The Hartford republican. (Hartford, Ky.) 18??-1926, 1917-03-23
,bs cnest. giving an appearance as IL

the chest, giving an appearance as IL
the parts had been lightly scalded.
Sometimes the rash is not very mark
ed. especially in mild cases. Like
measles, scarlet fever is communicate
lie before the eruption appears. A
case may be so mild as to escape rec
ognization, and the child may return
to school after q few days absence
rom what seemed, perhaps, simple
sore throat. Such cases should be
watched closely, and II any rough
ness of the skin shows itself the
health officer should be Immediately
notified. The symptoms usually be-
gin three to seven days after e&-
posure to a case of scarlet fever.
Most deaths from scarlet fever are
among children under fifteen years
of age Hence unnecessary exposure
particularly at an early age, is to be
avoided. When scarlet fever is pre-
valent all cases Of sore throat should
be carefully watched.
Diphtheria. Sore throat is the
most prominent symptoms in its earl
lest stage. Later a deposit of mem
prane forms on the tonsils or at the
back of the throat. Fever is usually
present, with more or less prostratioh
an6 the glands of the neck at the
anglo of the jaws are often swollen
and tender. When the larynX or
windpipe is involved there is hOarse
/ ness and difficulty i'll breathing. Mem
braneOus Group is a form of diphth
eria, and is readily communicable.
Z If the nose is involved there is a DIS
charge aDc frequent bleeding. Mid
cases are hard to distinguish from
simple sore throat. If there is any
doubt the physician or health officer
should send a specimen from the
throat to the State Bactericlogist at
Bowling Green for examination. The
disease manifests itself in from two
TO five days after exposure to pre-
vious case. If antitOXin is gifen
freely within the first twenty-four
nous there will be 10 deaths; but If
delayed several days death may re-
suit.
Tonsilitis. Simple sore throat.
All cases OF sore throat should be
viewed with suspicion, and should be
excluded from school until recovery,
both because simple sore throat Is
itself communicable. and because the
soar throat may be the first sign of
scarlet fever or diphteria.
WhOoping Cough. In whooping
cough the patione has an ordinary
cough for a few weeks, after which
the more characteristic cough sets
in. During this spasmodic stage the
cough comes in spells, during which
the face is pulled and red, the eyes
are congested and watery, and 4
loud whooping sound is often made
when the breath is drawn in after
the cough, this differing unmistak-
ably from croupy cough. Some
times the paroxysm of coughing Is
accomplished or followed by vomiting
Whooping cough is very readily COM
municable In the early stages and is
a serious disease for young children
and cases should be excluded from
school until after the spasmodic
stage has passed. The disease APP
pears about fourteen days after ex-
posure.
There were is, 100 cases and 362
deaths from whooping cough in Ken
lucky during the last year.
Smallpox. If the law requiring
all children to be vaccinated before
being received into the schools was
enforced, the danger Of a smallpox
epidemic would be removed. The
teacher should, therefore, make 1t a
practice to inquire whether a new
pupil has been vaccinated, and if not |
the child should be excluded under
the law. The example of good vac
cination scar on the arm of the
teacher is wholesome one, and II ,
is a violation OF law to teach without
it. The smallpox rash appears from
two to four days after the beginning
of an attack, which resembles grippe.
Backache is a symptom rarely absent.
The eruption begins when the pa
tient often seems to be almost we'll.
The rash appears on the exposed
parts of the body, the face and hands
particularly, and consists of firm,
shot-like pimples, which develop in
to vesicles and then pustules. The
disease usually appears within four
teen days after exposure. A sus-
picious case should be Immediately
isolated and the health officer no.
tilted.
Chickenpox. The eruption of
chickenpox appears after only slight
favar for q faw days and conaista NJ