he
same, or solution of carbolic acid (one part in twenty parts of hot
water), and the mixture should stand an hour before being thrown into
privy or sewer. Clothing and linen in contact with the patient must
be soaked in the carbolic solution for two hours. The patient's
expectoration is to be received on old muslin pieces, which must be
burned. The bedpan and eating utensils must be frequently scalded in
boiling water. The attendant should wash his hands always after
touching the patient, or objects which have come in contact with
patient or his discharges, and thus will avoid contagion. If farm or
dairy workers come in contact with the patient, the latter precaution
is especially important. If there is no water-closet in the house, the
disinfected discharges may be buried at least 100 feet from any well
or stream. Typhoid fever is only derived from the germs escaping in
the urine, and in the bowel, nose, or mouth discharges of typhoid
patients.

=MUMPS.=--Mumps is a contagious disease characterized by inflammation
of the parotid glands, situated below and in front of the ears, and
sometimes of the other salivary glands below the jaw, and rarely of
the testicles in males and the breasts in females.

Swelling and inflammation of the parotid gland also occur from injury;
and as a complication of other diseases, as scarlet fever, typhoid
fever, etc.; but such conditions are wholly distinct from the disease
under discussion. Mumps is more or less constantly prevalent in most
large cities, more often in the spring and fall, and is often
epidemic, attacking ninety per cent of young persons who have not
previously had the disease. It is more common in males, affecting
children and youths, but rarely infants or those past middle age. One
attack usually protects against another.

=Development.=--A period of from one to three weeks elapses, after
exposure to the disease, before the first signs develop. The germ has
not yet been discovered, and the means of communication are unknown.
The breath has been thought to spread the germs of the disease, and
mumps can be conveyed from the sick to the well, by nurses and others
who themselves escape.

=Symptoms.=--Sometimes there is some preliminary discomfort before the
apparent onset. Thus, in children, restlessness, peevishness, languor,
nausea, loss of appetite, chilliness, fever, and convulsions may usher
in an attack. Mumps begins with pain and swelling below the ear on one