The Administrative Control of Smallpox: How to Prevent Or Stop an Outbreak

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Longmans, Green, 1913 - 86 sider

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Side 65 - ... the following Wednesday, the vaccination will be in time to prevent Small-pox being developed ; if it be put off until Thursday, the Small-pox will appear, but will be modified; if the vaccination be delayed until Friday, it will be of no use, it will not have had time to reach the stage of areola, the index of safety, before the illness of Small-pox begins : this we have seen over and over again, and know it to be the exact state of the question.
Side 39 - No health department, State or local, can effectively prevent or control disease without knowledge of when, where, and under what conditions cases are occurring.
Side 65 - Suppose an unvaccinated person to inhale the germ of variola on Monday ; if he be vaccinated as late as the following Wednesday the vaccination will be in time to prevent small-pox being developed ; if it be put off until Thursday the small-pox will appear, but...
Side 53 - ... there is no material advantage to be gained by keeping these other inmates at home. They are not likely to infect other people unless they themselves develop small-pox ; and all that is required is to keep such persons under medical observation for a fortnight, and particularly to examine them carefully day by day towards the end of the second week from their exposure to infection, in order to ascertain whether any of them are developing small-pox. If none of them do so by the beginning of the...
Side 52 - ... carried out. If, on a dwelling becoming invaded by smallpox the actual patients are at once removed to hospital, the dwelling and all articles in it that have been exposed to infection, including the clothes worn by the other inmates are properly disinfected, and the other inmates of the house are immediately...
Side 53 - ... of them are developing smallpox. If none of them do so by the beginning of the third week from exposure the revaccination (or vaccination) to which they were at once submitted on the occurrence of the first case in the invaded house should secure them from attack by the disease. "The Board consider that in ordinary circumstances the course of action indicated above is the correct one. Occasions, however, may arise in which additional precautions may be necessary; as, for example, when laundries...
Side 54 - Council are advised by their Medical Officer of Health that in the* special circumstances it is essential that the inmates should remain in their own houses, the Board would be prepared to sanction a reasonable expenditure in securing such a result.
Side 53 - ... vaccinated (as the case may be), there is no material advantage to be gained by keeping these other inmates at home. They are not likely to infect other people unless they themselves develop smallpox ; and all that is required is to keep such persons under medical observation for a fortnight, and particularly to examine them carefully day by day towards the end of the second week from their exposure to infection, in order to ascertain whether any of them are developing smallpox. If none of them...
Side 50 - Report of the Medical Officer of Health of the Administrative County of London.

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