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Tuberculosis
Day Nursery
Miscellaneous
110
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54
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BUREAU OF SANITATION
Vaults Cleaned ---------------------------83
Sewer Connections -------------------------44
Looming Houses Insp-ected -----------------71
Rooming (Rooms) Inspected----------------645
Quarantine Trips --------------------------53
i scellaneous Trips------------------------282
DIPHTHERIA
September 10, 1918
During the last six weeks, with the exception
01 one carrier as noted below, not a case of
Diphtheria has been reported to the Department.
This is an unusual condition. However, such a
situation is liable to lead to a false sense of
security. It is more than probable that many
mild cases of the disease have existed in the city
during this time - cases so mild that a doctor
was not called, the nature of the disease not
being suspected. If such is true there are now
many healthy carriers of the disease, associating
with other persons in school, etc. We have
planned to examine every school child in the city
as soon as possible.. About one-third of them
have already been examined and through this
examination one carrier has already been discovered, as noted above. It is impossible to discover some carriers jly ocular examination and it
is not possible for us to take swabs from all
school children. Therefore we may yet have an
epidemic of this disease. The situation demands
the greatest diligence on the part of the doctors.
Any case bearing the least suspicion of Diphtheria should be reported at once, so that isolation can be enforced. It is well known that the
first two or three months of the school term is
the time that Diphtheria is most apt to spread.
The following suggestions concerning the treatment of Diphtheria cases, exposures, and carriers
are now so well established as to be beyond contraversy:
1. All actual cases should be treated by a
single dose of anti-toxin, large enough to effect
a cure. The dose should be from 10,000 units to
100,000.
2. Exposures should be given the Schick Test.
All found non-immune should be immunized with
toxin-anti-toxin. The anti-toxin alone immunizes
for only 3 to 6 weeks.
3 Carriers are as dangerous to others as
actual cases and must be kept isolated as long as
virulent. Virulency tests will be made by us after
3 or 4 weeks' quarantine. The only effective
treatment for carriers is removal of tonsils
which can be safely done when evidences of
inflammation in the throat have disappeared.
4. In all cases of sore throat or running nose
at this season of the year, swabs should be taken
and sent to City Laboratory for examination.
5. If the case looks like Diphtheria it should
promptly be treated as such without waiting for
laboratory report. Eighteen to 24 hours' delay
Vn giving anti-toxin may lose the life of the child.
ry report; 18 to. 24 hours' delay in giving
jnay lose-the life of the child.
HEALTH
Dept. of PublilclWelfare
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DAYTON, -,eveX 9 HIO
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SEPTEMIER 1; 1916 <"
Prompt report of cases is essential
to disease control.
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Director of Public Welfare
Dr. A. 0. Peters, Commissioner of Health
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