if possible, be sent to
the country. There is always distinct danger of a relapse in every case,
so the little victim should be given a change of air as soon as
convalescence permits. The seashore is preferable to the mountains in
all intestinal cases.

In the care of these patients cleanliness is an important factor and
counts much in the ultimate cure. The child, as well as the clothing,
should be kept scrupulously clean. Napkins as soon as soiled should be
removed and put into a disinfecting solution. The buttocks should be
well powdered after each movement to prevent sores developing.

Feeding must be stopped at once. No food of any kind should be given for
at least twenty-four hours, or until the tendency to vomit subsides. The
thirst must be allayed, however, so we give frequently small quantities
of thin barley water or albumen water or cold boiled water. If these are
vomited we must stop giving them altogether for twenty-four hours. If
the fever is high and the skin dry, the child should be given a cool
pack, 85 deg. to 90 deg. F., which can be moistened every half hour with water
at this temperature; this will often control the fever satisfactorily.
Hot-water bottles should be placed at the feet if they are cold.

If, on the other hand, the fever is very low (below normal), the child's
circulation poor, the skin blue and cold, a hot-water bath at 108 deg. F.,
for five minutes (rubbing the surface of the body while in the bath),
will be of very great service. The bath may be repeated at half-hour
intervals.

If the patient is a breast-fed infant it can be allowed to nurse after
the twenty-four-hour rest. The length of time it is permitted to stay at
the breast should be about one-quarter of the time it was allowed before
the attack began. If it does not vomit, the nursing can be repeated
every four hours. As the case progresses toward recovery the interval
between feedings can be shortened. Care, however, must be taken not to
shorten the interval too rapidly.

If the patient is artificially fed and is not over four months old, a
substitute for the milk must be found. The best substitutes are rice or
barley water, either plain or dextrinized, the malted foods, chicken or
beef broths, liquid peptonoids or bovinine. Water (boiled and cooled)
may be allowed at all times if not vomited.

Older children are treated in the same way. All food is withheld while
there is any vomiting. When vomiting stops begin with