. The Journal of hygiene . 4-6 1893 20-1 -4-0 8-6 1894 26-9 + 2-8 5-8 1895 19-7 -4-4 10-2 1896 22-4 -1-7 11-9 1897 22 1 -2-0 13-9 1898 18-9 -5-3 19-2 1899 22-3 -1-8 21-0 And yet notwithstanding the fact that the elements have beenfighting against them, preventive measures, among which hospitalisolation holds an important place, have been associated with theremarkable and almost uninterrupted decline in the death-rate fromscarlet fever shown in Fig. 1. The limitations as well as the extent of the utility of preventivemeasures against scarlet fever need to be recognised. Even when allpracticable
. The Journal of hygiene . 4-6 1893 20-1 -4-0 8-6 1894 26-9 + 2-8 5-8 1895 19-7 -4-4 10-2 1896 22-4 -1-7 11-9 1897 22 1 -2-0 13-9 1898 18-9 -5-3 19-2 1899 22-3 -1-8 21-0 And yet notwithstanding the fact that the elements have beenfighting against them, preventive measures, among which hospitalisolation holds an important place, have been associated with theremarkable and almost uninterrupted decline in the death-rate fromscarlet fever shown in Fig. 1. The limitations as well as the extent of the utility of preventivemeasures against scarlet fever need to be recognised. Even when allpracticable preventive measures have been adopted,—and that pointis still very distant,—there will, I believe, remain a residuum of in-fection, the operation of which with our present limited knowledgewe cannot prevent, owing to the occurrence of epidemic influences,beyond our control. The state of matters may be illustrated dia-grammatically. 150 The Utility of Isolation Hospitals ,No. of cases without isolationand disinfection. . of cases under imperfectisolation and disinfection , No. of eases when isolationand disinfectionInter-epidemic period ^ Epidemic period ^^^^are approximately perfect Fip. 2. I have elsewhere compared the work of the hygienist to that of thestaff of a fire-brigade, and the following remarks respecting diphtheriaare equally applicable to scarlet fever. To assume that because wedo not yet know how to exterminate diphtheria, or because we cannothope in our day to be entirely successful in preventing its spread, itis therefore useless to attempt anything, would be as unwise as itwould be for a City Council to dismiss their fire-brigade staff anddispose of their fire-preventing apparatus, because the staff had notbeen successful in at once extinguishing every fire, or because theCity Council were impressed with the fact that the present appliancesfor extinguishing fire are of a very imperfect character \ Until better means or supplementary means, the result
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Keywords: ., bookcentury1900, bookdecade1900, booksubjecthygiene, bookyear1901
