IV

The best means of preventing the spread of the communicable diseases is

perfect and instant isolation of the affected, and removal and thorough

purifying of all clothing and bedding with which the affected have come

in contact. It is a vulgar error to suppose that every child must

necessarily suffer from the contagious maladies, and that the risk of

exposure to infection is, therefore, of little moment. The chance of

infection lessens with advance of life, and that person is strongest who

has never passed through a contagious malady. Against small-pox

vaccination is the grand safeguard, but even vaccination ought never to

prevent the isolation of those who suffer from small-pox.

V

The mortality from the uncontrollable causes of disease amongst persons

of advanced life is best prevented by providing against sudden

vicissitudes of heat and cold. The primary care is to guard against

sudden change of vascular tension from exposure to heat when the

blood-vessels are weakened by cold. Such exposure is the cause of nearly

all the congestions which occur during winter, and which carry off the

enfeebled. The sound practice is to maintain the body, at all hours and

seasons, but especially during the hours of sleep, at an equable

temperature. The temperature of 60° Fah. may be considered a safe

standard.

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