ed, attacking children and adults alike. The early
symptoms are: headache, pain in the back, high fever, vomiting, and
general lassitude. In many respects these resemble the symptoms of the
grippe, while on the third day the eruption appears. The pimples are
hard and feel like shot under the skin. Within a day or two these
shotlike pimples have grown and pushed themselves beyond the skin into
little conical vesicles which soon turn to pus. By the eighth or ninth
day crusts are formed over the vesicle, beginning to fall off about
the fifteenth day.

Patients are quarantined usually eight weeks and when a case of
smallpox in the home breaks out everyone in the family should be
revaccinated. The strictest isolation is important from the first of
the disease.

We will not enter into the treatment of smallpox, for medical aid is
sought at once and usually the patient is removed to a special
isolation hospital.

VACCINATION

The history of the change brought about in the Philippines since
vaccination has been introduced is an argument of itself which ought
to convince the most skeptical of the value of vaccination. By all
means, every child in a fair degree of health should be vaccinated. It
is wise to vaccinate babies before the teething period--from the third
to the sixth month. Babies with any skin trouble or suffering from
malnutrition, but not living in a smallpox district, should be
vaccinated during the second year. In young babies, under six months,
the leg is the proper place to receive the vaccination.

If proper surgical cleanliness is practiced and ample protection is
afforded in after dressing, vaccination need not be a taxing process.
The child suffers from general lassitude--a little drowsiness with
loss of appetite and a small amount of fever--but this passes off in a
reasonable length of time, especially if he is not overfed and his
bowels are looked after. On the second or third day after vaccination
a red papule appears which soon grows larger, and, after five or six
days, it becomes filled with a watery fluid. By the tenth day it has
the appearance of a pustule about the size of a ten-cent piece,
surrounded by a red areola about three inches in diameter. At the end
of two weeks the pustule has dried down to a good crust or scab, in
another week it falls off, leaving a pitted white scar.

If the vaccination does not take, it should be repeated after an
interval of two months.

DIPHTHERIA

Di