must be
isolated longer,--until scaling is complete. Children should not play
or sleep with other children for three or four weeks after all symptoms
have been absent. Other children in the family, who have not been
exposed, should be sent away. All clothing should be changed and washed
in soap and water and then boiled in a carbolic solution. The nurse
should not mix freely with other members of the family. The sick room
should be kept clean, and well aired. It should be dusted with a wet
cloth, and this should afterwards be burned. There should be no
furniture, or hangings, or pictures in the room other than are
absolutely necessary. The room should not be used after the case is over
until it is thoroughly and completely disinfected.
During the period of scaling the patient should be rubbed all over with
carbolated vaseline. This allays itching and prevents the scales flying
around. The bed sheet can be taken off daily with the scales in it, and
immediately put in carbolic water and boiled.
Treatment.--Inasmuch as scarlet fever is one of the most dangerous and
one of the most treacherous diseases of childhood, we cannot afford to
take any chances with it. Every child with scarlet fever should be put
in bed, and kept there during the entire illness,--that is, from four to
six weeks. Light, and the free circulation of fresh air are absolutely
necessary for the proper care of a scarlet fever case. The child should
be clothed only with the usual night gown and a light undershirt. No
extra wraps or blankets are required.
The diet should be reduced in quantity and strength. The bowels should
move daily. If anything is necessary to accomplish this, citrate of
magnesia is quite satisfactory. There is no special medicine for the
treatment of this disease. Often it is not necessary to give any. Good
nursing is more essential, and with proper attention to the bowels,
diet, fresh air, clothing, sleep, and quiet, all will, as a rule, result
favorably. Quiet is essential. Consequently, two persons at a time
should never be allowed in the room with the little patient.
The family physician will prescribe whatever medicine is necessary in
his judgment, and will meet any complication as it arises.
TYPHOID FEVER
Typhoid fever is an acute infectious disease. It is rare in infancy.
After the fifth year it is more common. It is caused by drinking
infected water or milk. It is not a serious disease in childhood, rarely
being
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