ful than in typhoid fever, on
account of its prolonged course and the number of complications and
incidents which may occur during its existence. It is the duty of the
physician to report cases of typhoid to the health authorities, and
thus act as a guardian of the public health. If, however, in any
circumstances one should have the misfortune to have the care of a
typhoid patient remote from medical aid, it is a consolation to know
that the outlook is not greatly altered by medicine or special
treatment of any sort. There have been epidemics in remote parts of
this country where numbers of persons have suffered with typhoid
without any professional care, and yet with surprisingly good results.
Thus, in an epidemic occurring in a small community in Canada,
twenty-four persons sickened with typhoid and received no medical care
or treatment whatever, and yet there was but one death. The essentials
of treatment are comprised in _Rest, Diet, and Bathing_. Rest to the
extent of absolute quiet in the horizontal position, at the first
suspicion of typhoid, is requisite in order to avoid the dangers of
bleeding and perforation of the bowels resulting from ulceration of
structures weakened by the disease. The patient should be assisted to
turn in bed, must make no effort to rise during the sickness, and
should pass urine and bowel discharges into a bedpan or urinal under
cover. In case of bleeding from the bowels, the bedpan should not be
used, but the discharges may be received for a time in cloths, without
stirring the patient.

=Diet.=--This should consist chiefly of liquids until a week after
the fever's complete disappearance. A cup of liquid should be given
every two hours except during a portion of the sleeping hours. Milk,
diluted with an equal amount of water, forms the chief food in most
cases unless it disagrees, is refused, or is unobtainable.

In addition to milk, albumen water--white of raw egg, strained and
diluted with an equal amount of water, and flavored with a few drops
of lemon juice or with brandy--is valuable; also juice squeezed from
raw beef--in doses of four tablespoonfuls--coffee, cocoa, and strained
barley, rice, or oatmeal gruel, broths, unless diarrhea is marked and
increased by the same. Soft custard, jellies, ice cream,
milk-and-flour porridge, and eggnog may be used to increase the
variety. Finely scraped raw or rare beef, very soft toast, and
soft-boiled or poached eggs are allowable after the