MISCELLANEOUS CONSIDERATIONS.

1. Colleges, asylums and similar establishments may with advantage

enforce rigid institutional quarantine against the outside world, if

they begin in the early stage of an epidemic, provided they are so

located and conducted as to render the procedure reasonably likely to be

effective, even temporarily; for even temporary success will postpone

the appearance of the disease, if it appears at all, to a time when the

patients will be more likely to be able to have adequate medical and

nursing care.

2. The recommended measures for control, even if they do not accomplish

the desired end, should at least be instrumental in distributing the

epidemic over a longer period of time, which in itself is highly

desirable.

3. The statistics of the disease and the keeping of proper records are

extremely important. The lack of knowledge regarding innumerable factors

in reference to the disease makes all the more desirable complete case

records, etc.

4. The committee wishes to emphasize the need for the complete

statistical study of the collected data on the mortality, morbidity,

case fatality, duration, economic aspects, and therapeutics of the

disease. Through the collection of the facts in a uniform manner, and

through the analysis of such tabulated data, especially mathematical

graduation, and testing and study of the figures, important

contributions to the natural history and typical characters of the

disease may be expected. General principles as to the etiology, fatality

and practical management of influenza may follow from the extensive

survey of the epidemic in the statistical laboratory as well as from the

intensive bedside observation of single cases of the disease.

5. The measures recommended are calculated to be effective in the

promotion of respiratory hygiene in general and particularly in the

control of pneumonia and other respiratory infections.

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