. Public health manual . must also be borne in mind. While the propo;-tion may appear plain on its surface, its solution tsometimes a difficult one. The State Department :Health is always ready to lend every possible assistan . Management of outbreak.—The cause should be j-moved. Of especial importance is the exclusion of fl:from the sick room or from whatever comes from ;the disposal of excreta from the patient, and guardisthe attendants from contact infection. No milk handled by any one who has recently I:typhoid fever himself, or who has it in his househclshould be sold, without the assuran
. Public health manual . must also be borne in mind. While the propo;-tion may appear plain on its surface, its solution tsometimes a difficult one. The State Department :Health is always ready to lend every possible assistan . Management of outbreak.—The cause should be j-moved. Of especial importance is the exclusion of fl:from the sick room or from whatever comes from ;the disposal of excreta from the patient, and guardisthe attendants from contact infection. No milk handled by any one who has recently I:typhoid fever himself, or who has it in his househclshould be sold, without the assurance that proper pvcautions have been taken. I TYPHOID FEVER 165 If the water is suspected it should be boiled beforesing to drink or to wash, dishes or any food to beaten raw. The details of rules for the control ofadividual cases are given in the popular circular on^hoid fever issued by the State Department of Health. » 166 PUBLIC HEALTH MAITOAl I-O > UJ X ZOw CO 05 zUJ a. o XQ. >•»- UJ »- UJ X o. SMAXXPOX 167 SMALLPOX All cases to be reported.—All cases of smallpox mustbe reported as soon as discovered by tbe attending physi-cian to the local health officer or board of health, -who,in turn, should notify the State Department of Healthwithin twenty-four hours. Blanks are provided by theDepartment for the making of these reports. Characteristics of smallpox.— It is highly contagiousVery few escape taking it on exposure unless they havehad either smallpox or vaccina. While it is early con-tagious, it is most contagious after the eruption appearsand continues contagious until the skin is clear. It is contracted only by exposure to emanations fromthe bodies of ipersons sick with the disease, or to articleswhich have become infected from them. Bad sanitationalone never can cause it. The vitality of its virus is great. Infected articlesif kept from dampness and high temperature may spreadthe disease long after the original outbreak. Its in-dilative period is generall
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