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Epidemiology and Public Health, Vol. 1 of 3




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Hersteller:Forgotten Books (Vaughan, Victor Clarence)
Stand:2015-08-04 03:50:33

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Excerpt from Epidemiology and Public Health, Vol. 1 of 3: A Text and Reference Book for Physicians, Medical Students and Health Workers; In Three Volumes Similar conditions prevailed on many of the smaller lakes and inflowing streams. There is no body of fresh water, be it by nature ever so pure, which man may not render unfit for his own use. Nature has laid out no watersheds and constructed no filtration plants which man may not contaminate. While I read the discussions of Pettenkoffer and Frankland on the self-purification of running streams, I learned more of this from practical observation in the large and varied area covered by my epidemiologic studies. While typhoid has been and is being satisfactorily reduced in the large cities in this territory, it still takes unnecessary toll from many small cities and villages and from the farms of this area. In preantitoxin days diphtheria was a veritable scourge in the Northwest. In 1886 I saw in a village of some two hundred families in a pine forest in Michigan diphtheria with every possible complication and sequel. The physician of the community had never seen the inside of a medical school and when a child died the body was taken to the church, the school children filed in and each kissed the corpse. This doctor had reported to the State Board of Health the prevalence in his community of a new noncontagious disease. The memory of my experience in this village is one of the distressing pictures to which I have referred. It was my good fortune to be present when Roux reported his experience with diphtheria antitoxin to the International Congress of Hygiene at Budapest in 1894. Twenty-seven years have passed since Roux read that paper and the hopes which it awakened in his hearers have come nearer realization than most promises for the relief of mankind from a distressing and highly fatal disease, but the complete eradication of diphtheria remains a problem for the future to solve. There are epidemiologists of large experience who believe that the virus of scarlet fever is growing senile and will give us less trouble in the future. With more than forty years of experience with this disease, I am highly skeptical about this prediction and I have inserted in the proper place a statement made by Graves, the great clinician of Dublin, on this point nearly one hundred years ago. I am convinced from my own experiences with this disease that isolation and disinfection have markedly limited its spread. So far as treatment is concerned, we stand where Graves stood. As is shown in the chapter devoted to this disease, the virus from time to time and in place after place manifests an intensity of invasive power quite equal to its earlier reputation. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.


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