“Well, people who die of malaria die of mosquito bite, since the
mosquito is the only agency of infection. Thus, it reduces to this:
that while the individual rattler is more dangerous than the individual
mosquito, the mosquito, in general, kills her thousands where the snake
kills one. Now—with considerable modification of the ratio—scarlet
fever is the rattlesnake; whooping-cough and measles are the
mosquitoes. It is just as important to keep measles out of a community
as it is to shut out scarlet fever. In fact, if you will study the
records of this city, you will find that in two out of the last three
years, measles has killed more people than scarlet fever, and
whooping-cough more than either of them.”
“What are we going to do about it?” asked the practical-minded Mr.
Clyde.
“Ah, if some one would only tell us that! In measles the worst of the
harm is done before the disease announces itself definitely. The most
contagious stage is previous to the appearance of the telltale rash.
There’s nothing but a snuffling nose, and perhaps a very little fever
to give advance notice that the sufferer is a firebrand.”
“Well, you can’t shut a child out of school for every little sore
throat,” observed Mrs. Sharpless.
“As to that I’m not so sure,” replied the physician slowly and
thoughtfully. “A recent writer on school epidemics has suggested
educating the public to believe that every sore throat is contagious.”
“That isn’t true, is it?” asked Mr. Clyde.
“No. Personally I believe that, while a physician is often justified in
deceiving his patient, he is never justified in fooling the public. In
the long run they find him out and his influence for good is lessened.
Yet that sore-throat theory is near enough true to be a strong
temptation. Every sore throat is suspicious; that isn’t too much to
say. And, with a thorough school-inspection system, it is quite
possible that epidemics could be headed off by isolating the
early-discovered cases of sore throat. But, an epidemic of the common
contagions, once well under way, seems to be quite beyond any certainty
of control.”
“Do you mean to say that quarantine and disinfection and isolation are
all useless?” asked Mr. Clyde.
Public-domain text, read in full here on John Shaqi.
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