| Show ABOUT lon formation from the board of health BY vaccination treat of pax patients ake use of eta un ion the following circular has been aed ly the california state board Ife alth and is of vital iwon ce at the present time by reason the of POX in any PS ats of the state after an absence of many years bas again been importe d to our state the extreme hs clity of its diTus loa through rain ay intercommunication and pen coal contagion and in view of hecking its bogress pogress po gress the state card of health feels it is its imper tive duty to present certain sugi aad a ad pree autt ansi the com avith which will con aana to those who huffier irom ear of the disease and absolute immunity to those in dager of con gion there are two ways to ob lain from smallpox Smail pox one 9 by strict quarantine to com cletey but it out ana the other Is to anticipate it by a general bacci nati on As the first mode Is more or less liable to failure through lack df vigilance an the pars of the or absence of i i edica tion the incubating dieseu that bouli warrant detention it is the mord plan to vaccinate AS quarantine and then we havo the disease wholly under com inana sa amly as human means can do it is tte only tive leisure that is koewn to sue abert adall pox if properly done with reliable virus whether be vine or humanized there ja nothing more absolutely cert sin than the fact of the protection of the individual from the fatal effects of small pox ought if brssi ble to be performed by an u uca ted physician with lymph that he knows to be pure and desirable and who is perfectly familiar with the vesicle produced or in other words who knows that the vaccination bas been successful or taken properly there are however ertain pre cautions to be taken in the herfor mance of the operation of vaccina tion to make the result certain the state board of cannot too earnestly protest against the care less and unscientific manner in which it is too often performed and the result ascertained in many very many cases such vacel serves only to deceive through a false sense of security much un merited disparagement is cast upon the value of the operation and the confidence which its preventive T er m a aired is rod shaken rh n the supposed to be slated per on is stricken with smallpox this result is to be doubly deplored first on the part of the stricken victim and again for the fruitful theme for controversy which it suggests to the 0 portents of vao ci nation and whily it is often very difficult to combat to avoid as dooh as possible any such contingency sod to insure the result of a perfect vaccination the following recommendations are presented for adoption to all AS designed to secure sad maintain in the kowza or troy except as far as the im ined late danger of small poi may require vaccinate only subjects that are in good health in cases of in cants ascertain that not any febrile state any irritation of the bowels or unhealthy condition of the skin do not vaccinate except in cases of great nee mity where there has been recent exposure to thames thecia or where erysipelas has been in or about the place of second in all ordinary cases of vimary vaccination make such in of virus will prore jube at least two or me separate sigid vesicles which should be carefully protected from injury during their progress toward ratios a afterward the mature re boval moval of the crust pg bot an needless to a arm a albl via strip of 1 soft muslin carefully sewed round the arai will protect it from abrasion third The virus nihed should be of known purity whether in the form of humanized or bovine lych the crust or scab should never used except in cases and then only under the survell ance of the physician self bacci nation or vaccination performed by friends qualified the true sore from that which is ap rious is often attended results and might be the means of introducing poisonous matter into the blood which to be avoided as death m bar the consequence burth virus should be used from the arms of person there is I 1 Is an y protective power b the contrary may be inja rious human lymph should betoken betaken only from buba who are in good health and of parentage preferring children whose families from well marked uninjured bedl cov bhea the vesicles am fully formed and that is on the eighth day after primary vaccination and adore avy conspicuous Ape arance odthe red or tory arbols wiloh on the blath day surrounds ile vesicle in the vesicles which is dono with a clean needle be careful not W draw blood and use no I 1 h or VIM that M not perfectly ai ITI nd trans rent when from the arm it any blood should be drawn wipe it carefully away before using the lymph as on no accost must blood bo introduced with pure vaccine virus into the system of tour patient A most important point upon which we strenuous IT insist is that the vaccinating ment on mat ter what it is is perfectly and on clean be sure and wash it in fresh and pure water be fore and see that it is re washed before using it on a second peo n more serious and accidents have occurred from carelessness in using instruments st theu from any other cause known to this board if bo vine s is used recollect that to insure its action the surface receive ing it has to be well and the lymph rubbed in until the part is d ry of this rule will result in many failures fail and bovine virus be unduly die credited I 1 NEVER ME TUE SCAB 1 og purpose except on der the most exceptional circum stances to its ure may be ted cases of sore arms poi 1 boned blood and u ulcers which got tors healthy ta a such delight inq U as their strong eat argument against the precious gift of the immortal jeaner if the nee e anity arises that th scab mus t be gusej see that ia looks clean is well and the edges semi transparent do nor use the center but only the outer border of the crust the portion to be used ought to be thoroughly 0 in a drop or two of water S then used in the same manner As lymph it would be prudent tn the condition of the child from whom the scab visa taken be fore using it and if not in perfect health reject it caution can no t be too strictly observed when vac cina ting from this source PERIOD OF in amail pox there a A I 1 ways A latency called the period of fineu bation dur ang i which bertal in processes are goine on pre rm the development of dise a se if period may be stated to be about ten to e dats forthe beginning of the fever and fourteen days for that of the eruption ah the vaccine disease the virus begins to take on the fourth day and with bovine virus on the fifth or sixth day and such is the protective power of the vaccine virus that it it be inserted even after ex u re incurs to smallpox small pox its shorter I 1 ve at t abe I 1 it to anticipate the me r dif it do not altogether pr event it it induces stich a devia tion from its regular baurse as to essentially modify it and deprive I 1 of its greatest danger hence tb importance of immediate vaccina tion after exposure to smallpox small pox every infant shadid be facein sited within three or four mouth exier its birth every child should be abed before its tenth year no child abrald be permitted to enter any school until it is suc etes fully and so certified to by the operating physician every adult should be I 1 abed every seven years it may not take bat it safety j i those who try it in the presence of the disease no time should be lost but a general vaccination insisted wilon fortu bately it is our great 1 1 ege to live in california the of which are too intelligent and well informed not to see the importance of this measure whon smallpox small pox invades their town or city small pox in a community means the par trade and commerce it me pecuniary lose sickness afe 1 og and death in means a conditi on of things in A 4 Comin tin ity could and should be at once at rested all employers must take the initiative and haye every man in their employ as the condition upon which their employ ment is continued all railroad me n police officers and those con necked with public offices should be protected as they are con bitant y I 1 eap exp olied through the traveling public to the germs of the disease which may be lurking in the wayfarers wayfare rs clothes or abou amou g the ir i baggage in short it is the biml era tive duty of the local author aties to secure protection to all classes that none remain to the himml anent danger of their fellow citizens SUAL IN tar when unfortunately this occur rence has taken place at once notify the health officer or the health authorities then have every ber of the family at once pox as said before takes from ten to fourteen days after exposure before it becomes ap parent vaccine takes only four jo six days if therefore you are im mediately vaccinated vaccina ted after exposure will anticipate the disease and yoner eu avert it or so modify it As to reader i t comparatively harmless and mild the patient should be placed if practicable in the highest room in the house and as distant from the apartment the fa ily As possible here he should eye the roost complete isolation and ven ti lation that can be obtained the room before Y should be stripped of all unnecessary furni ture goods sad clothing and the utmost clean liness observed both with regard to the patient and the room bisin fec tants may be constantly I 1 especially should a vessel contain iq chloride of lime be placed at the bedside for to spi it into the same ghouls be used freely in the for the recep tion of excrete which should be at once removed and buried a large tub containing a ant be kept in the room into which all soiled clothe be plunged crid re moved for further rsm should be used to aipa away abid immediately burned alt glasses cups or vessels asti by the patient must be cleansed and washed in a disinfect ant solution no person should be admitted into the room but those waiting upon the patient an d a sheet wrung out of a barong bisin solution ought to be bus and hung outside the door of the patients room is in ita most cantagi con tagi ous con to n when the scabs are matured and no convalescent pa tient should be permitted to mingle with his family until all the scabs babp fallen off and the skin qu h clean in case of death the body in a sheet saturated with ii strong solution of sulphate of zinc ona have it cof fined and buried without any nem meary delay without any wake or public funeral As those solutions are within the means of every one the state board of thinks it well to familiarize the public with their composition roll for fumigation this is cheap and efficient substance for fumigating fumi gating rooms it is positively destructive to disease germs when efficiently used sulphate of iron copperas dis 30 ned in the proportion of one and hall und to on of water et is A cb A d eli 1 deodorizer and anaise 9 ic for privies etc sulphate ot zinc in the p kopor tion of four ounces of sulphate and two ounces of common nit to the gal ion of wate efficient and lees for clothing bed etc it should be used baill hot and the articles to be die 1 et ed plunged into it and thoroughly corrosive sublimate in the proportion of a of an 0 u n ce to the r ali 0 pit s aed germicide and disinfectant but has th edisal vantage of being excessively poisonous and therefore danger ous fo beneral use cam iia acid is of uncertain strength is expensive and expert ence has showed that it must be emi p ay ed in comparatively large quantities to be of any use it is also liable by its strong odor fo give a false sense of security ROW TO tse disinfectants DISINFECT ANTS 1 in the sick room the ma t available agents are fresh air and cleanliness the linen etc should on removal from the patient be placed in a tub of zinc solution boiling hot all discharges the patie nt 9 bould either be received in co the copperas or corrosive sublimate solution or if this is im practicable should be covered with the solution u unnecessary furni turee spec bally that which is stuffed carpets and hannings hangings hang ings should be r moved from the room at the outset if poe bible otherwise they should remain for fumigation and treatment 2 Fuini gation with sulphur is the only practical method the boum for this pur pose the rooms to be dis infected m oat be vacated heavy clothing blankets bedding and other articles which cannot be treated w ith the zinc solution should be opened and exposed during fumi gabiou as directed below alov t b e rooms as tightly as possible stepping up every crevice mhd keyhole place the sulphur in iron pan 1 ted upon bricks placed 10 be containing A little water set it on fire with alcohol or kerosene sprinkled upon it and allow the room to remain closed twenty four hours for a room ten feet square at lent two pounds cf sulphur will be required for larger rooms proportionately larger quantities will be necessary 8 premises cellars yards stables gutters privies I 1 do w ater closets should be liberally treated with the cop perils Po lution it is cheap and effect ve copperi may be easily prepared by hall i 9 basket containing about aix pounds of copperas in a barrel of water 4 body and bed clothing it is beat to burn all articles which have been in contact with persons ls ick of infections or contagious cont ageous dia eases articles too valuable to be destroyed should be treated as fol lows etc all be treated with the boiling hot zinc ion introduce piece by piece secure thorough ih wet ting and boil for halt an hour furs alike heavy cloth bed covers and beds which cannot be thus treated with the zinc tion should be bung in the room during furni gation their surfaces surf acis fully e and their pockets turned 0 of aby should be hung in the open air beaten find shaken pillows beds stured mattresses ma tresses upholstered furniture etc should be cut open the contents spread out and thoroughly y fumigated carpets are beai fumi gated on the floor but should after wards be removed to the open air and and beaten if from ct or delay in eno forcing precautionary mease res the disease shows a tendency to become epidemic the public and private schools must be closed church ser vices suspended and public aseem biages of peoples peo pleas at circuses skating rinks and other gatherings be prohibited towns would in maintaining A non se quarantine against any place neg electing to the savi tAry ores which ALI past experience hu heretofore demonstrated to be effective stamping out this most loathsome and cout a ious of all cents amu alm G per see state board of health by order of the board H S orue M D copies of this circular can be had for free distribution upon op tion to the secretary |
