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that a generation of medical men has grown up who had never seen a case of the disease, and most of whom had had little or no college training on the subject. Then, too, the disease has been so mild in form, and has caused such a low percentage of mortality, as to subject physicians who made mistakes in diagnosis to little risk of criticism. This induced many who admitted that they had had no experience with smallpox to even dispute the opinion of experts and sometimes to encourage their credulous followers to conceal cases, and otherwise hinder the work of stamping it out.
Ordinarily there might be difficulty in making a diagnosis during the first days of the eruption, but when smallpox is epidemic all over the country, and all have reason to be on the lookout for cases, or even suspicious symptoms, there is no excuse for physicians who fail to recognize it. Excluding chickenpox, which is essentially a disease of childhood, it does not look like anything else. The pain in the back, the hard shot-like papules, appearing first in the edge of the hair on the forehead, and then on the wrists, and all of the time more abundant on the face and other exposed portions of the body, the disappearance of the fever when the process of eruption is complete, and the regularity of the successive stages of the eruption, all make a picture never forgotten by one who has carefully studied the various steps of its completion. We desire to emphasize the fact that adults almost never have chickenpox, and that when grown people have an eruptive contagious disease, under present conditions, they should be isolated until some competent authority has decided that it is not smallpox. It should also be constantly borne in mind that there are no such diseases as "Elephant itch," "African itch," "Army itch," or "Cuban itch," and that in all of the many instances investigated by our experts, where the disease was ignorantly reported under these and other similar misleading names, they were found to be cases of genuine and unmistakable smallpox.
As an aid to the inexperienced in the early recognition of cases
RULES OF THE STATE BOARD OF HEALTH CONCERNING VACCINATION.
Rule 25. Every child shall be vaccinated before it becomes six months old, and this Board recommends that all persons be revaccinated as often as once in five years.
Rule 26. All incorporated corporations or companies within the jurisdiction of this Board shall cause each new employe to be vaccinated on entrance, unless proof is furnished of recent successful vaccination.
Rule 27. No person shall become a member of any public school within the jurisdiction of this Board, as teacher or scholar, without furnishing a certificate from some reputable physician that he or she has been successfully vaccinated.