The Daily Alaska empire., 1939-01-09
EPIDEMIC OF DipHTHEplA
 HTS JUNEAU
Quarantine Ordered on All
 Children by yTerrifofidl ,@ ,.s Health Officer .s .s.l {
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 some of these sick children. It is
 requested that every parent in Ju- neau cooperate in the enforcement of these regulations"
 Further Requests
 Dr. Council asked further that
 parents do not take their children
 out on the highway.@
 Up until 3 o'clock this afternoon the Schick test had been given at the Health Center to 188 children and 78 adults. Sixty others had
 been administered toxoid for i'm munization purposes. Many of Juneaus school children have been immunized over period of the past, three, years. Adults, sal- though one was among those strickr en, generally are. not susceptible to the, disease. health officials said, a8im Shot In Arm 9'': sse Tmmufization consists of giving a shot in the arm'' of one-haIf a cubic centimeter of toxoid, which is made of the virus itself. The iin- munization treatment IS completed in one dose.
 The Territoria1H Health departt nlent here has aflough toxoid on hand to administer tito everybody Fin Juneauiif such a course becomes necessary. .ecre5-ss WIS III SesNsT'a
 Diptheria anti toxin, an entirely different product from the toxoid
 used in inmunization, has been ad- ministered the known cases. The five persons were all reported
 to be improving late this afternoon. All are being treated at their homes- Efforts to trace the source of the epidemic were being made by mem-
 bers of the Health Department staff
 today. It was apparent the disease was not transmitted in JuneauS
 milk or water supplies, officers said,
 because all cases reported have been {. contact cases" rsss. n y En
 Symptoms. Etc.
 In response to hundreds of quer-
 ies, the follwoing information on
 diptheria is shown: ef
 Incubation PeriodLearlya signs
 and symptoms: Incubation period , two to five days. Onset usually grad \ ual with headachet general aching
 and slight chillifless. May affect the
 pharynx, nose, larnyx and occasion [ ally other surfaces. Where the dis ! ease affects the pharynx sore throat
 with grayish white patches over the
 tonsils and palate will first be mo-
 ticed; in the nasal type bloody
 discharge is usally present; where
 the larnx is involved it is character = ized by a croupy cough. This is the type of diptheria known as mem T braneus croup" and is the most ser : ious form of the disease.
 Source of Infection: Discharges : from the diptheritic lesions of nose I throat, etc., of cases, and discharges l from the nose and throat of healthy e carriers.
 : afi Method of Transmission (a). Dir
 ect by personal contact with case
 or carrier (b). Indirect by contact
 with articles freshly soiled with dis Icharges from case or carrier. tc). h. direct by milk contaminated with
 discharges from case or carrier.
 Control of Case: Isolation for a
 minimum of twenty-one days o1
 fourteen days if two successive cul-
 lures taken from the nose and
 throat not less than twenty -four
 hours apart are negative. II Adult contacts are to be quaran- tined until released by health of
 ficer, as are immune children ano
 susceptible children Adult contacts :, lmay leaee honie and be relieved oi l all restrictions if given an ifnmun- tiizing dose Of antitoxin or known te
 be imune by reason of negative
 Schick test Immune children may
 leave home if given an iinmuniz,
 ing dose of antitoxin or known tt 3 be immune by reason. of a negative h Schick> test, and if permission i n granted by the health officer. Sus n ceptible children, with approval O
 the health officer, may be allowet y to leaveE home if given an immun l. izing dose of antitoxin or knowi d to be imune by reason of negatiy, ,l1 Schick test.
 I f ' v g771r f n 1T the Baranof enroute to Seattle [,