Because of the great tendency to attack the heart a physician should take charge of every case of acute rheumatism in a child. To Treat the Tendency to Rheumatism.--Exclude red meats and sugar in all forms as much as is possible. Give green vegetables freely, potatoes boiled with the skins on, fish, eggs, and poultry. Cereals with milk, especially well cooked Scotch oatmeal, are exceedingly good for these children. By keeping up this diet after the acute attack has passed for a considerable time, it is possible to cure the various other complaints with which the child is afflicted,--tonsilitis, sore-throats, winter coughs, head-colds, bronchitis, asthma, etc. These children should wear woolen underwear all the year round. They should be encouraged to drink water or vichy freely between meals. In the treatment of an acute attack as given above it will be observed that no drugs are mentioned. This is intentional because it would be unjust to encourage the home treatment of a disease that is so treacherous, even in its mildest forms. Because of its tendency to recur and with each recurrence the danger of the heart being affected, it is advisable to put these children on cod liver oil or iron or some other good tonic. Every precaution should be taken to prevent these children from getting their feet wet or being out in the rain. SUMMARY:-- Rheumatism is a dangerous disease in children. In its mildest forms it can affect the heart badly. It has a distinct tendency to recur. Rheumatic children are afflicted with a number of diseased conditions which do not respond to treatment unless the rheumatism is treated. Acute rheumatism should never be treated except by a physician because of its treacherous character. MALARIA. INTERMITTENT FEVER Malaria occurs quite often in infants and children. As a rule the child gives evidence of gastro-intestinal disturbance for a short period before the malarial symptoms appear. The chilly stage is often absent. Sometimes the hands and feet are cold and may be slightly blue and the child may appear to be in collapse. This stage may last for an hour or longer. The chilly stage may, however, be replaced by nervous symptoms,--restlessness, dizziness, irritability, nausea, etc.,--or a convulsion may take place. In the second stage the temperature may rise quite high, the pulse may be quite rapid; the child is flushed, restless, and cries. This period may last from half an hour to two hours. The sweating stage is not as a rule well marked in a child. It may be very slight or not at all.