Arizona republican., 1921-04-20

generally apparent only in later life.
 Although the causes of acute rheumatism are not definitely known. 1t is quite certain that 1t Is germ disease in which the infection prob ably enters through diseased tonsils, adenoids and decayed teeth The re- moval of such tonsils. adenoids and the proper care of the teeth seem to be the most direct and effective pre- ventive measures against rheuma- tism. Also the value of outdoor exer- else and sufficient sleep in weil-yen- tilated rooms as preventive measures cannot be overestimated.
 Adults leading sedentary lives, whose activities are chiefly mental. who get but little outdoor exercise and who eat more and sleep less than they should. frequently suffer circu- latory changes" continues the data of the association. The exact effect on the heart of poisons developed by this mode of life as we'll as those derived from the habitual and intem- perate use of alcohol tobacco. tea and coffee cannot be precisely stated. but it Is evident that they play a definite role in causing degenerative dis eases of the heart Education must be the strongest ally against these preventable causes of heart disease.
 Education Needed
 The association believes that na- tion wide campaign against heart dss- ease is a crying need at the present time. Tuberculosis. they point out has declined with encouraging abruptness since the -tubercu- losis society began its well-organized and we'll financed attack. but the control and prevention of heart dis ease has scarcely been attempted.
 The prevalence of heart disease among children and young people with the ensuing years of incapacity puts burden upon society which can be better met by prevention than by relief measures alone" declared the secretary of the association the other day
 These handicapped children lose much elementary education; they fat to become self supporting: they are excluded from all but a few occupa- tions. and they are usually dependent upon their family or upon the public throughout their lives"
 Under favorable conditions most persons suffering from chronic dis ease of the heart plaintain a fair de- gree of health for many years. But when conditions are unfavorable the COuTSe Ol tue ulScdS6 IS USudliy marked by periods of serious illness when the heart. for the time, fails in its effort to perform the work re- | quired of it.
 Mere medical care for patients oi | this type is not enough. They need | intelligent supervision in their homes l in the schools and in the workshops | Tn the case of cardiac children. par ents and teachers should be instruct | ed as to their care. Adults with dam. aged hearts should be provided witt 1 suitable occupations. entailing a min. imum of strain.
 One of the most important relic measures. from both a medical anC i an economic standpoint. is the voca l tional training of children in suitabl, | trades. and the adjustment of tn, 1 adult heart cripple to some form o ! labor which is within his physical ca 1 pacity. The work of the Trad 1 School for Cardiac Convalescents ha 1 with even the more severe grades O l supervision and control. to earn thei
 livings in spite of their somewha l precarious state of health.
 But the point the association
 wishes emphasized is that cripple' | hearts can be prevented if they ar ] discovered in time The only wa,
 this can be assured is through period
 ical examinations by physicians
 heart which Is In good condition on
 year may he running on only hal
 power the next and in no condition t
 survive a sudden ecstasy of joy o
 grief