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Show UliCLE SALE'S abuim flu U. S. Public Health Service Issues Official Health Bulletin on Influenza. LATEST WORD ON SUBJECT. Epidemic Probably Not Spanish In Origin Germ Still Unknown People Peo-ple Should Guard Against "Droplet Infection" Surgeon General Dluo Makes Authoritative Statement. Washington, D. C (Special.) Although Al-though King Alphoii.so of Spain was one of the victims of the Influenza epidemic epi-demic In 1893 and again this summer, Spanish authorities repudiate any claim to Influenza as a "Spanish"- disease. dis-ease. If the people of this country do not take care the epidemic will become be-come 60 widespread throughout the United States that soon we shall hear the disease culled "American" Influenza. Influ-enza. In response to a request for definite Information concerning Spanish Influenza, Influ-enza, Surgeon General Rupert Blue of the U. S. Public Health Service has authorized the following official Interview Inter-view : What Is Spanish Influenza? Is It something new? Does it come from Spain? "The. disease now occurring In this-country this-country and called 'Spanish Influenza' Influen-za' resembles a very contagious kind of 'cold' accompanied by fever, pains Coughs and Sneezes Spread Diseases As Dangeroui 3 FoisDn Gis Shells Id the heai ears, back or other parts uf the body nnd a feeling of severe se-vere sickness. In most of the cases the symptoms disappear after three or four days, the patient then rapidly recovering. recover-ing. Some of the patients, however, develop pneumonia, or Inflammation of the ear, or meningitis, and many of these complicated cases die. Whether this so-called 'Spnnish' Influenza Is Identicnl with the epidemics of Influen-za Influen-za of earlier years Is not yet known. "Epidemics of Influenza have visited this country since 1047. It Is Interesting Interest-ing to know that this first epidemic wns brought here from Valencia, Spain. Since that time there have been numerous epidemics of the disease. dis-ease. In 1SS9 and 1S90 an epidemic of influenza, starting somewhere In the Orient, spread first to Russia and thence over practically the entire civilized civ-ilized world. Three years Inter there was another flare-up of the disease. Both times the epidemic spread widely wide-ly over the United States. "Although the present epidemic Is called 'Spanish influenza,' there is no reason to believe that it originated In Spain. Some writers who have studied the question believe that t tie epidemic came from the Orient nnd they cnll attention at-tention to the fact that the Germans mention the disease as occurring along the eastern front In the summer and fall of 1917." How can "Spanish Influenza" bs recognized? rec-ognized? "There Is as yet no certain way In which a single case of 'Spanish Influenza' Influ-enza' can be recognized. On the other oth-er hand, recognition Is easy where there is a group of cases. In contrast to the outbreaks of ordinary coughs end colds, which usually occur in the cold months, epidemics of Influenza (Continued on last page.) spread from person to person, the. , germs being carried wt'.h the air alon.?: witli the very small droplets of inucus,' expelled by coughing or sneezing, forceful talking, mul the like by one who already has the germs of the disease. dis-ease. They may also be carried about In the nlr In the form of dust coming' from dried mucus, from coughing and sneezing, or from careless people who spit on the floor ami on the sidewalk. As In most other catching diseases, n person who has only a mlhl attack of the disease himself may give a very severe attack to others." What should fca done by thosa who catch the disease? "It Is very important that every person per-son who becomes s:ck wiih Inlhienr.a should go home nt once nml go to bed. This will help keep ir.va.v dangerous complications and will, nt the same time,, keep ihe-pntlent from scattering the disease fur and wide. It Is highly desirable that no one he allowed to sleep In the same room with the patient. pa-tient. In fact, no one but the nurse should he allowed In the room. "If there Is cough and sputum or running of the eyes and nose, rare should be taken that all such discharges dis-charges are collected on bits of gauze I or rag or paper na k.'ns and burned, j If the patient complains of fever and ; headache, he should be given wnler to drink, a cold compress to the forehead ' and a light sponge. Only such ruedl-t ruedl-t cine should he given as is prescribed by the doctor. It Is foolish lo ask the druggist to prescribe and may he dan-i dan-i gerous to take the so-called "safe, sure ' and harmless' remedies ndvenlsed by patent medicine manufacturers. "If the patient Is so situated that he I oeu In- attended only by some one who runs! also look after others In Ihe family, fam-ily, It Is advisable that such attendant wear n wrapper, apron or gown over the ordinary bouse clothes while In the sick room nml slip this off when leuv-Itig leuv-Itig to look after the others. "Nurses and attendants will do well to guard against breathing In dangerous danger-ous disease perms by wearing a simple ; fold of gauze or mask while near the ' patient." i Will a person who has had Infuenia before catch the dicersi a;ain? i "It is well known ilia' an nt'ack of mi nslrs or scarlet fever or smallpox usually protects a person against another an-other ntlacl: of ihe same disease. This appears not to be true of 'Spanish In-; In-; lluenza.' According to newspaper re-1 re-1 ports ihe King of Spain suffered nn attack of influenza during the epidemic epi-demic thirty years ago, and was again stricken during the recent outbreak In Spain." J How can one rjuard agalnct Influenza? Influ-enza? ! "In guarding against dlseane of nil ' kinds, It Is Important that the body be j kept Bti'ong nnd able to light off ils- ease germs. This can be done by bav-i bav-i lug a proper proportion of work, play ! and rr-:st, by keeping the body well clothed, nnd by eallng sulhelcnt hole-; hole-; some nnd properly selected food. In connection with diet, It Is well to re-i re-i member thnt milk Is one of the best all-around foods obtainable for adults as well as children. So far nn a dis- case lilce Influenza Is concerned, health authorities everywhere recognize llie ' very close relation between lis spread ; arid overcrowded homes. While It Is ' not always possible, especially In I times like the present, to avoid such 1 overcrowding, people should consider the heahh danger and make every effort to reduce the homo overcrowding overcrowd-ing to n minimum. Tho vuluc of fresh air through open windows cannot be over emphasized. "When crowding Is unavoidable, as l In street cars, care should be taken to j keep the face so turned ns not to Inhale In-hale directly the air breathed out by n not her per son. "It Is especially Important lo beware be-ware of the person who coughs or sneezes without covering his mouth and nose. It also follows that one should keep out of crowds nnd slulTy places as much IIS possible, keep homes, oflices and workshops well nlr I ed, upend some time out of doors each day, walk to work If at all practicable In short, make every possible el'foil lo brent he as much pure air ns poa- l-ilde. "In nil health mutters follow the ad vice of your doclor and obey the regit hitioiiH of your local nnd stale health ollicers." "Cover up each counh and sneeze, If you don't you'll tpredd diccine." UNCLE SAAVS ADVICE ON FLU (Continued from first Dagt; may occur at niiy season of the year. Thus the present epidemic raged most Intensely in Europe In May, June nnd July. Moreover, In the case of ordinary ordi-nary colds, the general symptoms (fever, pain, depression) are by no means ns severe or as sudd.cn In their onset as they are In Influenza. Finally, Final-ly, ordinary colds do not spread through the community so rapidly or so extensively as does influenza. "In most cases a person taken sick with influenza feels sick rather suddenly. sud-denly. He feels weak, has pains In the eyes, ears, head or back, and may be Eore all over. JIany patients feel dizzy, some vomit. Most of the patients pa-tients complain of feeling chilly, nnd with this comes a fever la which the temperature rises to 100 to 104. In most ca3es the pulse remains relatively relative-ly slow. "In appearance one Is struck bv the fact that the patient looks sick. Ills eyes and the Inner side of his eyelids may be slightly 'bloodshot,' or 'congested,' 'con-gested,' 68 the doctors say. There may be running from the nose, or there may be some cough. These signs of a cold may not he marked ; nevertheless never-theless the patient looks and feels very Biek. "In addition to the appearance nnd the symptoms as already described, examination of the patient's hlood may (dd the physician In recognizing 'Spnn-loh 'Spnn-loh Influenza,' for, it lias been found :'that In this disease "flic "number of 'white corpuscles shows little or no Increase In-crease above the normal. It Is possible possi-ble that the laboratory Investigations now being made through the National research Co'incll and the United States Hygienic Laboratory will fur-ni fur-ni '1 a more ceitnln way In which ii.-ii-v, 3::.l ruses of this disease can be recognized." Vhat is the cour30 of the dloca&c? Do people die of it? "Ordinarily, 1 1 ; fever lasts from ('-' to four days and the patient recovers. re-covers. Hut while the proportion of dmths In the present ' epidemic has generally been low. In some .laces the, outbreak has been severe and deaths I rive been numerous. When death occurs oc-curs It Is usually the result of a cotn-i pIP'.'l Ion." Wh-it causes the dltsane and how is t It cp ren'j? "I'.iiclerlologiKts who liin'c ntudled Influenza In-fluenza epidemics In the past have found In many of the case'i a very small rod f.h.'iped g'-rm called, lifter lis discoverer, pfeirfer's ha' lllu'i. In other cases of apparently Ihe same kind of( dii fuse there were found pneiimococcl. Hie germs of lobar f nciunoiila. Still oiliers have been cioi'od by streptococci, strepto-cocci, uicl hy ul hoi x tcTiiiM wit 1 1 long n.iisi a. :. mailer ! :.MP-I:.r kind ' f germ caufcii il pldemlc. It bi now !,!, ev.'l that In ," cna I n I .'. n ys |