Evening times-Republican. [volume] (Marshalltown, Iowa) 1890-1923, 1916-09-30
NEWTON BOARD OF HEALTH Ac.
cusEs STATE DAIRY COMMITS
s,oNER or NEGLIGENCE.
MIGHT HAVE STOPPED
EPIDEMIC OF TYPHol0
Dairy From Which Fever. Germs Were
Spread Permitted to Operate After
Facts Wsrs Known to State Official,
Health Board Aiissss-Rsvoeation Of
Hanks's License Demanded.
pecial to Times-Republican.

Des Moines, Sept. 30.-In his report
to the state board of health on the
Washington conference on polio
myelitis or infantile paralysis, just
made public by the state board, DR..
Henry Albert, state bacteriologist, de-
clares that Iowa may have thecdisease
in more extensive epidemic form next
year and the year following than has
been the experience this year.
1T is probable that, unless unusual
vigilance is observed, we in Iowa will
have the disease in more extensive
epidemic form next year and the year
following than it is this year." he de-
clares. AT least such WAS the history
only a short time ago for the Iowa
epidemic of 1910 was. no doubt, the
sequel of the New York epidemic VI
1907"
In his report to the state board DR..
Albert declares there was, considera Die
discussion regarding the means OF rec
ognizing the disease, its mode Oh
spread and the prevention of its oc-
currence and spread. Among the out
standing features of such discussion ne
mentions the following as of specla.
Importance:
"First-Altho 80 per cent or the
cases occur in children under 10 years
of age the disease occasionally affects
adults-hence the term .infantile' as
applied to the disease is not entirely
correct.
All Not Paralyzed.
i. % mos
prominent symptom of the more
marked cases, more than 80 per cent
of the patients are not paralyzed at
all-being affected by the so-called
abortive type.
"Third-To prevent the spread OF
the disease it is obvious that the dis
ease should be recognized as early as
possible and that the abortive or non
raraiytic type should be recognized as
such.
"Fourth-The early diagnosis is es-
tablished by the symptoms of head
ache malaise, fever and pecuiai,
rigidity of the head and body when an
attempt is made or is about to be
made to flex the head or thigh for
ward. This is not the rigidity seen in
cerebro spinal meningitis but is due to
the pain induced by such forward
bending. Laboratory examination OF
the spinal fluid is also of great value
in establishing diagnosis.
"Fifth-The germ of poliomy elitis or
lnfantile paralysis leaves the body by
means. of the nasal, throat, and intes-
final discharges.
"Sixth-The germ or virus is prob
,ISf fra toH pnn
son to another by direct contact with
the secretions, or indirectly by inhala-
ton Of the virus emitted by a person
few feet away by acts of coughing,
sneezing or loud talking and in other
ways not as yet well understood.
"Seventh-The reason that the dis
ease is not more prevalent, is, no doubt.
due to the fact that only small pro-
portion of the population is susceptl-
bic to it.
'Eighth-Altho patients affected by
the disease or who have recently re-
covered from the acute symptoms are,
no doubt, the principal sources Of in
lection, it has been shown that healthy
persons may also harbor the virus IN
the nose and throat for some time.
Such healthy carriers. anho not af-
fected by the disease itself, may yet
be the source of infection to others. 1t
Is quite certain that such carriers OF
the virus explains the rather mysteri-
Gus appearance of the disease in per-
sons who have not been exposed to
cases of the disease and also the rather
mysterious appearance of the disease
in remote parts of the country.
"Ninth-The period of incubation
appears to vary from two days to two
weeks and occas fonally as long as two
months
Measures Of Control.
DR.. Albert declares the essential
features in the control of infantlle
paralysis may be summarized as fol-
lows:
"A-Early diagnosis of the disease
with special reference to recognition OF
the non-paralytic form.
"B-Immediate report of cases to
the local and state boards of health.
"C-Isolation of the patient for at
least six weeks from the onset Of the
disease. Placing the patient in hos
pital is recommended.
'D-Limiting the gathering and
movement of children under 16 years
of age as far as possible.
.'E-Isolation Of children who have
been exposed to the disease for two
weeks. -
"Fs - Promiscuous expectoration
should be prohibited; use Of common
drinking cup discouraged; the eradica-
ton of flies and other insects and all
means to promote sanitary conditions
encouraged"
Iowa has been one Of the few states
to make adequate provision for after
treatment of infantile paralysis. Be
cause of this DR.. Albert was called
on to tell Of this. DR.. Albert declares
it has been well demonstrated in Iowa
as elsewhere that much can be done 70
promote the regaining Of useful mus
Gle movements and in the prevention
of deformities. Also that deformitles
once developed can be largely cor
rected.