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(iii) Disinfection of throat discharges, faeces and
soiled articles is carried out in hospital.
(iv) Quarantine is of unproved value. While quarantine
of family contacts is theoretically worthwhile
there is no evidence of nractical benefit because
of the large number of unrecognised infections in
the community,
(v) Investigation There is a thorough search for
sick oersons, especially children, to locate
unrecognised and unreported cases
(vi) Treatment There is no specific treatment other
than attention to prevention and management of
paralysis,
EPIDEMIC MEASURES.
(i) Notice to general practitioners of increased
incidence of the disease
(ii) Isolation in bed of all children with fever, pend
ing diagnosis,
(iii) Education of the public in personal hygiene in
order to prevent spread of the disease through
transmission of infectious discharges
(iv) Protection of children so far as practicable
against unnecessary close contact with other per
sons especially with other family groups or outsiders
during epidemic prevalence of the disease.
Urban schools should not be closed or opening
delayed but intensive or competitive athletic
programmes should be postponed
(v) Postponement of nose or throat operations where
practicable.
(vi) Avoidance by children of excessive physical strain,
(vii) Postponement of inoculation against diphtheria,
whooping cough, etc,
(viii) Avoidance of unnecessary travel and visiting
VACCINATION AGAINST POLIOMYELITIS,
In May vaccination against Poliomyelitis was begun.
For some time previously Salk vaccine had been used in
America and over 11,000,000 children were vaccinated.
When the vaccine was first introduced in the United States
some children suffered ill effects but the cause of this
was found and rectified.