, so slight as to cause them little inconvenience and no
interference with their attending school. Unfortunately, a case caught
from one of these mild forms may develop into the severest laryngeal
type. If a child is running freely at the nose, keep it at home or keep
your own child away from it. A profuse nasal discharge is generally
infectious, in the case of influenza or other "colds," if not of
diphtheria.
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