Show the fight against theria should be made be I 1 fore child enters school in discussing t te ie prevention of diphtheria the united states public health service has tua recently pointed out that after the diagnosis made even case should be reported immediately to the health officer the health officer will see that the oatlene Is properly isolated and that the necessary precautions are taken at it the b bedside dj ade the me patient should remain in isolation until two negative nose and throat cultures cul turea tak n at 2 24 hour In shall haie hase been obtained such restrictive mea sometimes icem eem rather harah harsh to W some parents but to be content with ith less ica than this means the possibility lity of other developing school children should be taught the danger of such common practices as putting their fingers in their nose lose and mouth ot of using com orm artion drinking cups ind d towels and of anything in their mouths except food water and the tooth brush the simple and inexpensive procedure of washing the handi be acre eating should br be the universal practice among all school children rr prinking fountains should be so constructed as to prevent the uie interchange of saliva the common dipper often leads to diphtheria boft of the cases of diphtheria occur in the age group under five years it Is practically impossible to lerah this group the principles of aronal h bielie consequently immunizing measures are essential in n thia this group science has produced two bucce active immunizing agents aganet diphtheria namely boxold and toxin antitoxin mixture As far as Is known the imm produced by these agents continues during the life of the individual all parents are urged to see we to it that the preschool pre school child from six trion montha tha to too five live years yeam Is immunized by y means ot of two cosm of boxold accent have revealed brodt that horold will produce immunity y in n ft a higher percentage ot buee ses than does toxin wil produce immunity in t go to 01 95 per cent of the caw cases u revealed by a shick test made elx six mont montla lis after tha the last dose lor school children it ta li recommended that all the age or of seven yearn yean be given two doses of boxold with an interval of one mot mat th be awon dose dases eldir children should bo be schick before Im lion tion and the only im lin with boxold from tour four to six months after ali the last dose all may my bo be tested again when dioro than 00 per cent will be found immune the me small number tul still should be re injected As diphtheria usually occurs lur dur ine ing the autumn months uila this tm tion should be dasio done in the uie in order to allow alla time for the development of immunity since available statistics coverd the fact tut that the majority malor tty ot of deaths fron from diphtheria ria occur in the preschool age it I 1 is imputative arlve wet the younger children receive this treatment in this particular phase ol 01 the work the fain lly ily physician can render R very valuable service every parent la is urged to let the baby a first birthday present be a complete protection against diphtheria it should be remembered that us as a gen general rule the younger the chuld the lea 1 the reaction from the immunizing jaent and alio the more likely Is 13 the child to die it ho should develop diphtheria dit atheria physicians are urged to administer boxold to the young children in ft a routine way as diphtheria preventative as they now use silver nitrate to prevent blindness when such a practice become general then and not no un ku 11 then will ill the incidence of and death rate from front diphtheria be brought to an irreducible minimum |