meals.

In the treatment of an acute attack as given above it will be observed
that no drugs are mentioned. This is intentional because it would be
unjust to encourage the home treatment of a disease that is so
treacherous, even in its mildest forms. Because of its tendency to recur
and with each recurrence the danger of the heart being affected, it is
advisable to put these children on cod liver oil or iron or some other
good tonic. Every precaution should be taken to prevent these children
from getting their feet wet or being out in the rain.

SUMMARY:--

Rheumatism is a dangerous disease in children.

In its mildest forms it can affect the heart badly.

It has a distinct tendency to recur.

Rheumatic children are afflicted with a number of diseased conditions
which do not respond to treatment unless the rheumatism is treated.

Acute rheumatism should never be treated except by a physician because
of its treacherous character.

MALARIA. INTERMITTENT FEVER

Malaria occurs quite often in infants and children. As a rule the child
gives evidence of gastro-intestinal disturbance for a short period
before the malarial symptoms appear. The chilly stage is often absent.
Sometimes the hands and feet are cold and may be slightly blue and the
child may appear to be in collapse. This stage may last for an hour or
longer. The chilly stage may, however, be replaced by nervous
symptoms,--restlessness, dizziness, irritability, nausea, etc.,--or a
convulsion may take place. In the second stage the temperature may rise
quite high, the pulse may be quite rapid; the child is flushed,
restless, and cries. This period may last from half an hour to two
hours. The sweating stage is not as a rule well marked in a child. It
may be very slight or not at all.

Between the attacks some children may be entirely well; others remain
restless, have little appetite and poor digestion. Malaria in children
does not always follow a typical course. We often see children suffering
from spasms, fainting spells, neuralgias, diarrhea, vomiting, and skin
eruptions, all due to the malarial condition. This often leads to a
mistake in diagnosis. Intermittent fever is often mistaken for
pneumonia. Malaria is not a favorable disease for an infant to have. It
rapidly weakens the child and great debility and anemia follows.

Treatment.--The treatment for malaria in children is by the
administration of quinine as in adults. It must, however, be given