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Vol. 60, 1909 - University of North Carolina at Chapel Hill

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300 THE CHARLOTTE MEDICAL JOURNAL. I<br />

married st<strong>at</strong>e hastens the progress as well have yet been discovered. When properly |j<br />

as the spread <strong>of</strong> the disease. If we wish to compounded they can be administer- i<br />

be sure <strong>of</strong> success in our fight, we must use ed iiite?-7ially, externally, as well as by ||<br />

some str<strong>at</strong>egy and diplomacy in searching forced inhal<strong>at</strong>ion. With these two ger- ji<br />

out and capturing the victims who are the micidal weapons and a bounteous supadvance<br />

agents in the spread <strong>of</strong> this deadly ply <strong>of</strong> pure, fresh air and ivholcsome -i<br />

infection. These should be caught if possi- food, any ordinary case in the incipient]<br />

ble while in the incipient stage and placed stage should be arrested within twelve |<br />

in san<strong>at</strong>oriums where they can be tre<strong>at</strong>ed weeks. Teach him the use <strong>of</strong> the thermom- j<br />

;<br />

,<br />

scientificall until cured. Eighty per cent eter, th<strong>at</strong> he may keep a record <strong>of</strong> his most i<br />

<strong>of</strong> all cases in this stage, who have fairly important symptoms, reporting same <strong>at</strong> I<br />

good constitutions, can be cured. In the regular intervals, and to avoid taking ac- ><br />

other more advanced stages <strong>of</strong> the disease,<br />

the victims should not only be captured,<br />

live exercise when his<br />

above 100°.<br />

temper<strong>at</strong>ure is <strong>at</strong> or<br />

j<br />

but quarantined under the same restrictions In short, give hiui a full set <strong>of</strong> specific I<br />

th<strong>at</strong> govern other contagious diseases, such rules and regul<strong>at</strong>ions in type-written fonni;<br />

as scarlet fever, diphtheria, etc none , <strong>of</strong> to follow, and instruct him to itupart these<br />

which is comparable in de<strong>at</strong>h-spreading lo his friends and acquaintances who may<br />

qualities to pulmonary tuberculosis. The be victims <strong>of</strong> the same disease. We should<br />

question n<strong>at</strong>urally arises, can these plans<br />

be carried into effect? Have we a right to<br />

also educ<strong>at</strong>e the immedi<strong>at</strong>e rel<strong>at</strong>ives and<br />

j<br />

friends <strong>of</strong> the p<strong>at</strong>ient, as well as the general 1.5<br />

curtail the privileges and rights <strong>of</strong> our fellow-man<br />

along these lines? And is it hupublic,<br />

along the lines <strong>of</strong> hygiene and sail-. |]<br />

it<strong>at</strong>ion. The starting place toward educa-J<br />

mane to thus cut <strong>of</strong>f from the social world, ting the masses is in the public schools.!<br />

those unfortun<strong>at</strong>e people <strong>of</strong> our own wo<strong>of</strong><br />

and blood? These are the gre<strong>at</strong>est as well as<br />

One week in every three months should be \<br />

devoted exclusively to the study <strong>of</strong> hygiene i<br />

most far-reaching questions to answer in<br />

lining up our forces for the b<strong>at</strong>tle th<strong>at</strong> is<br />

now approaching.<br />

and sanit<strong>at</strong>ion, in adPitiou to these studies i<br />

in the regular curriculum, requiring each \<br />

teacher to prepare a special course to be h<br />

As previously mentioned, without a full taught to all the pupils, both small and :;<br />

supply <strong>of</strong> str<strong>at</strong>egy and diplomacy, these<br />

plans cannot become effective, notwithstanding<br />

all the combined forces <strong>of</strong> the<br />

large, during these special weeks. The 1<br />

teachers should also require the pupils to <<br />

recite to their parents the same lessons on -,<br />

medical pr<strong>of</strong>ession, backed by the govern- hygiene and sanit<strong>at</strong>ion th<strong>at</strong> they recite to<br />

|<br />

ments <strong>of</strong> the respective n<strong>at</strong>ions <strong>of</strong> the entire them, and in this way educ<strong>at</strong>e parents as :<br />

world. The three most important essen- well as children on these important sub- j<br />

;<br />

\<br />

tials in this<br />

diplomacy.<br />

fight are educ<strong>at</strong>ion, means and jects, preparing<br />

Educ<strong>at</strong>ion is necessary for the years war."<br />

them as if for a "thirty<br />

The playgrounds should be<br />

victims <strong>of</strong> the disease, for the general pub- carefully selected and the<br />

'•<br />

importance <strong>of</strong><br />

lie, and for those who are expected to do open air exercise impressed upon each pupil {<br />

the fighting. Educ<strong>at</strong>e the consumptive by <strong>of</strong> the school. These principles should, j<br />

telling him first <strong>of</strong> his real condition, and also be taught from the rostrum and the j<br />

then teach him to co-oper<strong>at</strong>e in arresting pulpit by men fitted for this purpose. Ed- j<br />

his disease and preventing the spread <strong>of</strong> uc<strong>at</strong>iou as previously mentioned is only one'<br />

his infection to his fellow man. Teach him <strong>of</strong> the main essentials toward the preventhe<br />

laws <strong>of</strong> self preserv<strong>at</strong>ion, habits <strong>of</strong> tion and extermin<strong>at</strong>ion <strong>of</strong> this dread dis-J<br />

cleanliness, personal hygiene, and how to ease. The next important essential is the<br />

avoid taking cold, and to live an out-<strong>of</strong> door means hy vihich to establish san<strong>at</strong>oria for<br />

in suitable we<strong>at</strong>her, both day and night, the three classes <strong>of</strong> p<strong>at</strong>ients who are victims<br />

wearing suitable apparel for body warmth, <strong>of</strong> this disease in its three respective stages,<br />

to take tepid and friction b<strong>at</strong>hs, to regul<strong>at</strong>e There should be in each county or city ol<br />

a diet th<strong>at</strong> will sustain and nourish all the 50,000 inhabitants, three san<strong>at</strong>oria: one foT<br />

organs <strong>of</strong> the body, and to keep the secre- those who have tuberculosis in the incipient<br />

tions and excretions in as normal a condi- stage, and are curable; one for those whc<br />

tion as possible, avoiding all things and in- have the dise.ise in the second stage with a<br />

fluences <strong>of</strong> a deleterious or depressing char- possible chance <strong>of</strong> arresting it, and one foi<br />

acter, and seeking those influences the third or incurable stage,<br />

th<strong>at</strong> are elev<strong>at</strong>ing and <strong>of</strong> a cheerful Where it is feasible, several counties 01<br />

n<strong>at</strong>ure, administering only such medi- cities might combine funds and establish<br />

cines<br />

toms<br />

as are indic<strong>at</strong>ed by<br />

'<strong>of</strong> each individual<br />

the symp- these san<strong>at</strong>oria under a joint corpor<strong>at</strong>ion<br />

case. We These san<strong>at</strong>oria should be established bj<br />

have in Guaiocol and Iodine, with their the stale governments, assisted by the na<br />

respective deriv<strong>at</strong>ives, two <strong>of</strong> the best lued- tional governments, hence the importance'^<br />

c iiies for the tre<strong>at</strong>ment <strong>of</strong> this disease, th<strong>at</strong> legisl<strong>at</strong>ion ! Let the medical pr<strong>of</strong>ession |j<br />

1j

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