tion of the person from mosquito bites is obtained by proper
screening of habitations and the avoidance of unscreened open air, at
or after nightfall, when the pests are most in evidence. Dwellings on
high grounds are less liable to mosquitoes. Persons entering a
malarial region should take from two to three grains of quinine three
times a day to kill any malarial parasites which may invade their
blood, and should screen doors and windows. Patients after recovery
from malaria must prolong the treatment as advised, and renew it each
spring and fall for several years thereafter. A malarial patient is a
direct menace to his entire neighborhood, if mosquitoes enter.
=Treatment.=--The treatment of malaria practically means the use of
quinine given in the proper way and in the proper form and dose.
Despite popular prejudices against it, quinine is capable of little
harm, unless used in large doses for months, and no other remedy has
yet succeeded in rivaling it in any way. Quinine is frequently useless
from adulteration; this may be avoided by getting it of a reliable
drug house and paying a fair price for the best to be had. Neither
pills nor tablets of quinine are suitable, as they sometimes pass
through the bowels undissolved. The drug should be taken dissolved in
water, or, more pleasantly, in starch wafers or gelatin capsules. When
the drug is vomited it may be given (in double the dose) dissolved in
half a pint of water, as an injection into the bowels, three times
daily. Infants of a few months may be treated by rubbing an ointment
(containing thirty grains of quinine sulphate mixed with an ounce and
a half of lard) well into the skin of the armpits and groins, night
and morning. Children under the age of two can be best treated by
quinine made into suppositories--little conical bodies of cocoa butter
containing two grains each--one being introduced into the bowel, night
and morning.
During an attack of malaria the discomfort of the chill and fever may
be relieved to considerable extent by thirty grains of sodium bromide
(adult dose) in water. Hot drinks and hot-water bottles with warm
covering may be used during the chill, while cold sponging of the
whole naked body will afford comfort during the hot stage. In the
pernicious form, attended with unconsciousness, sponging with very
cold water, or the use of the cold bath with vigorous friction of the
whole body and cold to the head are valuable. The effect of quinine
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