Chapter III: Protecting Our Friends

If you knew that some of your little friends were sick with an infectious disease like measles or scarlet fever, of course you would keep away from them, so as to avoid catching the disease. And if they knew that they had a disease that was infectious, of course they would want to let all their friends know of it, so as to prevent them from coming and catching it. But how can they let all their friends know? Sick people don't feel like writing letters; and, even if they did, some diseases can be carried in letters. So that might not be at all a friendly thing to do.

This has always been the greatest difficulty in preventing the spread of infectious diseases--how to let other people know. So about fifty or sixty years ago, people got together and decided that the best thing to do was to appoint an officer known as a _Health Officer_, or a committee known as a _Board of Health_, in each town and in each county, whose business it should be to find out cases of infectious disease, and to warn other people against them.

These officers first ask all the doctors in the town to report to this Central Health Office, or Board of Health, every case of a patient with an infectious disease. Then, when the case has been reported, that office sends some one with a card on which the name of the disease is printed in large letters, and he tacks the card upon the front of the house or upon the fence around the lot, so that everyone who goes near the house may know that there is danger, and keep away from it. Then, sometimes, a messenger from the Board of Health goes into the house and talks to the family, and tells them how they can keep the patient in a room by himself, so as to prevent the rest of the family from catching the disease; and how they can best take care of the patient, and keep from carrying the infection through clothing or food or anything else.

Then, because anyone who has been sick with an infectious disease will still be shedding the germs of the disease and spitting or coughing, not only as long as he is sick, but for two or three weeks after he is beginning to feel better, the messenger will tell the family that the patient must stay either in his own room or within his own house or yard, for so many days or weeks. This is called keeping _quarantine_. The word comes from the Italian word _quaranta_, "forty"; because in the early days when the practice was first begun, the patients used to be kept by themselves in this way for forty days. While sometimes this is very inconvenient and hard and troublesome, it is really the only safe way of stopping the spread of these diseases; and I am sure anyone of you would be willing to take this extra trouble sooner than let any of your friends catch a disease from you, and perhaps die of it. Quarantine is also the best and safest thing for the patient, because it keeps him quiet and at rest until he has completely recovered, and until all danger that the poison of the disease will attack his lungs or heart or kidneys is over.

In some of the best schools now there is an examination of all the children every morning, by a visiting doctor sent by the Board of Health. If the doctor finds any child that has red and watery eyes, or is running at the nose, or sneezing, or coughing, or has a sore throat, he usually sends him home at once, so that the other children will not catch the infection. The school doctor is not thinking only about what seems to be a cold, although, as you know, it is very important that anyone with a cold should take good care of himself and should not let others catch it from him. The doctor sends the child home because this is just the way in which several other infectious diseases may begin--_measles_, _scarlet fever_, _chicken pox_, _whooping cough_, and _diphtheria_. For most infectious diseases, as you will remember, are caught from germs floating in the air and breathed into the nose and throat.

The Board of Health takes care of the public in many ways besides these. It keeps a very careful watch upon the water supply of the town, or city, so as to keep the houses and factories from running their drainage, or _sewage_, into it; for this, as you already know, might cause the spread of typhoid fever and of other diseases of the bowels and stomach.

The Board of Health sends men to examine, or inspect, the milk the dairymen bring, to see that it is sweet and pure, and that there are no infectious germs in it. And it sends men out into the country to examine the dairy farms and see that the cows are properly fed, and that the barns in which they are milked are kept clean; and that the water in which the milk pans and bottles are washed comes from clean, pure wells or springs.

Clean barns, cows, pails, and milkers mean clean milk. The cows
here stand in fresh, clean sawdust.]

Another thing that the Board of Health does is to send an inspector round to look very carefully at all the meat that is sold in the butcher shops, and at all the fruits and vegetables at the grocers'. If he finds any meat that is diseased or tainted or bad, or any fruit or vegetables that are beginning to spoil, or any flour, sugar, or canned goods that have been mixed with cheaper stuffs that are not good to eat,--in fact, are what the law calls _adulterated_,--he may seize the bad and dangerous foods and destroy them, and summon to court the dealers who are trying to sell them. Then the dealers are fined or perhaps sent to prison.

So, you see, the Board of Health is one of the very best friends that you have, trying to keep your food pure and good, the water that you drink clean and wholesome, and the milk sweet and free from dirt or disease germs. You ought to help these officers and their inspectors in every way that you can. I know that it is sometimes troublesome to obey all their rules; and perhaps when you don't know what the dangers are which they are trying to guard you against, it seems to you that they are too particular about a great many things. But just see what they have done already to make our cities and houses healthier and pleasanter places to live in.

Only one hundred and fifty years ago, for instance, that terrible disease called _smallpox_ killed hundreds of thousands of people every year in Europe; and it attacked the eyes and blinded so many of those who recovered from it, that nearly half the poor blind people in the blind asylums had had their sight destroyed by it. In smallpox there is a terrible eruption, or breaking out, upon the skin, which is likely to leave it pitted and scarred; and even fifty years ago it was exceedingly common to see people who had been pitted by smallpox, or, as the expression was, "pock-marked."

Cows have a disease somewhat like this, but much less dangerous, called cow-pox. Years ago, before dairies were inspected as they are now, dairy maids often caught this disease from the cows they milked, so that their hands would break out with pock-marks.

About a hundred years ago, a Dr. Richard Jenner discovered that the dairy maids in the country district in which he lived, who had caught this mild infection from the cows they milked, never caught smallpox even when they were exposed to it. So after studying over the subject for some years, he took a little of the matter, or pus, from the eruption on the udder of a cow that had cow-pox, scratched the arm of a little patient of his, and rubbed some of the pus into it. Only a short time after, the family of this little boy was exposed to smallpox, and all the other children took it badly, but he escaped.

This was the beginning of what we call _vaccination_; and as soon as it was found that this scratching of the arm and putting a little of this _vaccine_ matter into it would cause only a few days of feverishness, and then after that give complete protection against smallpox, the Boards of Health all over the civilized world took it up and insisted upon everybody's being vaccinated when a baby.

As a result, smallpox has become one of the rarest, instead of the commonest, of our infectious diseases. Only a few dozen people die of it each year in Europe, instead of several hundred thousands; scarcely one one-hundredth of the people now in our blind asylums have been sent there by smallpox, and I dare say that many of you have never even seen a pock-marked person.

Another disease that used to be very dangerous to little children is _diphtheria_. It was not only very infectious, but very deadly; and nearly half of the children who took it died of it, and the doctors didn't know anything that would cure it. About twenty years ago, two great scientists, one a Frenchman named Roux--a student of the great Professor Louis Pasteur, of whom I am sure you have heard--and the other, a German, named Behring, discovered an _antitoxin_ for diphtheria; that is, something to defeat the poison of the diphtheria germ. When this antitoxin is injected into the blood, it will cure diphtheria.

The doctors and the Boards of Health took this up too, and insisted upon its being used in all cases; with the result that where the antitoxin is used early, scarcely one in twenty of the patients dies, instead of eight or ten out of twenty, as before.

You know how careful we are all trying to be not to let consumption spread. By insisting that all houses shall be built so as to give plenty of light and fresh air to everyone; and by forbidding spitting upon the streets; and by insisting that food to be sold, especially milk, shall be clean,--by preventing the spread of the disease in every way, our Boards of Health have cut down the number of deaths from this disease nearly one half; and people in the United States, for instance, or in England, where these health laws are enforced, live now almost exactly twice as long on the average as they did one hundred years ago, or as they do now in India and in Turkey, for instance, where the people are ignorant and dirty and careless.

So you see that even if some of the health regulations do seem rather troublesome and fussy, it is well worth while to try to follow them and help the health inspectors in every way. Even little children can help very much in keeping the houses and the cities in which they live clean and healthful and beautiful.

WORK AND PLAY