Bisbee daily review., 1918-09-14
SPANISH INFLUENZA IN SOME PORTIONS
 OF THIS NATION
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 WASHINGTON, Sept. 1S.-Surgeon General Blue of the public health ser vice. has made telegraphic survey to determine the extent of Spanish influ- enza in the United States. General Blue has found there was sharp out break at Ft. Morgan, near Mobile, Ala, in August and about the same time a tramp steamer arrived at New port News with almost the entire crew prostrated Philadelphia reported a few cases, some four weeks ago, and a few have been reported from New York. The Boston outbreak was re- ported September II, since when the pandemic has appeared at New Lon don, while New Orleans has not who'll ly escaped.
 ''The disease is characterized by sudden onset" said Dr. Blue to the Associated Press. People are strick- en On the streets. while at work in factories, shipyards, offices or else where. First there is a chill, then fever with temperature from 101 to 1G3, headache, baskache, reckoning and running of the eyes, pains and aches all over the body, and general prostration. Persons so attacked should go to their homes at once, get to bed without delay and immediately call a doctor.
 Treatment under direction of the physician is simple, but important, consisting principally of rest in beo. fresh air, abundant food. with Dover's powders for the relief of pain. Ey- cry case with fever should be regarc- ed as serious and kept in bed at least until temperature becomes normal COnyalescence requires careful man. agement to avoid serious complica- tions, such as bronchial pneumonia, which infrequently may have fatal ter imitation During the present out break in foreign countries the salts of Quinine and asphirin have been most generally used during the acute attack, the asphirin apparently with much success in the relief of symp- toms"
 Because the last pandemic of infTn- enza occurred more than twenty-five years ago physicians who began to practice medicine since 1892 have not had personal experience in handling a situation now spreading through a
  and already appearing to some extent in the United States. For that reason Dr. Blue is issuing a special bulletin for all medical men who send for it. In order to reach physicians of coun- try without 8 days delay, however, Dr. Blue has provided for transmits sion through the Associated Press the following summary of the methods for control of the disease: Infectious agent: The bacillus influenza of Pfieffer. Sources of infection: The secre- tions from the nose, throat and respi- ratory passages of cases or of caF-i riers.
 Incubation period: One to four days. generally two. Mode of transmission: By direct contacb or indirect contact through the use of handkerchiefs, common towels, cups, mess wear, or other Ob- jects contaminated with fresh secre- tions. 'Droplet infection plays an import ant part.
 Period of communicability: As long as, the person harbors the causa- tive organism in the respiratory tract
 Methods of control: (A) The in- fected individual and his environment. 1 Recognition of the disease: By clinical manifestations and bacteriol- 1 Ogical findings.
 Isolation: Bed isolation of the in- fected individuals during the course of the disease. Screens between beds | are to be recommended.
 "Immunization: Vaccines are used | with only partial success. Quarantine: None; impracticable | Concurrent disinfection: The dis l charges from the mouth, throat, nose l and other respiratory passages. Terminal disinfection: Thorough | cleansing, airing and summing The | causative organism is short liver out | side of the host
 "B)-GeneraI measures: The at- !