The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1885-1921, 1900-02-17

in sheet wet in one of the strong dis
injecting solutions, without prelim-
mary washings, or inclosed in an air.
tight coffin, surrounded by a LAYER OF
sawdust wet with one of the disinfect-
ing solutions, to prevent the filtration
OF fiul0s. They should be at once in
TERED, preferably surrounded by caus-
tic lime.
Personal Hygiene.
The purity of the water supply
should be watched with great care.
In cases of epidemics, drink boiled
water only.
Water from surface wells capable of
contamination is to be forbidden, and
bakers should be prohibited from us
ing water from such wells in the max
ing of their bread.
In the event of the outbreak Of a
case of plague, the health authorities
should be at once notified.
The patient should be promptly iso-
lated, and in the event of the occur
renee of case in habitation occu-
pied by several families, the patient
should be removed to a hospital in
special ambulance.
Public Hygiene.
All causes of unhealthfulness which
may prepare the soil for the invasion
of epidemics ought to be eliminated
when it is a question of the possible
importation of plague.
Thus, the rules of general hygiene.
applicable at ali times, should be most
vigorously observed in times of plague,
especially in all which concerns
The destruction of rats and other
rodent animals.
The congregations of individuals, as
fairs, celebrations, and pilgrimages.
The surveillance and supervision of
markets.
The cleanliness of the soil.
The regular removal of garbage.
| The cleanliness of habitations.
The particular supervision of places,
workshops, FORCES, ETC., intended for
occupancy by the laboring and indus
trial classes.
The cleaning and regular disinfec-
ton of water-closets, public and pri-
vate.
Supervision and disinfection Of la
trines and cesspools.
The care and cleaning of cutters,
etc.
| Administrative care should also be
brought to bear to improve the sani-
tary condition of VIGOROUSLY insani-
tary quarters and dwellings.
| Treatment by Antipest Serum.
| The sero-therapeutic measures to be
taken in cases of declared plague are
of two kinds. They deal on the one
hand with the patients, and on the
Them, and with those who have come
Into contact with persons thus ex-
Iposed. The measures are therefore
lcurative and preventive.
7. Curative Treatment.
| The patient having been Informed
of the nature of his disease, it will be
lrecomme to him to receive a dose
of from 20 to 40 c. C. of the anti
plague, serum, according to the gray.
ity of his case. Another injection oil
20 C.. c,cshould be given on the follow
ing day, and still another on the day
following If deemed necessary. The
technique. of these injections will be
1.-THE same as those of the diphtheria an
ttitoxin.c The open buboes will be
tdressed antiseptically, especially with
lgauze wet with a l to 1000 solution Of
corrosive sublimate.
In addition to the serotherapeutiC
measures, remedies which aid in sup.
porting the strength of the patient
such as appropriate food, alcoholics
heart stimulants, ETC., may be exhib
tied with advantage.
II. Preventive Treatment.
The attention of those who nurse OF
otherwise care for patients suffering
with plague should be called to the
) foregoing suggestions as to persona
hygiene and the rules for those whC
act as nurses or those who have mad
vertently been exposed to the danger
of infection. These persons SHOULD
also be informed that it would be 1
I decided advantage to them to submit
: to an injection of 5 C. C. of antiplagu
serum, an injection which may ad
: vantageously be renewed in the case o
/ nurses every ten to twelve days.