The sun., 1916-08-19
PARALYSIS EXPERTS
OPPOSE QUARANTINE
Conference Of Federal aud
state Doctors Offers Rules
to Check Disease.
WOULD CLOSE SCHOOLS
Health Officers Admit They
Don't Know How Malady
Is Transmitted.

Is Transmitted.
WARRINGTON. Aug. 1s.-The confer
nice Of STATE health ohicers and repre-
snt,tives Of the United States Public
Health Service which began here yester-
AZ to consider methods Of preventing
the spread Of infantiie paralysis ended
to-day after adopting . report contain
,ns Q set Of rules intended to check the
disease. The conference declared itself
against guarantees by M community
seainst another. a. In the case Of New
York city and nelghboring communities.
The conference did not deem such action
necessary.
The conference adjourned with the ad.
mission on the part Of those who tool
part In II hat they did not know how
tho disease was transmitted. nor what
caused II. The discussion Of yesterday
and to-day indicated clearly that It Is
one Of the most mysterious maladles with
which the medical profession has had TO
contend. Reports were made to the ION.
ference Of cases Of infantiie paralysis In
the mountains OF West Virginia and
kentucky. and other places isolated from
the outside world.
"The evidence strongly points 10
humans as the carriers said Surgeon
wade Frost Of the United States Health
Service. THE evidence Is that II Is pure
" q human disease. and II contagious a
large proportion Of persons exposed are
immune. IT must be spread very largely
from sources other than SICK persons.
mostly by adults. Against that Is the
known seasonal prevalence. Our theories
Do not exclude transmission by insects.
Transmission by the lower animals 10
hypothetical. We hardly suspect n
dogs or cats. Its rapid spread indicates
human carriers" t';...Is.
Rales Recommended. 90
The report Of the commission on meas
ures for the prevention OF Interstate and
.intrastate spread Of poliomyelitis adopted
BY the conference provides:
. 81. II Is the sense OF this committee
that the first step to be taken by a STATE
health authority. believing It's territory
10 be in danger Of invasion by poliomyel-
lite from another State or part OF .
State 10 to call the attention Of the United
States Public Health Service to the sit
uation believed to he dangerous, and
to request the United States Public
Health Service TO. take whatever steps
are necessary to prevent the Interstate
spread Of poiiomyelitis.
II. The necessary steps ordinarily TO
10 taken by the United States Public
Health Service In such q contingency
are believed to be:
I. Investigation OF the Infected area.
3. Notification concerning the re-
moval Of persons Is years Of age or
under from an infected area to a
named point Of destination In an
other State. said notification to be
addressed In avery case to the State
health authorities Of the State desti-
nation. s.
:. The forms NJ notification. health
certincation and permits to travel
should include the following informa-
ton and specifications. with such adj
ditional information n specifications
~ the United States Public Health
Service deems necessary:
Identification OF each traveller
exact location Of present or usual
residence and rcccrd OF premises Al
to freedom from poliomyelitis during
NHo pTcCcuiIk tuTtc HiottHe No
to latest date Of infection less than
three months: as to renovation or
cleansing OF premises after infection.
4. Permits to travel shall be void
unless the journey shall begin within
twenty-four hours after issue.
8. Single permits shall not he is
sued for several persons except for
family or household groups coming
from the same domicIle.
6. Tit collection of fees by health
onclals from applicants sfor PERMITS.
whether resident or nonresident.
should not be permitted.
:. Certificates Of private physicians
will not alone be suficient basis for
the issuance Of permits to travel. Per-
mits for interstate travel will be based
on medical inspection.
I. Permits for interstate travel
should be signed by An officer Of the
United States Public Health Service or
BY the State health officer. or by an
ohicer authorised by the State health
authority.
Quarantine Opposed.
I'll. The committee disapproves quar-
antine by one State against anothe
state, or quarantine by one communit!
against another community In the SAM
State. II is believed that the Fedora
Government. through the United State
public Health Service. can perform al
the duties OF notification and certifca
uon required in Interstate relations Il
case OF unusual prevalence OF poliOmy
eht's, and that State health authoritie
can and should perform like services a
between communities In the same stat,
elitIs.
Nv. II Is recommended that all case
OF p~oiiomyelitis should be reported I'm
meo'ately to the local health authorize
ara to the State health authorities. ant
ina, State health authorities max
weekly reports to the United States Pub
lie Health Service Of all cases OF polio
myeitis, The United States Publ
Health Service IL asked to furnish gen
Hal reports weekly.
W.. II Is recommended that all person
sixteen years old or under with q cleal
ml OF health and moving from an In
'ected area OF district to another localit
,nould be kept under medical observatiO
aa'iy FOR two weeks from the date Of tn
certificate.
vi. 1t Is believed that the period O
"o'ation OF a case Of poliomyelitis shout
.. not less than six weeks from dat
OF onset.
VII. The islation OF cases OF poliomy
sn,is should be stringent isolation OF tn
scS person with attendant or attendant
a properly screened room or room
WIN disinfection. at the bedside. Of a
od'iy excretions. Wherever 1t IL pOss
We. fha rann.x,aI 80 .a - hos