Evening star. [volume] (Washington, D.C.) 1854-1972, 1874-12-12
IaiIBfLlartA.

T.. general prevalence OF iptheria thrOugh-
On o.. ssntry this season and the maIign4ncy
90 re sSisting type makes IL = matter OF
lance 70 have all available Information ia
8 - it, prevention OF cure spread before
Hhrc. The prscticl! conclusions s-rivei
Tie Public Health association of New
.Nhere the dip:heria has reached the
.s O.: al epiieTaic,l are follows:
u o. diPatheria h4- gained = fOoth0H IN any
sty ar 'paIOus nei shborh BOD, it selects certain
ioca res in which IT'S persistence is specially
nasA, O.. and it, persistence, As shown by re-
peattd outbreaks or continued prevalence
seen e. hold an important relation 10 certain
coId -.,f> cf soil dTAiGsgs, ard sanitary wants
CT dy ilEgs, whish admit OF preventive meas
Rres.
2. The ertersiOn o. the disc 4se from one iudi-
yiduai so another AMI 70 entire households or
fanilts. and from family to family, aud from
plRCt g. place, sr1 facts - we'll proved 10 the
histo-y the disea THAI the entire sepsr alton
Of tho sex from the we'll, at least OF children
sick Witu ;Lis disease from all others, should be
IeCaft-d IS = hrst-rate sanitary duty.
3. TEst he immediate sanitary AS well 8. per-
feet uitJ deal care OF every family exposed to il
seerls g. be a duty required BY every cOnsiiers-
.ior Of amsnity add public healCh.'
III; ciPtheris Is rot new disease. and that
its recent modes Of prevalence are not new or
in an msnner uunSrEai, is clearly proved By
the medical writings OF the best observers Of
disease While in Europe the records OF this
malay extend back 70 the very d4wning OF
Scientific medicine, and through the last four
ceItuTIs, its fatal prevalence has bean viyidIy
described under various names and its persist.
e1ce and fatality have been entered in the his
t0IiC4i records OF numerous places over a vast
range, ION the Mediterranean u the North
Sea, the history of diPhtheris as the "putr;d
sore throat" the malignant angina" the
'sr gina s.fOcstiva," &c, has been written in
various places IN America from early colonial
tine.
d. Craik's description of the sudden and "a
tai instance OF this disorder in the case Of Gen.
Wa astCn in 179s; the account given by Dr..
Jacob Ogden or the prevalence of it in the
vicinity OF New York in the middle decades of
the last century, and DR.. Samuel Bard's re-
eitals OF his study OF the ''sutfocative anyin.v
n II PREVAILED in the city and colony of NV
York ia me sixth decade OF that csntury-nor
Upward OF 100 years ago-win always be re-
faTed 20 with quite a. great satisfaction as
respects accuracy and clearness Of definition as
We can derive from the descriptions OF "putrid
sore ILrost, the malignant eynsnche," or the
"bsck tongue, OF which alarming descriptions
anG alarming examples occurred In many places
s9ne thirty years ago.
The disease became wide spread during the
late ar, aud in our northern and nj dfIe states
it reached it. greatest prevalence during the
year I~t2 snd 1ot3. The large increase in the
numter Of deaths accredited 10 it in the las;
quarter Of lS72 was prelude to the greater
prevalence and greater fatality Of the malay
from mat peIisd to the present, with now and
then a slight decrease in the monthly nuH6e.
OF deaths BY 1t.