El Paso herald. (El Paso, Tex.) 1901-1931, 1916-03-20

there is a notifiable disease in order
TO refuse books II demanded from such
house. a warning notice from the
hoard Of health should be pasted in all
library books fOrbidding their entrance
into a guaranteed house
81 believe that terminal dislntecuon
after smallpox and scarlet fever, in the
present state Of our knowledge, should
still be carried out. 1t will perhaps De
found unnecessary in other communl-
cable diseases It is best done by the
'permanganate-par meth
cd. Sulphur fumigation is good to Kill
vermin. Moisture is not reQulreu 20 ac-
complish this. Better than dlsiniec-
tants are sunlight, fresh air, Washing
down with soap and water ana reno
waiting (painting, etc)
I'm those cases in which we can use
il, the laboratory should be our Sulde
as to when a patient is no longer Dan
gerous to others This method is avail
able in diphtheria and when we have
learned the causative agent OF scarlet
fever, our control Of that disease Will
be much advanced.
Chicago Method simple and Good.
The method of quarantine adopted
by Chicago is simple and offers the
best working solution to the problem
I have seen. As reported by senior
surgeon J. c. Perry OF the public health
service in the public health reports for
August 20, 1915. it is In brief as fol-
How Chicago Handles Them.
Smallpox patients must be sent to
the isolation hospital, and cases OF dip
iberia and scarlet fever that can not
be isolated at home must also. il pos
sible. be sent to the hospitals provided
Believing the proper procedure to
be that OF quarantining the public out
and the patient in" the health depart
ment in 1914 inaugurated three classes
Of nj DESIGNATED A
class A Isolated With Trained At
tendant-When it is possible satisfac-
torily to isolate the patient and at
tendants in one or more rooms, supply
food and other necessities to the pa
tient and attendants without its being
necessary for the latter to leave the
rooms set aside. and no dishes or other
articles are permitted to leave these
rooms until they have been disinfected.
the other members Of the family may
be permitted to come and go without
restraint. In the case Of diphtheria-
however, cultures from the noses and
Threats Of these members must be neg
alive Furthermore, children in an
apartment or dwelling where the pa
tient is Quarantined will not be per-
mitted to attend school, Sunday school
and other places Of assembly, or to use
public conveyances- School teachers
and persons handling milk must not
case on the premises where they live
is terminated: but il they show a neg
alive culture when the disease isolated
is diphtheria, and change their domi-
cile, the prohibition will not be en-
fOrced d.
"'The rooms set aside for the isola-
ton Of the patient and attendant must
he piacarded; For patient and at
tendant only" The attendant must
thoroughly wash her face and hands
her % I'll ~ he fore
leaving the patients quarters
" In cases Guaranteed in this man
nor the attendants may be allowed TO
leave the house for an hour each day;
but in the case of diphtheria cultures
from their threats, taken every four
days. must be negative. The attendants
must thoroughly wash their faces and
hands and change their outer clothing
before leaving. and they must not visit
places Of assembly, enter stores, nor
use public conveyances.
Glass B. Isolation With Member OF
Household or other Person as Attend
ant Not Trained.-Where the condi-
tiOns. financial or otherwise. render II
impossible to provide specially trained
attendants. a member OF the household
is designated as attendant and is quar-
antined with the patient in a room or
rooms set aside for this purpose The
attendant must observe all the rules
and comply with all the isolation re-
quirements specified under class 4
quarantine. When the prescribed rules
are observed other members Of the
household may be permitted to go and
come as prescribed under rule 4 If. in
diphtheria, cultures from the nose and
throat are negative. The attendant
must not leave the premises without
special permission of the health depart
ment and then only after the require
ments prescribed for attendants under
class A have been fully carried out
Glass c Impossible TO Isolate