Valdez daily prospector., 1913-06-18

no matter how well planned, will be useless until those interested in enforcement are so convinced. They can be convinced only by a campaign of education. This campaign will have to be led by the pediatrists and the United States public health authorities, since they are the only ones who at present seem to appreciate the importance of the subject. When the public and physicians are will be relatively simple.
 WhoopIng-cough must be made everywhere a repnrtablc disease and the same penalties imposed for failure to report it as in the case of smallpox, scar let fever and diphthcria. The house should be pIacardpd and the inmates instructed by he health authorities as to the scr- iOuSneSS of the disease in in- fancy and the methods to be enl- ployed to prevent cuntagiOn. The Sputum and vomitus should be trcaied in the same way as in tuberculosis.
 The patients should be separ- ated from the other children in the family, if they are under ) years of age. If such separation is impossible, the patientn should be removed by the health auth critics to special hospitals pro- vided for the purpose. These hospitals should be constructed on the shack" plan in order to give the children the maximum amount of fresh air and thus to prevent the development of cOm- plicatiOnS and rOSs-infectiOn, and so situated that the children can be up and out of doors in suitable weather. There is no reason why children should be isolated in one room and not al- lowed to go out of doors, pro- vided they are kept away from other children. They ought not to be allowed on the street, but, in order to protect other children in case they do get on the street, they should be required to wear all am band of some prescribed color and labeled "WhOOping- cough" in large letters. They should not be allowed under any circumstances to visit places of public congregation or to travel in public. cOnVeyances. Children who fail to observe quarantine regulations should at once be sent to the hospital by the public authorities, no matter what their circumstances or social position. They should not be released from quarantine until after the cessa- tion of the paroxysmal cough or until at least six weeks have clap sed since the onset, even if the paroxysmal cough has ceased. It is to be hoped that in the future quarantine will be maintained until after the cessation of the paroxysmal cough and the dis bacillus from the sputum.
 Gengou bacillus outside of the lection is not necessary. Thor premises is all that is required. fly should not be allowed to at ready had the disease or until tN'' WtthS nave c1dpStu Sl!!Ct tHt last exposure, provided they are free from catarrhal symptoms. It is possible that this period of two weeks may be tn" short. The evi- dence as In the length of he in cubation period of Who"ping- cough being unsatisfactory. Present observations seem to show, however, that it varies be- tween two and ten days. Two weeks should, therefore, be am ply sufficient.
 Children with catarrhal symp- t0mS. in whom there is any req son to suspect the possibility of whonpin9-cough. should be ex- cluded from school. It is prob able that in the future the eX- animation of the sputum will be used as test in the same way that the bacteriologic eXamina- tion of the throat is now used when diphtheria is suspected.
 The community should be re- quired to establish hospitals not only to take care of those chil- dren that cannot be or are not properly isolated at home, but all so to take care of those babies and children ill with the disease that cannot be properly treat cd in their homes.
 It can be confidently predicted that when the physicians and the public understand what whoOp- mg-cough really means, when proper regulations for it's con- trol are established and enforced and when sufficient hospital ac- for it's care are provided, whOoping-cough will cease to be the scourge which it now is.
 One-half off on trimmed milli-