ost prominent carrier
of contagion. Milk is apt to get infected with the germs if cooled in
tanks of water which may receive drainage from outhouses and barns.
TREATMENT. Scientific support has been given the treatment by cold tub
baths (70 deg. Fahrenheit) and it is advised by many physicians. Experience
has proved that sponge baths and tub baths are of the utmost importance,
when the temperature of the patient is at or above 102.5 deg. Fahrenheit.
Every three hours the tub bath is given for twenty minutes at 70 deg.
Fahrenheit. These may be tepid at first, gradually cooling to 70 deg..
Frictions are applied to patient in the bath, and he is wrapped in
blankets when taken out to avoid danger of chill, and then given a warm
drink or stimulant. Treatment should be directed by an experienced
physician to suit the symptoms. The evacuations from the bowels should
be thoroughly disinfected with chloride of lime or carbolic acid, that
they may not convey the disease to others. All the sewerage and drain
pipes in the house should likewise be disinfected.
SCARLET FEVER. (SCARLATINA.)
This fever takes its name from the scarlet color of the eruption on the
surface of the body. Sometimes it is comparatively mild, and is then
called _Scarlatina Simplex_; when it is accompanied by a sore throat, it
is termed _Scarlatina Anginosa_; and when the disease is of a low,
putrid type, it is called _Scarlatina Maligna._ This disease has three
distinct stages: (1), the stage of invasion; (2), the stage of eruption;
and (3), the stage of desquamation. In the first stage there is pain in
the head, increased heat of the skin, redness and soreness of the
throat, and sometimes nosebleed, diarrhea, or vomiting. The average
duration of this stage is twenty-four hours. The eruptive stage
generally begins on the second day, though sometimes it is delayed
longer, and the scarlet rash rapidly diffuses itself over the whole
body. The redness is vivid and has been compared to the appearance of a
boiled lobster. The stage of eruption reaches its maximum of intensity
on the third day, and it is important that it does not recede. Redness
of the tonsils and throat is one of the early symptoms which precedes
any cutaneous eruption. The tongue also is finely spotted with numerous
red points which mark its papillae, presenting an appearance which has
been compared to that of a strawberry.
The thirst is urgent, there is no appetite, and vomiting and mi
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