The Wheeling daily intelligencer. [volume] (Wheeling, W. Va.) 1865-1903, 1900-02-24

health officer have formulated these
rules for my own guidance in the sani-
tRry management OF smallpox, and
hope they may be respectfully consid-
cred by any who may be called on to
control this disease unaided by such
complete organization as IL provided
by the boards Of health Of our larger
cities.
/. Clothed In macintosh and with
the hair covered, promptly visit every
reported case and Vaccinnte every per-
son In the house and In adjoining ones
Make a list OF all persons who have In
any way been exposed to the patient.
Remove the affected one to the hospit-
al, or to an Isolated building that may
be thus used. II this cannot be accom-
plished put the patient In the most isO-
lated room in the house. with every
unnecessary thing. including all do
nestle animals, removed. Hang sheet
over the doorway, allowing it to touch
the floor. and keep It saturated with q
bichlOrld solution. The nurse, well
protected by recent smallpox or recent
vaccination, must be confined us strict
| ly as the patient. No nurse who, has
had smallpox years before should be
employed without being vRccinated.
once made that blunder. The nurse
contracted the disease again, and from
him seven other cases arose. have
succeeded perfectly in vacclnating per-
sons well pitted by a former attack OF
smallpox. Vaccinate the nurse daily
with different virus until you get a re-
suit or are reasonably certain that he is
immune.
2. Search out all persons on your list
and Yacclnnte them and keep under OBJ
servation for sixteen days As with
the nurse and family, / prefer to use
both bovine and humanized virus. You
have thus two chances Of success. Ex-
perience leads me to regard the hui
manized as more certain, more speedy,
and less severe in its action. For these
reasons prefer It in emergencies.
8. tiuard the premises day and night.
recognize the fact that In exceptional
cases. when one has intelligent and
honorable people to deal with, guard
Ia not necessary, but such cases are
rare.
After the patients recovery use daily
hot dlslnfectlng baths until the skin Is
entirely free from ull Of the scales OF
the original eruption. Pay particular
attention to tho head palms and sOles.
In case Of death, wrap the patient In q
sheet saturated with n strong blchlorid
solution, put in tight coffin and bury
Mt once. Let no one assist In the burial
who is not well protected against the
disease. and see that every sanitary
precnutiOn Ia prncticed.
g. After the infected room has been
vacated make It us tight MS possible;
thoroughly steam II by placing ves-
sci Of water over gasoline stove near
the middle Of the room. Follow this
Immediately with sulphur fumlg1tlon,
and allow the room to be closed for
twcnty-four hours, examining OCCASION
ally TO insure thorough burning OF the
sulphur. Good reports aro made ms to
fOrmaldehyde dIslnfoCtion, but have
never used It. II may In time displacc
sulphur. After reopenlng the room
sonk In strong blchlorid solution and
nfterward boil such articles ~ can be
washed. Remove In n covered cart and
burn all others.
G. Send to the house n reliable PERSON
well Instructed In the art Of cleaning.
Have the ceiling, walls, floor. wood
work, In short, everything that If In
the room or n part Of II, we'll washed
with blchlOrld solution. If q trained
dlslnfectlng corps Ia available this
work IN much Blmplinfd. Having none,
my practice has been 20 select
two women for this work and
give them much personal SUI
pervlslOn until they have learned what