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UNCLE SAM'S
ADVICEON FLU
U. S. Publlo Hoalth Service Issues
( Official Hoalth Bulletin
on Influenza.
LATEST WORD ON SUBJECT.
Epldemlo Probably Not Spanlth In
Origin Oirm Still Unknown Pro
pit Ohould Ouird Agalntt "Droplet
Infection" Surgeon Qenertl Olu
, Mailt Authorltatlv Statement.
Wathlnglnn, D. a (Special.) Al
though King Alplionao ot Hpnln wni
ona of Ilia victims of the Influent epl.
tlemlc In 1803 anil again Dili atunnicr,
Fpanlsh aullinrltles repudiate any
claim In Influent a a "Spanish" Ola
mm. If Iho people ot thla country do
tint take euro llio epidemic will he
roine ao widespread throughout the
United Klatca that aoon we ahall hear
the dlacato called "American" Influ
cntn. In response to a rcquott for definite
tnforniatlnii cnnrenilnK Spanish Influ
rnra, Surgeon Oenernl Uu ixrt lllue of
tho U. 8, Public Hcnlth Service hat
iiltirlrnl (he following nltlclal Inter
view ! . ,
What It Spanlth Inrtutmat la It
icmethlng ntw7 ' Dott It contt from
Spain?
"The dlaraso now occurring In thli
country ami called 'Spanish Inllucn
tn' resembles n very conlaKliiu klinl
of 'mill' accompanlcil tiy fever, paint
Coughs and Sneezes
Spread Diseases
As Dangerous as Poison Cvt Shells
In Ihc bend, eyoa, earn, hnrk or oilier
pnrla of Die hoily anil it feeling of m
verc sUkness, In ttiopt of Iho ensen Hot
aiiiiplnuiaitltnpH-nr nfler throe or four
ln), the pntlent then raphlly recover
I ni:, Some of llio pnllenls, however.
develop pneumonia, or Itillnintmitlon
of the enr, or meningitis, nml ninny nf
these cniiipllrntod ensos lUe. Whether'
thlt sornlli-d 'HpniiMi' Inlluenrn li
Identical llh Iho eplili-tiilcs of liitluon
tu of curlier yi-nra It not yet known.
"I'pldomlca of lllllileiii hnvo vlslled
thin nnintry allien WIT. It la Interest
Ing In know Hint thta Drat epidemic
hrniiEht hero from Vnlenrla,
Smln. Slnco that time there linn
been nuiiieroiia epidemics of tho dis
ease. In ItvSSI ami IMK) nn ephletnlc
of Inlluenrn, alartlng komcw hero In llm
Orient, tprend Unit lo Ituaaln ami
thenco oer pmcllnilly llio enllro civ
Hired world. Three year Inter there
wh nnother llnre-np of Ihn illtenKo.
IMIi llmea Iho epidemic aprefld wide
ly over Iho t'nlted Klatea.
"Allhouiih tho present epidemic It
railed 'PpAiiUh lolliii-orn,' there It no
reiinoii In hellcve Hint It originated In
H pn 1 0. Some wrllera who hnto atiidletl
the nncrllon liellere Hint the epidemic
ciiiiio from Die Orient nml they in 1 1 at
I fill Ion to Iho fuel Hint the (lerinnni
liieiillon Iho illterfao aa occorrlou' nlmiR
the entlern front In tho tuiuincr ami
full of HUT."
How can "Sptnlih Influtnia" bt rtc
ognlitdf "There la aa yet no certain way In
which n alugln cno of 'Hpnnltli Indu
nun' nin he rerngnlied. On the oth
er hand, recognition la eflty where
there It n group of catea. In contrmtj
to the outlirenka of ordinary couchti
nml ciildt, which utually occur In Ihn
cold montht, cpldemlra of Influenrii
limy occur at nny atsiann nf Iho year.
Thiw the preaent epidemic raged most
luleimely In Huroo In Slay, June nnd
July. Moreover. In Iho caao of ordi
nary colilt, the general tymptnmi
(fever, Miln, drpreailon) are tiy lit
melius na severe or na sudden In their
iuiet na I hey are In Inltuenxn. Final-
ly, ordinary rolda do not tprrtnl)
through tho community to rapidly orj
so iixteimlicly as does Inlluenrn, I
"In moti enses n person taken tick!
wlih Inltuenin feels alck rather and-1
di iily. Ho feels weak, haa pains In Ihu
eyes, ears, hend or hack, nod mny ho
nr all over. Many pallenta feel
tllray, ma vntntt. Moil nf the pa
tients complain of feeling chilly, and
wllh this cornea n fever In which (ho
temperature rites to 100 In 1M. In
most cntea tho pulse remains relative
ly slow-.
"In nppenrnnco one la 1 1 nick by the
fact that Iho pntlent looks sick. Ills
eyes nnd the Inner side of Ida eyelids
mny he slightly 'bloodshot,' or 'con
gested,' as tho itoctora aay. There
may he running from Iho nose, or
there mny bo soma cough. Theso stgnt
of n rolil may not ho marked) never
tlielem Iho patient looks nnd feels very
alck.
"In addition to Ihe appearance am
tho ay mptoins aa already described,
rxamlnullnn of Iho nntlrnt'a blood ti I
(Id Ihe physician In recognising 'Bpi
Ub Inllucnu,' for It hat been fou
tlhat In thta dlseaao (he number ot
while corpuscle shows llltl or no In
crease above the normal. It It possi
ble that tho laboratory Investigations
now being made through tho National
Ilesrnrch Council and the United
Rlnlet Hygienic laboratory will fur
nish a more certain way In which Indi
vidual ratca of this dlttaso can bit
recognlicd."
What It the count of the dlttattl
Do ptoplt dlt of It?
"Ordinarily, the fever laata from
three to four daya and Ihe pntlent n
covera, Hut while tho prnortlon of
diatht In Ihe present epidemic haa
generally been low. In aome placea Ihe
i.ulhrcnk hat been severe and deallm
have been, numerous. When death oc
cura It It utually the remit of n com
pllrallon."
What eautct tht dlttatt and how It
It tprtadf
"llaclerlnlnglttt who hnvo studied In
ItuenM epldemlea In the past hate
found In many nf Ihe eniu- a very
mall rml shaMd germ called, after lla
discoverer I'fellter'a hnelllua. In oilier
rnscs of apparently tho anme kind nf
iHtense there were found pneuinocorcl,
Iho germs of lobar pneumonia. HUH
others hnvo l-een mined hj alreptn
roccl, nnd by others germs with long
nnmcs,
"No mnttrr what particular kind of
germ rnusoa Ihe epidemic, It la now
believed Hint liitluenra It nttvaja
aprrnil from person lo ieron, Ihe
germt being cnrrleil wllh Ihe air nlong
with Iho very tmnll dniplets of mucus,
eiioled by coughing or sneotlng,
forceful 1 n Ik Inc. nml Ihe like by nn
who already has Iho germs nf Hie ills-i-aso.
The) may ali he cnrrleil nhnut
In the nlr In Hie form of dual coming
from dried miirus, from coughing and
siii-esliig. or from cureless people who
pll mi tho lliMir and on tho sidewalk.
Aa In linitl oilier catching dUoeses, a
M-rmn who tins only n mild nttnek of
Hm dlwnso himself may give a very
severe attack to others."
What should bt dont by thoit who
cttch tht dlttatt?
"It Is very Important Hiot every per
eon who heroine! stek wllh Inlliieiitu
should go home at mire ami go lo boil.
This will help keep nwny dangerous
t-iHHplh-Hlloiia nnd will, nt the nemo
lime, keep ihe pntlent from aentlerlng
tho disease far and wide. It Is highly
desirable that no one be ntlowcd to
deep In tho sniiio room wllh the pn
llctit. In fact, nn nno hut tho nurse
should bo allowed In Iho room,
"If there la rough nnd sputum or
running f iho eyes nml nose, rnre
rhmilil he Inkrn that all surb ills,
cbiirgea are collecteil nn lilts of gniuo
or rug or npcr napkins and burned.
If tho patient complaint nf fever and
henilmhe, ho should bo given water to
drink, a cold enmpresa to Iho forehead
ami n light sibnge. Only surb modi
cine should be given na Is prescribed
by Ihe doctor. It Is foolish to ask Iho
druggist to prescribe uml may be dnn
genms lo Inke Ihe so-cnllel 'safe, sure
nml hiirmloMi' remedies advertised by
Indent nieillrlne mnnufnrliirera,
"If Ihu iMllent Is to situated Hint ho
can ho intended only by some one who
iniM-l also look nfler others In the fam
ily. It la adilsable that such nltendnnt
wear n wrapper, apron or gown over
Ihe ordinary house chillies while In tho
sick room nml slip Hits off when leav
ing In look after Iho others.
"Nurses and attendants will do well
to guard against breathing In danger
ous dUeese genua hy wearing a simple
fold of enure nr mask wbllo near Iho
iKItlenl."
Will a person who hat had Influents
before catch tht dlttatt agalnf
"ll It well known Hint an ullark nf
measles nr scarlet fever or uiflll
Usually protects n person ngalutl an
oilier ullark of Iho mine disease. IIiIh
apiears mil In he true of 'Spanish In.
II ileum.' According In ncwtacr ro
ports the King nf Hnln tulTereil nil
Hack of Inlluenrn during Ihe epi
demic thirty yenra ngo, and was ngnln
stricken during the recent outbreak In
Spain."
How can one guard agalntt Influ
tnsaf "In Bunrdlns against disease ot nil
kinds, II Is Importnnl Hint tho body ho
kept strong nml nble to light nil dis
ease germs. This run he done hy hav
ing a proper proportion of work, play
uml rest, hy keeping tho body well
clothed, nnd by eating sulllclelit whole
some nnd pmiK-rly selected food. In
ronniH-ifoii wllh diet, It Is well to re
member Hint milk Is one of Iho best
nil nroiind food nhtnlnnbln for nitidis
as well n children. So (nr ns n ills
case like Inllueiiaa It coucerueil, henlth
niilborllli-s everywhere recognise Ihe
very close relation between Its spread
ami nterrrowded homes. While It Is
not nlwnys (mstlhle, eseclnlly In
limes like Ihe presenl, to avoid such
overcrowding, people should consider
tho health danger and make every
elTort lo reduce Ihu home overcrowd
ing lo a minimum. The vnluo of fresh
nlr through open wlndowa cannot be
over emphasised,
"When crowding It unavoidable, as
In street rnra, care should ho token to
keep the fnce so turned as not to In
hide it I reel ly the air breathed nut hy
Hliolher person.
"It Is especially lmmrtant lo be
ware of Ihn person who roughs or
snwies without covering his inoulh
and nose. It also follows that one
should keep nut of crowds and aiun"
places na much aa possible, keep
homes, olllres nnd workshops well nlr
ed. seml some lime out of ihmra enrh
day, wnlk to work If nt nil prncllenhlo
In short, nuike every possible effoil
to hrenthe aa much pure nlr ns pos
sible. "In all health mutters follow iho ad
vlco of your doctor and obey Iho regu
latlona of your local uml Mule health
oftlcers,"
"Cover up each cough and tneere,
- ou don't you'll spread dlicate."
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