*508. Expose these clothes to the air as much as possible, all the time, until needed to go out the next day, or, better disinfect them with sulphur each time.

509. If needs be, provide them with cheap clothes to wear in the house while the street clothes are being aired, or vice versa.

510. Items Necessary for the Sick Room.

511. Provide a nurse.

512. The nurse must have at least two changes of underclothing and four changes of overclothes.

513. The nurse must wear no woolen fabrics.

514. The nurse must be provided with the following articles: 515. ARTICLES FROM A DRUG STORE

2 nail brushes, soft, cheap.

I nail scraper.

2 cakes carbolic acid soap.
pound carbolic acid.

I pound bichloride of mercury.
I pound ammonium chloride.

I glass measure for carbolic acid.

I fountain syringe of one-half gallon, new soft vulcanized

rubber.

I soft red rubber catheter, No. 8.

I registering thermometer.

2 pints alcohol.

2 pounds muriatic acid.

10 pounds chlorinated lime.

10 pounds copperas.

2 ounces concentrated solution of Indigo Carmine to color the bichloride solution in order to avoid mistakes.

516. ARTICLES FROM A GROCERY STORE—

10 pounds soft soap.

I scrubbing brush, for floor.

2 wooden tubs, about 24 inches in diameter and 10 or 12 inches deep.

2 larger wooden tubs, about 30 inches in diameter by 12 or 14 inches deep.

2 pails; one pail contains two and a half gallons of water. 2 mops, one for dirty soilings and one for light soilings.

517. ARTICLES FROM SPECIAL STORES

I mattress.

2 bars, bobinet.

4 pairs of sheets, white cotton.
6 pillow cases, white cotton.

2 pillows, moss, good quality.
2 coverlets, white cotton.
I light woolen blanket.

24 towels, white, soft.

6 shirts for patient, white cotton, smooth.

6 drawers, white cotton, soft.

12 handkerchiefs, white, soft.

2 pieces of white oil cloth or rubber cloth, 6 by 8, to protect mattress and tuck around.

I bath tub, tin, cheap.

518. ARTICLES FROM A CROCKERY STORE—

2 one-gallon measures, porcelain lined.

I large cylindrical kettle to boil spoons, glasses, etc., boil watei; I foot in diameter, 8 inches deep.

I bedpan.

I urinal.

2 wash bowls and pitchers.

519. ARTICLES FROM A FURNITURE STORE—

2 small tables, 2 by 3.

*520. Instructions to the Nurse Regarding the Antisepsis of the Room for Preventing Contagion and Spread.

521. The room is the true battlefield; the fight must be made and won in it. The success depends upon destroying the germs emanating from the patient's excretions, and located in the clothing, bedding, bedpan, etc., before they turn to dust, which dust will then infect the air of the room and then the whole house.

522. Until the air of the room is infected there is no risk of contagion.

523. No detail, ever so small, must be overlooked.

524. A professional trained nurse is usually the best attendant, but a

willing, intelligent and active person in good health, especially

an immune, can quickly and efficiently train for this special work.

525. The nurse should be provided with a copy of these instructions and be made to study and understand the spirit and letter of these instructions.

526. It is by following these instructions strictly that during the epidemic of 1897 in the city of New Orleans the inmates of the Yellow Fever Hospital, Touro Infirmary and Hotel Dieu were not affected by the fever, although many were non-immune. When cases of fever occur under these circumstances, they are exceptional and are due to some disregard of some instruction. 527. Select the most favorable room in the house.

528. Remove from it all unnecessary furniture, rugs and the orna

ments.

529. Have it scrubbed with bichloride and cleaned generally and promptly.

530. If the bedding is not clean, or has been used for some previous disease, burn it, and use new mattress, bar, sheets, etc.

531. Change the patient's shirt.

532. Then place the patient in the bed.

533. Quarantine the room and impose silence in and around the

534. One or other member of the family shall be admitted into the room at the time.

535. He shall wear clean cotton or linen overclothes.

536. He shall remain in the room as little as possible if the patient is very sick.

537. The minister may visit the patient daily for ten minutes. 538. Have always ready a gallon of carbolic acid solution, 2 per cent.; this is prepared by adding 2 ounces carbolic acid to I gallon of water.

539. Have always ready one gallon of solution of bichloride of mer

cury, I-1000.

540. This is prepared by adding 1 drachm of bichloride of mercury to a gallon of water, and adding also I drachm of muriatic acid. Mix the two ingredients in a cup of hot water, dissolve well, throw in the gallon of water and stir thoroughly. Add five drops of Indigo Carmine to prevent mistake. Mark the cup and use it for no other purpose.

541. Have ready a large tub, one-third full of solution of bichloride

of mercury, 1-1000. When pouring in the water count the number of gallons and add bichloride of mercury and muriatic acid, as indicated above to each gallon.

542. To prepare a solution of 1 to 500, add 2 drachms of each to the gallon of water, instead of one.

543. Have pails and pitchers always full of clear water.

544. No heavy woolen articles must be used for any purpose; use no quilts; but coverlets of cotton.

545. Should the weather be cool, a light blanket and woolen socks may be used.

546. Mattresses, quilts, heavy woolen articles, etc., which have been used, must be burned at once.

547. All clothing and bedding and light blankets which has come in contact with the patient must at once be placed in an acid solution of bichloride of mercury, I to 1000.

548. This applies also to handkerchiefs, towels, rags used for cleaning and sponging the patient, and for any other purpose. 549. The clothing and bedding shall at once be placed in the germi

cide solution upon being taken from the patient or the bed. 550. Clothes with colors should not be put in any solution of acid bichloride, because it will cause the colors to run.

551. They must be placed in a solution of I drachm of bichloride to a gallon of water, to which is added one drachm of ammonium chloride.

552. To place them in a 2 per cent. solution of carbolic acid is best; the odor will gradually wear off.

553. When the tub is full of clothes, let the contents stand submerged for five hours.

554. Then wring the clothes slightly, enough to prevent dripping,

and put aside for the laundry.

555. The water from this tub of soiled linen can be emptied into the gutters.

556. Wash the tub with a bichloride solution, inside and outside. 557. Fill the tub again one-third full with bichloride solution as above.

558. Bulky articles (blankets, quilts, mattresses), when partially soiled, must be washed where soiled with bichloride, sponged

and kept saturated with a bichloride of mercury solution of to 500.

559. If extensively soiled, they must be burned at once. 565. Walls, bedsteads, furniture, floors, etc., where contaminated, must be scrubbed, and the soiled places soaked with a strong germicide solution.

56. The clothing, bedding, etc., must never be shaken; they must be gently handled and with care.

562. The room must not be swept, but sprinkled and topped with a solution of bichloride of mercury, I to 1000.

563. The water used tɔ sponge or wash the patient, or to rinse his mouth, must be treated at once with an equal amount of a bichloride solution, I to 500.

56. Let it stand for five hours and then throw in gutter. 565. Also the water from the washings and moppings. 566. The patient's clothing and bedding must be changed at least once daily; twice daily is better; place them at once in the germicide solution.

567. Change rubber cloth over mattress with each change of bedding. Wash out with bichloride solution. Hang it out in the

sun.

563. Clothing and bedding must be changed at once if soiled by feces, urine, or vomiting; but with great care and without raising the patient, especially if he is markedly sick.

569. The sputum on handkerchiefs, rags, etc., must be disinfected with special care. Use no spittoons, but a cup or a plate. Treat sputum with an acid solution of bichloride of mercury, I to 500, prepared as explained above. Let it stand eight hours before throwing it in the closet or into the gutters. Better use rage and burn them.

570. The urine must be treated with an equal amount of a 1 to 500 acid solution of bichloride, and allowed to stand for five hours. Then it can be emptied into the closet.

571. The chamber or urinal must be washed with a bichloride solution, inside and outside.

572. It shall be kept at all times full of the same solution. 573. The feces must be treated in a like manner if very liquid. 574. The chamber or bedpan must be treated as described above.