lothes, to be slipped
off in the hall at the door of the sick room when leaving the latter.
=MEASLES.=--Measles is a contagious disease, characterized by a
preliminary stage of fever and catarrh of the eyes, nose, and throat,
and followed by a general eruption on the skin. One attack practically
protects a person from another, yet, on the other hand, second attacks
occur with extreme rarity. It is more contagious than scarlet fever,
and isolation of a patient in a house is of less service in preventing
communication to other inmates, whereas in scarlet fever half the
number of susceptible children may escape the disease through this
precaution. The germs which cause measles perish rapidly, so that
infected clothes or other objects merely require a thorough airing to
be rendered safe, whereas in scarlet fever the danger of transmission
of the contagion may lurk in infected clothing and other substances
for weeks, unless they are subjected to proper disinfection. A patient
with measles is capable of communicating the disorder from its onset,
before the appearance of the rash, through the breath, discharges from
the nose and eyes, tears and saliva and all the secretions. At the end
of the third week of the disease the patient is usually incapable of
giving the disease to others. Close contact with a patient is commonly
necessary for one to acquire the disease, but it is frequently claimed
that it is carried by a third person in the clothes, as by a nurse. It
is infrequent in infants under six months, and most frequent between
the second and sixth year. Adults are attacked by measles more often
than by scarlet fever.
=Development.=--A period of from seven to sixteen days after exposure
to measles elapses before the disease becomes apparent.
=Symptoms.=--The disease begins like a severe nasal catarrh with
fever. The eyes are red and watery, the nose runs, and the throat is
irritable, red, and sore, and there is some cough, with chilliness and
muscular soreness. The fever, higher at night, varies from 102 deg. to
104 deg. F., and the pulse ranges from 100 to 120. There is often marked
drowsiness for a day or two before the rash appears. Coated tongue,
loss of appetite, occasional vomiting, and thirst are present during
this period. The appearance of minute, whitish spots, surrounded by a
red zone, may often be seen in the inside of the mouth opposite the
back teeth for some days before the eruption occurs.
The preli
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