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1, *, MCIESWS ADVICE ON Rt U. S. Pubdo Health ServiM Issues Official Health Bulletin on Influenza. LATEST WORD ON SUBJECT. EpMomlo Probably Net Spanish In Origin—Qsrm Still Unknown—Pee- pi* Should Quard AgilMl "Droplet Infection"—Surgeon General Blue Mains Authoritative Statement Washington, D. G,—(Special.)—Al though King Alfonso of Spain was OBS of the victims of tbe Influenza epi demic In 1888 and again this summer, Spanish authorities repudiate any claim to Influenza as a "Spanish" dis ease. If the people of' this country do not take care the epidemic will be come so widespread throughout the United States that soon we shall bear the disease called "American" Influ enza. In response to a request for definite Information concerning Spanish influ enza, Surgeon General Rupert Blue of the U. S. Public Health Service has authorized the following official Inter view: What is Spanish Influenza? Is It something new? Does it come from Spain? "The disease now occurring in this country and called 'Spanish Influen za* resembles a very contagious kind of 'cold,' accompanied by fever, pains Coughs and Sneezes Spread Diseases In the head, eyes, ears, back or other parts of the body and a feeling of se vere sickness. In most of the cases the symptoms disappear after three or four days, the patient then rapidly recover ing. Some of tbe patients, however, develop pneumonia, or Inflammation of the ear, or meningitis, and many of these complicated cases die. Whether this so-called 'Spanish' lnflnensa Is Identical with tbe epldemlcf of lnflueo sa of earlier years Is not yet known. "Epidemics of lnflnensa have visited this country since 1647. It Is Interest ing to know tbat this first epidemic was brought here from Valencia, Spain. Since tbat time there have bean numerous epidemics of the dis ease. In 1888 and 1880 an epidemic lnflnensa, starting somewhere In the Orient, spread first to Russia and thence over practically the entire civ ilised world. Three years later there was another flare-up of the disease. Both times the epldemlo spread wide ly over the United Statea. "Although the present epidemic Is called 'Spanish influenza,' there is no reason to believe tbat It originated in -Spain. Some writers who have studied the question believe tbat the epidemic came from the Orient and they call at tention to the fact tbat the Germans mention the disease as occurring along tbe eastern front in tbe summer and fall of 1917." How can "8panlsh influenza" be rec ognized? "There Is as yet no certain way In' which a single case of 'Spanish influ enza' can be recognized. On the oth er hand, recognition is easy where there is a group of cases. In contrast to tbe outbreaks of ordinary coughs and colds, which usually occur In the cold months, epidemics of inflnwuii may occur at any season of the year. Thus the present epidemic raged most Intensely in Europe in May, June and July. Moreover, in the case of ordi nary colds, the general symptoms (fever, pain, depression) are by no means as severe or as sudden In their onset as they are in Influenza. 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 sud denly. He feels weak, has pains In the eyes, ears, head or back, and may be sore all over. Many patients feel dizzy, some vomit Most of the pa tients complain of feeling chilly, and with this comes a fever in which the temperature rises to 100 to 104. In most cases the pulse remains relative ly slow. "In appearance one Is struck by the fact thnt the patient looks sick. His eyes and the Inner side of his eyelids may bo slightly 'bloodshot.' or 'con gested,' as tlio doctors say. There may bo running from the nose, or there may bo some cough. These signs of a cold mny not l« marked never theless tlu put lent looks and feels very wick. "In addition to the appearance and |tbe symptoms us alivady described, examination of the patient's blood may aid tbe physician In recognizing 'Span* lab Influenza,' for It has been found --f' tbat to this disease tbe number mi white corpuscles shows little or no in crease above tbe normal. It is possi ble tbat the laboratory Investigations now being mad* through the National Research Gormen and tbe United States Hygienic Laboratory will for alsb a more certain way in which indi vidual cases of this disease can be recognised." What la the course of the disease? Do people die of ItT "Ordinarily, tbe fever lasts from three to four days and tbe patient re cover*. But while the proportion of deaths in the present epidemic has generally been low, in some places tbe outbreak has been severe and deaths have been numerous. When death oc curs It Is usually the result of a com plication." What oauess the dlssase and fiew to Itspread? "Bacteriologists who have studied In fluenza epidemics in the past have .found In many of the cases a very Small rod-shaped germ called, after Its discoverer, Pfelffer's bacillus. In other cases of apparently the same kind of disease there were found pneumococd, the germs of lobar pneumonia. Still others have been caused by strepto cocci, and by otbers germs with long names. "No matter what particular kind of germ causes the epidemic, it Is now believed that Influenza Is always spte^d from person to person, the germs being carried with the air along with the very small droplets of mucus, expelled by coughing or sneezing, forceful talking, and tbe like by,one who already has the germs of the dis ease. They may also be carried about In the air In the form of dust coming from dried mucus, from coughing and sneezing, or from careless people who spit on the floor and on the sidewalk. As In most other catching diseases, a person who has only a mild attack of the disease himself may give a very severe attack to others." What should be done by those who catch the disease? "It is very important tlmt every per son who becomes sick with influenza should go hotne at once and go to bed. Tiiis will help keep away dangerous complications and will, at the same time, keep'the patient from scattering the disease far and wide. It Is highly deslrahle that no one be allowed to sleep In the same room with the pa tient. In fact, no one but the nurse should be allowed in the room. "If there is cough and sputum or{ running of tbe eyes and nose, care should be taken tliat all such dis charges are collected on bits of gauze or rag or paper napkins and burned. If the patient complains gf fever and headache, be should be given water to drink, a cold compress to the forehead and a light sponge. Only such medi cine should be given as is prescribed by the doctor. It is foolish to ask the druggist to prescribe and may be dai gerous to take the so-called 'safe, sun and harmless' remedies advertised by patent medicine manufacturers. "If tbe patient is so situated tbat bo can be attended only by some one who must also look after otbers In tbe fam ily, It Is advisable tbat such attendant wear a wrapper, apron or gown over the ordinary bouse clothes while In tbe sick room and slip this off when leav ing to look after the others. "Nurses and attendants will do well to guard against breathing In danger ous disease germs by wearing a simple told of gauze or mask while near tbe patient" Will a person who has had Influenza before catch the dieeaee again? "It Is wfll known that an attack of measles or scarlet fever or smallpox usually protects a person against an other attack of the same disease. This appears not to be true of 'Spanish in fluenza.' According to newspaper re ports the King of Spain suffered an attack of Influenza during the epi demic thirty years ago, and was again stricken during the recent outbreak-in Spain." How can One guard against influ enza? "In guarding against disease of all kinds, It Is Important that the body be kept strong and able to fight off dis ease germs. This can be done by hav ing a proper proportion of work, play and rest, by keeping the body well clothed, and by eating sufficient whole some and properly selected food. In connection with diet, it is well to re member that milk Is one of the best all-around foods obtainable for adults as well as children. So far as a dis ease like Influenza is concerned, health authorities everywhere recognize the very close relation between Its spread and overcrowded homes. While it is not always possible, especially in times like the present, to avoid such overcrowding, people should consider the health danger and «nake every effort to reduce the home overcrowd ing to a minimum. The value of fresh air through open windows cannot be over emphasized. "When crowding is unavoidable, as In street cars, care shpuld be taken to keep the face so turned as not to in hale directly the air breathed out by another person. "It Is especially important to be ware of the person who coughs or sneezes without covering his mouth and nose. It also follows that one slionld keep out of crowds and stuffy places as much as possible, keep homes, offices and workshops well aired, spend some time out of doors each day, walk to work if at all prac ticable—In short, make every possible effort to breathe as much pure air as possible. "In all health matters follow the ad vice of your doctor and obey tbe regu lations of your local and .state health officers." "Cover up each cough and sneeze, If you don't you'll spread diseaae." •,v THE WAHPETON TIMES S. Hankinson .S ",t *v v. ,- Democratic Candidate for Governor Will Deliver Five Addresses in Richland County on Friday, Oct 18, IN This Tour from Wyndmere via the Speaking Places to Wahpeton, will be made by Automobile. Mr. Doyle is a Fluent Speaker Hear Him at one of these PLACES DOYLE 1*'„. t- mmsm at 9 a. at 1 1 a. at 2 p. at 4:3' 0 p. at 8:3 OP. •V$? PACK S1EVBN fv'f .!& 'H ..... Vi 3 IV, .. $ r. tS 1t I $ ./ 4 ri 1 '•01 4 •v-'\ fy! 1« I