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ARTICLES ON YELLOW FEVER:

ITS NATURE, DIAGNOSIS, TREATMENT, AND PROPHYLAXIS, AND QUARANTINE

REGULATIONS RELATING THERETO.

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YELLOW FEVER, ITS NATURE, DIAGNOSIS, TREATMENT, AND PROPHYLAXIS, AND QUARANTINE REGULATIONS RELATING THERETO.

The following articles and letter of transmittal were published and transmitted in book form to quarantine and health officers, and others:

LETTER OF TRANSMITTAL.

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL,

MARINE HOSPITAL SERVICE,

Washington, D.O., June 15, 1898. To the Honorable

The SECRETARY OF THE TREASURY. SIR: I transmit herewith, arranged for publication with your approval, a number of articles by officers of the Marine Hospital Service relating to yellow fever.

These articles have been prepared by my direction by the officers of the service, whose valuable work in connection with yellow-fever epidemics has made them particularly well qualified for conveying the information heroin contained.

No similar work has ever been published, and while it is to be hoped that with the advancement of scientific medicine a positive knowledge of the true nature of yellow fever will before long be acquired, and that the measures for its prevention will be more accurate and certain through this acquired knowledge, yet the information herein given is at the present time pertinent and necessary.

It is proposed to transmit this volume not only to the medical officers of the Marine Hospital Service, but to State and local quarantine officers and to others to whom a plain statement of the method of diag. nosis of yellow fever, its treatment, and the measures for the preven. tion of its introduction into the United States, and for its suppression when it has passed the boundaries of this country, will be of immediate value. I have the honor to remain, respectfully, yours,

WALTER WYMAN,
Supervising Surgeon-General, Marine-Hospital Serrice.
Approved :
L. J. GAGE,
Secretary.

CIRCULAR LETTER ON DIAGNOSIS OF YELLOW FEVER ADDRESSED

TO CERTAIN PHYSICIANS ON THE GULF COAST.

By Surg. R. D. MURRAY,

MOBILE, ALA., May 28, 1898. DEAR DOCTOR: I have prepared a short letter on the importance of early diaguosis of cases of yellow fever, which I have arranged to send to every physician on the coast. As you are associated with me officially I will repeat to you what I have written them and add some arguments to increase your usual interest and perhaps give you some extra aids in prompt diagnosis.

DISCOVERY OF FIRST CASES ENABLES SUPPRESSION OF

EPIDEMICS.

It is well known that first cases can be prevented from Spread of dis.

ease can be preconveying the disease. Every prevalence for years has vented. shown this, and the results of prompt and proper action at Perkinston, Miss., and Franklin, La., and in other towns during the past season should stimulate every physician to "catch on" to the first cases. A man is not a scoundrel because he suspects a case, nor a fiend because he finds a first case. But a doctor is culpable if he slurs over a case and hopes against his judgment in order to save his precious record with a vacillating public. I can not quite agree with Dr. Guiteras that we can inure our people to prompt announcements of suspicion and actual cases, but I know the people will fully trust us if our words and conduct are apparently in behalf of their final interest.

It is easy to call every illness “yellow" a month after other towns have quarantined, but it is not easy to decide on an individual case when no warning has been given and no source of infection is read about every morning.

10918- 19

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