A manual of practical hygiene, for students, physicians, and medical officers / by Charles Harrington.

  • Harrington, Charles, 1856-1908.
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: A manual of practical hygiene, for students, physicians, and medical officers / by Charles Harrington. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    non-immunes should be detained, unless more than twenty days have already elapsed since clearing. This period will be sufficient to demon- strate the presence of infection in the mosquitoes, by the occurrence of cases during the voyage. If more than twenty days have elapsed, there ■can be no danger, and neither passengers nor cargo should be detained. Since the publication of Reed's results and views, many cases have been cited in the medical press in opposition to the view that the dis- ease cannot be spread by baggage, fomites, and cargoes, but in no instance which has thus far fallen under the author's observation can the mosquito be ignored. Indeed, in many of the cases, the disease has broken out, after an uneventful voyage and the formalities of quarantine, in places where the specific yellow fever mosquito is known to be indigenous. In some cases, mention is made of the fact that, in -spite of the.very numerous mosquitoes present where a case of the dis- ease has been brought, no extension of the fever has been produced; but it is not stated that the mosquitoes were Stegomyia fasdata, which is a \atal point in the argument. In view of the probable extensive changes in the rules, it is deemed I)est not to reproduce here existing rules in extenso, but advise one to apply, as occasion arises, to the Treasmy Department for a printed copy thereof. As they stand at present, the regulations prescribe forms for bills of health, methods of inspection of passengers, crew, baggage, cargo, food and water supplies, and of the vessel itself; requirements as to cleanliness of vessels, and as to ventilation; methods of dis]30sal of bedding ; location and arrangement of the sick bay ; what may not be taken on board at ports infected with certain diseases; what must be disinfected, and how; what persons may not be shipped, and periods of detention according to the nature of the disease to which they have been exposed; and general and particular rules to apply in certain cases. The regulations prescribe, also, requirements as to clean- liness and ventilation at sea; isolation of the sick; disinfection and disposal of the dead; and give in detail the methods to be followed in disinfection of all parts of a ship, of various kinds of cargoes, and of personal effects. The regulations to be observed at ports and on the frontiers of the United States provide for the establishment of quarantine stations at or convenient to the principal ports of the country, and prescribe methods of inspection according to the circumstances of each case, as, for instance, for vessels from healthy or infected ports, and for vessels suspected of being infected with plague or yellow fever. Quaran- tinable diseases are named as follows : cholera and cholerine, yellow fever, smallpox, typhus, leprosy, and plague; and rules are laid doM^n for the government of vessels on which any of these diseases have occurred during the voyage, and for the treatment and detention of passengers, crew, baggage, and cargo. Following the passage of the quarantine law of 1893 and the promulgation of the regulations made in accordance therewith, at 47