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D Coloured covers / Couverture de couleur I I Covers damaged / Couverture endommag^e □ Covers restored and/or laminated / Couverture restaur^e et/ou peliicui^e Cover title missing / Le titre de couverture manque I I Coloured maps / Carles g^ographiques en couleur □ Coloured Ink (i.e. other than blue or black) / Encre de couleur (i.e. autre que bleue ou noire) □ Coloured plates and/or illustrations / Planches et/uu illustrations en couleur Bound with other material / Reli^ avep d'autres documents Only edition available / Seule Edition disponible Tight binding may cause shadows or distortion along intericr margin / La reliure serr6e peut causer de I'ombre ou de la distorsion le long de la marge int^rieure. Blank leaves added during restorations may appear within the text. 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This item is filmed at the reduction ratio checked below / Ce document est filme au laux de reduction indique ci-dessous. 10x 14x 18x 22x 26x 30x 1 1 y 12x 16x 20x 24 x 28x 32x ■ 'ii^'-,. '->^^ym^n^:kj:M ■i^^i^'^^^'ss^m ^^SS7^^^3^r^r •.V • ' .""ft :"ii^ii^.'A^^«fi4a^^:^i«is;sM^ :4(:/:i.^ The copy filmed h«r« has b—n r*produc»d thanki to th« gancrotity of: Special Collections, D.B. Moldon Library, Unlvorslty of Vostorn Ontario Th« imagM appaaring hara ara tita bast quality possibia considaring tha condition and lagibiiity of tha original copy and in kaaping with tha filming contract spacificationa. Original copias in printad papar covart ara fllmad beginning with tha front covar and anding on tha last paga with a printad or illuatratad impraa- sion, or tha back covar whan appropriate. All othar original copiaa ara filmed beginning on the first page with a printad or illustrated imprea- sion, and anding on the last paga with a printed or illustrated impression. 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Lea exemplairee originaux dont la couverture en pepier est ImprimAe sont filmAs en commancant par la premier plat at en terminant soit par la derniAre page qui compone une emprsinta d'imprassion ou d'illustration. soit par la second plat, salon le cas. Tous les autras axemplaires originaux sont filmAs an commandant par la pramiAre pege qui comporte une empreinte d'impression ou d'illustration at en terminant par la derniAre pege qui comporte une telle empreinte. Un das symboles suivants apparaitra sur la derniAre image de cheque microfiche, salon le cas: le symbole >«• signifie "A SUIVRE", le symbols V signifie "FIN". Les cartas, planches, tableaux, etc.. pauvent Atre filmAs A das taux de rAduction diffArants. Lorsque le document est trop grand pour Atre reproduit en un seul clichA, il est filmA A partir de I'angia supArieur gauche, de gauche A droits. et de haut en bas, an pranant la nombre d'imagea nAcassaire. Les diagrammes suivants illustrent la mAthode. 1 i 1 2 3 1 2 3 4 5 6 «IC»OC<»V IISOIUTION TI$T CNAIT (ANSI ond ISO TfSI CHART No 2i /|IPPLIED IIVMGE Ir 'Bbl t(i,' Ma,., ,..,,1 ('16] «8.' 0300 - Phone (716) ^8B - ^989 f.i. THE NEW PUBUC HEALTH The CoochitNM of the Whole Matter M. " U Hii I, M |{ M I, I, |, ,, I ONIKtN, ONI AKin, CAS.u.A Hcprmtcd from THE JOURNAL-LANCET Marrli I, l'>n l,'''*'i» ins reprint nf the eliv,.nth .n.i .. _ t . "f eleven arlKleMhat h.ve a,, eHr«rrnTh^'' "■''"'',''■'•''•■'■ '" « »'•■••'■'■ "U .je.t „f -The New INll. ic Heahh I''//''"'^n«l-I^ncet .l,«,n the print and nf the entire «'r ,4 may lie h«,. """"' '■'",*'-" "' »'"" "•- Ml..ne..,t«StateB.«„i.,rHeali, St n" l"""" ''""""""•'n in the nri-; mu iimik hi.ai m KI.KVKNTH ANlMONl,..vcMi.vcv.lol,MilK. ur. pr,;::;r;:'-r!;-,,;:;;'u'-,;^ 1 ir.l. HT.-,i,-,. ,1k. „,.„„;,, „!,„ , 'InVr, j f :;::;:\;" ''^^ ■[■•""I'' - * I:.;; li '■:;'';,:'■■::.;,,,'■' ' "••..' !-■.«•,„ the ,|uc-,i I,.„|,„.,,,„„|. """■''-'■■'"-■«>■""-".■ "..t.,.,|>,,|, ,■,,,,, .%t— ■'«'^ irn.i. .lirl ..r .Uo.miH.MtiM.t. l...t arv -U- .•ll•l.tnt' .,|■ tlu-ir (..rclallurs. vvl:.ri -l-.l ll.f lir>t -lis.a^c ucrm cnim- from ... \Vi- ,|o not know Wlurc .li.l llu- li. i «lu:«t ,„„,.• trom- Or ilK hr-l Iw- m- ' W. know (lut we .an kH no whrat h..;. . .^..i.l fron. wluat. nor hor'.*-* cxirpi t'oni Iioim-> 1 lu-^o U'T"" •'•^^• nlanl> or anunalv fNa.tU a> wli.-al or lior>is arc ll.al llu-v arc Inu no more .1. .nyi- llu^ lavN ..t .IcMcnt than -U- tl^r n.o.n.o.o >uc "'/' «";'^*' ,.rof a rc.lwoo.l tree -Ml lil«' tn-n. I.to Iw-M' trm- m tiature tl.roll^;l. Hu- ul.ole Male Irom .-erm to In.man U-m^s lU-i-U-. mukr tj.c mi- .roseope. we scr llu- i:.-rm> ".lescen-liM^ trom their forefathers J If .lirt .loes n..t hree.l .h-ea^e. then wli> are .lirlv people more vuhjeit to .li»ea-.e • Dirty' people are no m..re suhjeit to .h^ea^c than clean. Itvfection, if it reaehe- either, mas Mel.l .li>ease in either: if it reaches neither, neither will sutler If an mfectious .hscase en^ tcrs a househol.l, the .lirtiest lu-ople will u-l ,prea.l it. .lesp.te their -lirtv hahits. ./ thcyovo.d the one spcnUc -dirf (the .lischar^es of the pa- tient) which alone is liarmfnl . the cleanest peo- ple will not fail to catch it if. m their general eleanlines.. thev neglect that ^ame specific •.Int True, .hrt an.l carelessness an-l .lisor.lcr otter v.me indication whether or not tlie people who .how these characteristics woul.l have the sense. nr take the tronhle. to avoi.l the one .lanwerous Min" shnnl.l it appear. On tlie other han-l. cleanliness, thrift, an.l -s -Icm m.licatc character- likelv 'o handle infectious -.lirt" with the same .are thev sh..w in .-ther matters, llm the (hr- „est pci'le svho make the pr-.per etT..rts to avo,.l infection can an.l .lo mans times escape, remain "« ■— I'ru ... tlu^ ,.U,,M , I,,, „.,, ,. .■■rJ:'';:.;.,:;;;::,^"' ""••—.•..., Stl|(|HK,. ;| ,•,.,)/,•, ,„|„. . |,.,| ,„ .1 I , I'M" I" U.IKllli' 111 \,,||r )■ ■• m;u;;,.,-' :,':::, ,;■:,;;■,"« -p ---i-utr ;i^:''i::*;,^^'Vt--'-■•-'i• ^^i" '".( nuke ..... I . r „ '"''''"^'''''s' 'U^vasv "-^ .-iKToiiy n,f,,-,i„„, ,,i.,,,„, ;;;;. ''•" I nis |^ a fall.uv so w icIi.M,r.-i,i .1,^. 1,.,, tlu.r .li.l.lrin lu-l I....I «!•'• 'I>'«^'«««^ \>eU^tt U the Ira.l.iim '^ '«■•« kJ'-"! «•»•'"«•' <"' pf^^-''^'^' a,.,,lu.ili..ii t.. pluMCm. .lul.lf.t.. .t .^ i...t k"«"l tii..in'li l.>r puhlu- heahli N..ti M-r. i-v.r\..MC knnvs » ilui ■ Inl.lr.n «ti'- time, aii.l llii^ wuhMUt nuar-l «" «ht«luT tlu\ in- rohiiM "r «ukU, hraUhv -r wcik Ivcrv niu- knuwv t.«.. llKit .Inl.lr.... lualiln ..r M.kls «li,, hav.' i>"l ^«l lii"l nuM-1.-. .ilm'.^i m^anahlv ,alili II i< tlu\ ar.> fxiH.M-.l IVartu all\ . llu- Haiiu- I- tru.' ..I Marli-t lV\.r. iniimpv wlto..|.mi; o.uuli, MiulljH'N. >l.l.k.■n|H.^. tt. Il I- <•"! -" urn- Ml tiiUriUln,i>. .tiplillu-tia, ..r Ix|.1.mi,I, miui- (hoM- wlu. liavf lia.l .liphtluria or tspl.oi.l -.r Hi Ikt.u1um« max ^^.•t it ai;ain , .hli-.tiu'li ai;am wUli ntH nyanl to \\lut»ur tlu-v .>rv lusiltlu ..r M.klx III iiu-alcs aii.l tl.f -ilur .l.^ca^o likt- it. ).«t .Mil, ,v|N,M-.l ^^h., .1.. 11..1 ...ntra.i tin- .lis.-aM-, i-Mai-f, iiMt frniii i; I liiallli. I.ut HHt licaiiM' iliiN lia\f vMtliiii tlu'ir 1hm1u-> a .iriam aiiti.l..H. I,, ilu. pariiiiilat |».iM,ii ..1 that partuiilar -li^ ,.aM- \mnw can l.n.v.- thi- I- hiniM-lf. H !•»• uill iliiiik a iii.imiu It Ui'iuTal i;'hmI lii-aUli uin- a pr.>t.vti.iit auain-t all llu- r -hMa-i-^. a diil.l wli'. iMiil.l tiMt lat.li nuasii-H. I'r.nnu- pro t,ul.;l hv his ;■.•»!.•-.»/ .0""' '"•""'' '""''' ""' ''=''''' >.arlit livtr. .itluT. for the >aiiii' yitural lualtli wuiil.l ^aM' iimi irniii ihnii all. Ihit cM-r\nm kllu^v^ that Ilu- ihtl'l «li" laiiiiot latdi iiifa>K- .Ui:ui>c ho l''^ I'i"! '" '""^' neviTthclo- W ^nanlf.l In .111 M-arU-t iVvor, iiiik-- ho has ha.l that 1<.M 111 Iniol. an attark <>\ iIum' .li>oa>o> yivi-> ill lu—t iKT^Miiv an miimiiiH^ that iv an ;,„n.|,,i.' I- t..rnio.l. vsliuli thni pn.tf.t. thoni ,,.,ni haxiii^; it ai;ain, Ihit llun- i> a .htlrn-nt ,,„t,.lol,- i<'V oa.h .liM-a-r. llaMiii; ha'l moa>K ,(WJ!!!V*'.J]J5r'r^^i? '•• 'I'l-l.tluT... .-,„ ;,a„.|..,, ,. f..,„u-.l, hut .,f,n. l^"..u .u„l H.- l....rMH„ „..„.. „,• ,1... an..,!.,,.. N-'N^, no ..„.• .Ircun. ,lui .lu- .,„n.i.„.. ,.,r ••"<• ••^'.•I.< l.v M.tr..n„, an attack ,>.„„, |." .■.<.a>I,. ,..„, ,V„r .,.„ ,„,.,„^. ^ ' V; ••"""■ •"""'•r'"^'^' I.-rchkJ ••»<->l,..I.Iaa...faMa,,a..k,,Mnall,.,v,..a„,., ;'^^;; r''i:'«i'"--i"uau„,„u.a„' r,-.,,," •"'•'• ^-' "■•' l-«" a.aMM a.u „f .h'c .l>can-s. taken ,„../.v-..M, ..n •«;..., h..ahh" protect aua.ns, „// .„■ „„•„, tak.„ tc^Tctlu-r - .•II haM-d. iK.wfMT. (.11 lu,, n,c fir.t of ,lu.M. ,s ,|,a, „„\.rt,o„. ,|.M-a.es ;'"H' frnn, ••«.„,ral |,a,| snr,.,.„„|,„^,. •■ ,-, . •n..h . tlH. o.nu- ..K.|v ,V,.n. .,,-,.un «.. .r..w,n,. n, tiu. I.,.|.. an.l pra.tualK th. onK • o, l.a.i M.rr,.„„,|„„.- ,,,„,,, ^,„„,. ; ''■' or with Its .Ii>chari,'t.< 11,0 si-om.l ^;r.•al l.aMc fallao is ,hi. ti,., ^^"-.1 .oo., ,u.altir pro...,. a.a,n,t n.f^-t ' •.«....•« KcTn.s ue know are. (ir,. an.l hest to '^^'■'"'"•"'"•"••'"'^■•-Iv.an.l, Mvon.l. tohave •'"*'./'ifflft?jK^ ' v^'j'Wiwiri witliiu the iHMly till' .«/><•<((;/ antidote for eaili particular ut-rm. 'Ac vaccinate ajjaiunt small- pox. l)iit that does not save us from typhoid fever. We vaccinate against tvphoid fever, but tliat tloes not save us from sma;iiK)X. If we could vaccinate against every disease (as per- Iiaps some day we shall l>e able to) we wouKl be safe, despite the jjerms. at least while tlie protection lasted, and aft<'r that we could vac- cinate a^ain. i'.ut how much l)etter to avoid the jjerms wliich n cans avoidinj; the persons in whom they are: ai.d then we would never need any sort of vac- cination ! Surely, the tiling; to do f r one's own sake, and still more for the sake oi our asscK-iates, is to fuid the infected persons, or animals, thai alone can cause disease in the true sense, and keep them so protected while tlie dauRer lasts that ihey will do no harm. TIk i. when tlieir stock of ^erms is dead and done with, remove all the r'.'strictions. ^■ou will say that that i>- only old-fashioned (|Uarantine. It is, in princii)ie. but modern prac- tice chan>;es it so completely that, practically speaking, new-fashioned (|uarantine differs from old as much as motor cars differ from camels. In the iirst t)lace. o'd-fashioned (luarantine did not pick out all (ian}^i'rous t>crsons. but took the sick who form but part of the infected, and also took the well who were found with the sick, inchnliufj thus some who were not infected, and kei)t all these i)ractically in prison, in their homes, or ships, or wherever else they were staying. Thus, not alone were many infected persons overlooked and many uninfected persons wrong- ly held, but also the disease s|)read oftentimes tho.c.nUrte,l who vu-r. i„,he„c, to.hc >•" ..fcctcl who were- kc,.t i„ with ,hc„,, so ,hat "l.l-fash.o„e,| ,|uara„ti,u. wh-U- it protcctcl the 7;"""""".v '"'t partiallv. „u,.„t often ,x.ver ^.- se. an,l death ,o those caught i„ L ,oi k •\.. «o,Hler the ver> name of quarantine makes "laiiy people shu,|,lcr. ^^ New-fashioned ciuarantine i. not a hianket me hod hlnnderin,ly catchin, in its hiilu oh ;^r.p K.th M.k and well, th harmless an,! the arm ul. „,d,scriminately. Xew-fashioned qua ! • '-"e requ.res defin.te lin.l and unjust as <|naraTitiiic itself, liiit nuasurc it wlinlly In the length of time tlie K'erms remain in the IkxIn . The moment that the Ki-riii'- liave left that person, he is no longer harmful and lie should he freed. I'o do this properly means intimate attention and supervision of infectious persons by men who know their Inisiness and do nothing else, if ,me sucli man to every JO.OOO persons began, tomorrow, everywhere, his work, infectious diseases in ten years, would have vanished and Iiecome mere historv. SIMMAKV. This, then, is the conclusion. The old iileas have passed: the new are no longer theories but facts; the methods they require are not untried; thev have been practiced for years in Minnesota. The details are worked out, the rield is ready, the scope and cost are known. .Ml hat remains is to apply the methods developed m this state to all infections, thus wiping them all out. once and for all. The way is dear, what remains is to follow it; the method is known, what remains is to carry it out; the thing we, as a race have hol)ed and desired and prayed for, for centuries l)ast. can be done; all that remains is to do it. F.ach get-.eration of Minnesotans pays now for infectious disease two hundred million dollars and has the liiscusc^. too! Why not pay one- tenth this sum and rid ourselves of all of them forever? 10 ^;sania^Bii^ *► .'JIM g^gaBr3!aii^gw w gM ig wEW^B^MB'sa«Kwy/«gaaiii r- nm f%*i^K»r: >^r«7viri^a»!4»i^ynia