Show DISEASE EPIDEMIC MENACES TUE CITY Extreme Precautions Necessary Necessary Necessary sary Until School Closes to Ward Off the 1 j J I r y of LL Dangers Danger I 1 I J Extreme precautions on the part purt of physicians parents pai and and the school authorities of Salt Lake as well as the tho hoard board o of of contagious contagious con con- health are are necessary to prevent another epidemic diseases such as Salt Lal Lake e experienced a n. little more than one year ago I The Tue danger will continue as at present for at ut least three weeks or until the tile schools of the city are arc closed dosed for the summer sum sum- will be decrease in iii the mer mei vacation as after that time there a spread of the diseases and the authorities will be able to han hande e the tIle situation more easily I Scarlet carlet fever and whooping cou cough h I are aro most moat prevalent among the thc chit chit- i dren of ot the cH city at present as is there were 33 cases of ot scarlet lover fever reported to the board of health during the Ule last last two we weeks ks' ks an and 23 new cases case of or whoopIng whoopIng whoopIng whoop- whoop Ing cough during the samo same period perlo I Smallpox however Is most prevalent of or the contagious diseases with nearly 50 60 cases ted repOTted In the last two weeks weeks weeks' and 97 cases reported since the tile beginning beginning begin begin- I ning of or 1909 I Lack ick of or provisions for Inspection of ot the thO public schools b by the board of or health I is given as ns tho the principal reason for the spread of the thc diseases among the children and carelessness or Ignorance Ignorance ance anco on the tho part of oC parents comes sec eec ont ond In the tho opinion of ot Dr S S. S G. G Paul assistant city physician J to it Chck Soon Conditions In Salt Lake today with ra regard ard to contagious diseases are arc not Cud such as aN may well be bo regarded as alarmIng alarming alarm- alarm In Ing bu but there thero are aie by far tar too many cases and the situation Is one that calls cans for tor the greatest vl vigilance on the part of oC the general public a as well as ns physicians phy- phy generally and the school authorities author author- said Dr rr S S. G. G Paul laul yesterday y There yet et remains some three weeks of oC school and after that time according accord ing to all precedents the tho spread OId l of ot contagious con can contagious tag Ious diseases will he checked In lar largo large o m measure sure I Dr Paul ascribes ascribe tho the spread of ot scarlet scarlet scar scar- 1 let fever measles chickenpox and aud diphtheria largely larse to two general I causes The first ho says safI Is the time case caSl where a a. child chillI will bo taken with a j contagious disease in a mild form and the parents have little mono monc money to engage engage en- en gage a physician I lees leas s fear of the disease disease dis dis- ea ease e and no regard for tor the till lives Jives o of friends neighbors and relatives es In I these instances It Is o the case cast that no ph physician Is called and anti manof many man of the tho patients recover with little real reul sickness s. s The severity se of an any case caso ha hap has nothing to do o with its contagion and the one contracting time the disease train from a n mild case cose may many have hn tho the disease In Its Hi worst vorst form If It these parents who believe e they tho I cannot afford la ta call caB a ph when I their child Is suffering from a Il mild ailment which ma may be bo contagious only knew It It they would call either cither tho tilO city or the tho county count physician and the time case would be bo treated without cost to them said sahl Dr Paul There Thoro Is Isn another an an- n nother of or contagious conta conta- other cau cause c for tor the tho spread glens diseases In the time number of or Salt Lake people who because of ot their variously l styled beliefs do not call physicians In cases of ot Illness Take fake fake for tor Instance a recent death from diphtheria diphtheria theria in Salt Lake The he parents did I Inot not seek the services of or a physician until their child was nearly dead Then they could get no doctor octor and tho child died of what was later discovered to ta tahoe have e been a n case caso of ot diphtheria In its most malignant form torm borlin nI I eeL During this childs child's Illness Ulness another child from the seine family had been alt attending school every Er lay day and lIHI practically in tim that nol neighborhood neighbor neighbor- every o one hood had been exposed to diphtheria before the house was quarantined after aCter aftertime 1 time the death Ileath of the child Physicians are aro often otten to blame for general exposure to conta contagion and by bv byno byno means Is It their ne neglect lect to bo be classed as s no wilful in every instance wild said Dr Paul Take STake a case of lit scarlet fever In InH Ina mild form and JOan times the physician phy H Ii is unable to diagnose It Immediately Immedi immedi- want to take tako Few physicians the responsibility for quarantining a n ahouse ahouse house until they aro are positive e When the case cose after atter a n week shows snows unmistakable able ablo symptoms of ot scarlet fever tOT for In Instance In- In stance dance It Is comparatively ens easy for tor tho ho physician to continuo continue to can call It by sonic some other Time The is 18 l true trite of ot name cases of or Continued on inge Ten j l lp p 1 DISEASE EPIDEMIC THE CIT GITY r Continued C from Pace Ou One diphtheria which at tho start appear r severe bronchitis Later It ma may I develop elop Into bronchial pneumonia am and I tho ho physician can continue to call amt It I t bronchitis Suppose on tho other hand tho the physician takes h hasty st Judgment ment t and orders the house quarantined and anda a few da days later It develops that tb the disease Is not contagious Ever Every ono one hR has seen the quarantine fla flag and when omI I It Is In tn a 0 few tew days das the tho whole nel neighborhood knows tho the doctor ha hamade has 5 made a mistake A system of oC regular Inspection o atthe of at f the lie schools of the elt city would be he one onu of tho thu greatest possible moves toward towar I reducing the number of cases of contagious con cern diseases in Salt l lake hake This fills ThUI system properly followed out would I reduce the number at len least leant t two At present there thele is Js an nn order ordel of ot tin the school hoard board that when a 1 child chIllI Is absent absent ab nb sent three days das It shall sh not be he admitted I to school again without a permit from fron i the lie hoard of ot health In the Lime outlying r districts of tho city it worl works s a great t rt hardship on tho the parents to compel them therm i to bring their theil children ren Into tho lie cIt city for this permit and in lit many Instances instance t the tho teachers rs have listened to tho urgent urgent ur gent t appeals s of mothers and n admitted f m the tie children without t their el certificates e of crt heal health th r Tito o 0 Smallpox CANt Only a few days ago ngo two children m were taken from ono of the tho schools both hoth suffering from well developed cases of ot smallpox These children ha had I been heen readmitted to school after atter an ab ah absence ah- ah sence senco anti and without their theil certificates tes I simply because It was Impossible tort lot for t their mother to bring them bent to tho ho office of of- of- of lice fice of a member of the tho health board If It the city were welO to establish a school chool Inspection system the tho teachers could could Inform the lie parents that the Inspecting physician would be a at that school on omi a certain lIa hay day of the lie week and their child could be Inspected and admitted at that time In Salt Lake the thEl period of quarantine tine for fOl scarlet fever tr Is generally too short and for diphtheria It Is La longer titan than necessary especially since tho the general and successful use of ot anti antl toxin Dr Paul Pau 1 was asked If It were not a 0 fact that quarantine had been beon raised from ninny many cases of scarlet fever feyer man many days before the danger of spreading the tho disease had pass passed cd He lie said his personal per per- opinion was WIS as that that was sas the tue theca ca case e In Salt Sal Lake Why does 1005 lOs not the board of health prevent pro such happenings happenings' was asked I believe the best boat way to lo prevent spread of scarlet fever in such Huch a manner mannet man man- ncr ner net Is to lengthen tho the time of quarantine flaran- flaran tine by changing the tho city ordinances said sale Dr Paul Paul Under the present tices when th the regular for tor fun r of ot a scarlet t fever I caso enso uso has hiatt ex expired cx- cx lX- lX tho the hoard board of health calls the tho cals ph physician who has lisa been heen In attendance and asks If It the patient patent Is Js ready for tor re re- re lease If I the tho answer J Is yes es the thc flag fag Is taken taleen down and the time quarantine re removed removed removed re- re moved after the house has been fumi gated In some cases It has been ben discovered discos discos' ered cred that tho thio physician who reports report that lint his patient patent Is S ready for tr release rolease has not seen the patient patent for two we weeks ks ksor or more and in r reality has no way of knowing whether danger of spread of of the disease has passed Sometimes the Inspector or fumigator reports that the case Is not ready for dismissal for and then there Is trouble If I all al physicians were conscientious enough to examine their patients patents who are supposed to have re recovered recovered recovered re- re covered this lila trouble would be avoided The same difficulty regard to smallpox has hns been encountered b by the board of health Ono One recent I severe case caso was visited by one of the lie board of ot health and orders order were loft left lor that the quarantine should not no be removed 1 until definitely ordered b by the city ph physician At the tho end of 21 1 days lays the regular physician called caned the board of oC health and reported that hint his patient hind hod recovered Invest Investigation aton I by patent Dr Paul showed that danger daner of contagion would not be passed for tor at least lE-ast ten ton days more moro and amid In this Instance the quarantine was maintained despite despie tho threats of or damage suits made b by the patient and other ether oher members of oC tho the I Ii household ou 5 eli old |