The Bridgeport evening farmer., 1916-06-29
BOIL THE MILK
 AND THUS AVERT DISEASE DANGER
(continued from page D

 sil1itis and pharyngitis. In the Chi cago epidemic the pulse seemed rela- lively slow, and Brooks also notes that in the outbreak described by him the pulse-rate was not increased in pro- portion to the fever. Naturally diph- theria was first suspected and in Christianfa the notice of the health department was aroused by the large number of throat cultures sent in by physicians and founG to consist of streptococci only. Usually the lymph nodes in the neck became enlarged, sometimes very much so, but in some cases they were tender without marked swelling. A moderate 1eukocytos1s has been noted.
 "In most cases of the recent epi- demics the attack would subside rath- CT abruptly after 8 few days, the pa tient remaining prostrated, however, and regaining strength only slowly; but not infreQuentIy second attack with even severer symptoms than the first would set in after a week or so of improvement. This tendency to re- lapse has been noted in the earlier ep- idemics also.
 t'The great danger in epidemic sore throat lies in extension and general ization of the infection, and it is this tendency which stamps the disease as peculiar and as due to a virus of spe- cial virulence. In the recent epidenn- ic- besides abscesses in the neck, of ten deep-seated, there were encoun- tered otitis, glossitis and other local complications, erysipelas, purpuric and scarlatiniform eruptions, acute artfc- u1ar rheumatism or conditions indis- tinguishable therefrom with or with out endocarditis, and also suppurative arthitis, pneumonia, peritonitis and other septicopyemic manifestations. Instances of phlegmonous angina have been observed when there was pronounced glandu1ar involvement of the neck, cultures of the blood were usually sterile; while in many cases with no special enlarge ment of the glands, streptococci would be obtained, and in such cases viscera1 1esions were common. In the Boston epidemic the gravity of the complica- toins seemed most serious in persons between the ages of 40 and 60. Cam bridge is like a city of the plague. Whenever one meets the talk is all of who is i'll, who has had a relapse, seemed to be a degree of relative inn munity, and when the infection took hold in children the symptoms were gastro-intestinal in nature (Darling)..
 Statistics giving the relations of the various outstanding manifesto ttons of general infection to the diff ferent age periods are not available, nor is anything reliable known in re- gard to the death-rate. That it may be high, higher perhaps than at first expected, would seem to be indicated by the observations of Capps and Mil Ter on a group of 173 cases in which 19 deaths occurred; it is probable, how ever, that these were all exceptionally severe cases. It is of interest that of the 19 that died nine had peritonitis; :; f in other epidemics also peritonitis Is mentioned present in about half of the fatal cases.
 "Preble. in commenting on the pe- culiarities of the clinical picture of the Chicago cases. states that a tenn perature of 102 might be associated with pulse of 40. and one of 1o4 or 105 with pulse of between 80 and 90. He noted also that even in prolonged cases, extending over months there would be little anemia, and that jaun- dice was rare, all of which leads him to suggest that possibly it concerned infection of some other type than with the ordinary strepococcus.''