Evening times-Republican. [volume] (Marshalltown, Iowa) 1890-1923, 1916-07-14
APPEARANCE OF DISEASE LEADS
TO REDouHLEp EFFORTS TO
PREVENT EPIDEMIC.
HEALTH BOARD ISSUES
BULLETIN TO PHYSICIANS
Reprint Of Pamphlet Of 1910, When In.
FAINT Plague Was Prevalent in Iowa,
Is Sent Broadcast-Nature Of Disease
and Precautionary Measures to Be
Taken Carefully Explained.
Special to Times-Republican.

Special to Times Republican.
Des Moines, July 14.--With the re-
port of three cases of infantile paraly-
sis in Iowa to the state board Of health
yesterday the health officials redoubled
their efforts to prevent any spread OF
the disease in this state. A reprint OF
the bulletin gotten out in 1910 when
the epidemic visited Iowa came back
from the printer and copies Of it are
being sent out to physicians and others
over the state.
Two of the cases reported yesterday
were from Ottumwa, one a 3-year- OLD
child and the other young child. altho
the exact age was not given. The third
case reported was from Van Horn, in
Benton county, and is that of q
year-old boy. Last week one case was
reported from Burlington and the state
board Of health received death GER
tifcate of a child who had died on
June from this disease. In every
instance the state board is requiring
a strict quarantine
Nature Of Disease.
acute poliomyelitis, infantile or
spinal paralysis has very sharply de-
fined clinical or bedside characters
tics" the state board Of health state
ment declares, land may be described
as beginning suddenly, usually with
fever, with severe brain symptoms
deafness, profound sleepy condition,
delirium and general convulsions);
there Is very rapidly developed COM
plete paralysis with entire relaxation
of the muscles. the paralysis being OF
variable distribution over the trunk
and eStremities, but generally in the
form which attacks both 1.-The lower
limbs; there is an absence of any Sc
we're disturbances Of sensation, no
paralysis of the muscles which con-
troll the bowels, neither has the patient
any bedsores. A rapid Improvement
sometimes takes place and the general
condition becomes better II the paraly-
sis proves mot to be OF a progressive
character-indeed gradual improves
ment OF the same begins, altho the res
toration OF movement IS not UNIFORM
and remains in part lost forever. In
some OF the muscles there is extreme
and rapidly progressing OF the muscles
affected, together with degeneration Of
tissue; the development OF the bones is
retarded; the extremities cold and blue.
During the further course Of the at
lection considerable deformities Of the
limbs and trunk arise, club-foot, curv-
AZURE Of the spine, paralytic contrac-
tons, etc. The general condition Of
the patient is admirable in spite Of the
permanent defects in the motor ap-
paratus, or moving parts which almost
invariably remain
Peculiar to Young Children.
The disease may occur at all Pc
RODS Of life, tho it is most frequent in
children between the ages Of 1 and 4
years. 1t is susceptible Of an unusual
number of grades Of severity. attack
ing some mildly while others are made
almost completely helpless.
'Infantile paralysis is not new dis
ease. 1t has been known and de-
scribed accurately by many authors
and has been appearing in epidemic
form more frequently in the last sew
eral years, the conditions being In some
way favorable to its spread. But this
is in no way peculiar to this disease,
having been observed in regard to cpl
denies of influenza, plague, smallpox
and other diseases
Precautions to Be Observed.
The sanitary precautions to be OBJ
served in the care of cases of epidemic
OF lnrantile or spinal paralysis are as
follows:
l. Put patient in clean, bare, well
ventilated room, screened to keep out
insects.
2. The rest Of the family should be
kept at home as far as possible.
8. No persons should be allowed to
enter the sick room except the doctor
and the nurse.
carried out. Make adisinfecting solution
as follows. Solution No. 1. For stools
and urine. add one-fourth pound Of
fresh chloride of lime to two gallons
Of water. Make fresh every day. Ss
luton No. 2. For hands and clothing,
add two teaspsonfuls Of carbolic acid,
IS per cent to one quart of water.
Solution No. 3. For hands and cloth
ing, add two teaspoonfuls Of formalin
to one quart Of water
5. To disinfect stool add one quart
of solution No. and let stand for one
hour. 70 disinfect urine add one pint
of solution No. and let stand one
hour.
6. When nurse leaves the room she
should wash her hands in solution No.
or No. 3. She should wear an over
garment and remove the same on leav-
ing the room.
Z. All clothes and bed clothes be-
fore removing from sick room and all
washable clothes before removing front
premises should be soaked for one
hour in solution No. 2 or No. 3 as pre-
ferred
8. All eating utensils and remnants
of food used by patients should be
boiled before taken from the sick
ROOM
8. All milk bottles received at the
house must be boiled before returning
to the dairy.
10. The rest Of the family should
take frequent baths and use hydrogen
peroxide, one tablespoonful to a glass
Of water, as a gargle and nose spray.
II. The house should be kept as free