The Marietta journal. [volume] (Marietta, Ga.) 1866-1909, 1891-05-28
Ap\ iNCE IN EEnllTNE.
ReMARKAsIs PROGRESS MAo- TO
PREVENT DISEASES.

Been in Three Distinct Directions Ne
cessity "f Cleanliness Is TIL. Crcatcst
Factor in Mnder., Treatment
Emancipation from the thraldom of
authority in which it was fast bound for.
centuries, said DIR. Osler, medicine has.
progressed with extraordinary rapidity.
and even within the present generation
has undergone a complete revolution
The advance has been in three directions
First, in the prevention of disease, A
study OF the conditions. under which en;-
denies develop has led to the important
work OF sanitary science. For 6ftv
years the watchword Of the profession
IN this matter has been 'cleanliness.' and
clean streets, good drains and pure wa
ter III many towns reduced the
@ os . no" sSF'''" diseases 50 per
In THIS department certainly medi-
cine has achieved its greatest victories
1t is thought full of announcement
70 know that such diseases as typhoid
fever and diphtheria may ultimately be
stamped out and be as rare among us as
leprosy and smallpox In this work the
profession requires and can often obtain
the intelligent cooperation of city au-
thorities and the public People scarce
ly understand how much has already
been done, nor do they yet appreciate
the posi- hilities of preventive medicine.
PUBLIC KNOWLEDGE
The second great advance which
medicine has made relates to the knowl-
edge which has been gained of the agents
producing diseases. Dating from the
studies on fermentation by Pasteur, and
the early work of Lister, we have gradu-
ally learned to recognize the importance
OF the structures known as bacteria.
which has revolutionized the practice of
surgery and gynecology. Today surgery
is new art, and hundreds now recover
after operations from which hundreds
previously died. The information which
we now have on these subjects has been
slowly and painfully acquired, here a
little and there little; but the outcome
of 1T all is that as clean streets and good
drains and pure water mean municipal
health, so absolute cleanliness and alb
sence Of contamination mean in great
part freedom from infection.
SO universally present are the infect
I've agents, particularly of suppuration,
that 1t is only by the most scrupulous
care that the infection of wounds can be
prevented, and it is now generally ac-
knowledged that the highest type of this
antlseptlclsm is obtained, not by the
use OF various solutions which DESTROY
the germs, but by such measures of clean
illness as effectually prevent the POSSIBLE
ity of their presence.
The researches showing the relation
OF special microscopic organisms to spec
ial diseases are likely to lead to the most
important results. The cultivation of
the germs of disease outside of the body
has enabled us to study the products of
their growth and in several instances
from them to obtain materials which,
when injected into an animal, act as a
sort of vaccine against the disease itself.
The hope of obtaining in some of the
most important diseases vaccines which
will bear the same relation to them as
ordinary vaccine to smallpox is very
reasonable and likely ere long to be real
lied. In another direction, too, the
studies of Koch have shown that in the
growth of these bacilli materials are OBJ
tanned which may act most powerfully
upon the body and attack the elements
of the disease itself. His discovery of
the action of the product of the growth
of the tubercle bacilli upon tuberculous
tissue ranks as one of the most remark
able of late years.
CHANCES OF LIVING ARE BETTER
But hear the householder say: All
that is very well, but Tommy gets the
measles and Mary has the mumps and
Susie gets the whooping cough just as
my grandmother tells me her children
had fifty years ago. Ny doctors bills
are possibly little larger than were
fathers, and | know his drug bill could
not have been as heavy as mine for the
last quarter. This may be perfectly
. true. for the millennium has not yet come,
but it is perfectly true that today Mrs
} Householder's risks have been reduced to
minimum in the necessary domestic
emergencies, and her childrens chances
! Of reaching maturity have been enor-
/ lnously enhanced.
|. The third great advance has been the
diffusion in the profession and among
- the public of more rational ideas upon
the treatment of disease. Dieting and
nursing have supplanted in great part
bleeding and physicking. We know now
that majority Of febrile affections run
definite course uninfiuenced by drugs.
We recognize daily the great fact that
disease is only modification of the nor
NAL processes of health, and that there
is natural tendency to recover. We
cannot claim in the medicinal treatment
of disease to have made great positive
advances, still we have learned not to
do what we did is for the poor patients
great gain. The past half century
has placed only half dozen absolutely
indispensable drugs which must be used
by all indiscriminately who practice the
healing art,
"A desire to take medicine is perhaps
the great feature which distinguishes
man from other animals. Why this APP
petite should have developed how it
could have grown to its present dimen-