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122
MEASURES TO BE ADOPTED TO PREVENT THE
SPREAD OF TYPHOID OR ENTERIC FEVER.
1. During prevalence of typhoid or enteric fever regard should
be paid to the various causes above enumerated capable of spreading
the disease. Water and milk should be boiled before use. Shell.fish
for raw consumption should either be avoided or the source known to
be free from pollution. Other fish should be thoroughly cooked
before consumption. Watercress and similar vegetables eaten raw
should previously be most thoroughly washed or avoided.
2. No disease requires more careful and skilled nursing and
attention than typhoid or enteric fever. The untrained nurse is
likely not only to bring disaster to the patient, but also to spread the
disease to herself and others, so that, unless ample accommodation
and skilled nurses are provided, with medical attendance, it is wise
in the interests of all to have the patient removed to a fever hospital,
where his chances of recovery will be much improved.
3. If a case is treated at home, the patient should take to his bed
at the earliest possible date, and should be kept in a well.ventilated
room, free from draughts, apart from the rest of the family,
preferably at the top of the house, from which all unnecessary
clothings, hangings, carpets, &c., have been removed. A sheet
moistened with a solution of carbolic acid should be hung over the
door to the room.
4. All excretions from the patient should be received in a suitable
pan in which is placed a sufficient quantity of strong solution of
carbolic acid (four tablespoonfuls to a pint of water).
5. All washable clothing, bedding and towels should, before
removal from the sick room be placed in a receptacle containing a
solution of carbolic acid (two tablespoonfuls to one pint of water).
Cups, saucers, spoons, &c., should be scalded before being used by
others. No food taken out of the sick room should be consumed
by others.