School hygiene / by Robert A. Lyster.
- Robert Arthur Lyster
- Date:
- W.B. Clive, University Tutorial Press,
Licence: In copyright
Credit: School hygiene / by Robert A. Lyster. Source: Wellcome Collection.
Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.
354/392 (page 342)
![EPIDEMIC DISEASES, spivads to t]i(>, l)()(ly, wliore the rasli is often like tliat of scarkit tuver, l)ut is more patcliy. Tlie ^^laiids at the ])ack of the neck, in the armpit, and in the ^i-oin are enlar<jfed, tender, and hard like peas. The disease itself is very mild, but it may be the forerunner of tuberculous infection of the glands. WHOOPING COUGH. People at any age may be attacked by this disease, though it is commoner and more fatal among infants than among older children and adults. Its incubation period is about eight days. It is highly infectious before the cough appears, and the infectiousness may continue for months. Although regarded by the average parent as a trivial complaint, yet it is actually the most fatal of all the infectious complaints of children under five years old. It causes twice as many deaths as scarlet fever. The preliminary symptoms are those of a cold, viz. sneezing, rimning nose, watering eyes, and slight cough. These may persist for one or two weeks, during which time the infection is being spread broadcast if the child attends school. This is yet another reason why all children showing signs of a cold should in every instance and under all circumstances be excluded from school. By making this a routine practice it is impossible to exaggerate the important effects that wovild be achieved. Epidemics would be prevented in many instances, and a great number of fatalities avoided. The rule should be most rigidly observed in infants' schools. The actual attack of typical whooping cough is unmis- takable and painfully noticeable. A child who has had several attacks of the typical fits of coughing knows when one is coming on, and often appears frightened and begins to cry. A rapid series of short coughs are given until the](https://iiif.wellcomecollection.org/image/b21359477_0354.jp2/full/800%2C/0/default.jpg)