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the mortality among civilized communities, when complications are included, is not so far enough removed as to be creditable. Legislative enact- ments obliging notification and quarantine have been introduced nearly everywhere, but they have been varying in degree and enforcement in differ- ent communities. In any event it does not seem that either notification or quarantine has been fda viagra hearing effective in reducing the incidence of measles. There has been found no constant relation be- tween legislation and the rise or fall of the epi- demics. As health officers begin to awake to this fact they relax the enforcement or even the re- quirements of the law, but until there is more uniformity in the health laws regarding this dis- ease no real judgment can be formed as to the value of notification and quarantine laws fda viagra hearing What is needed is rather more uniformity in the laws ;?r, n H m T . tiC enactmen ts. There viagra online ask must be a methods fashioned a «er the most accepted There is no doubt that prevention of measles in epidemic proportion., at least, lies in early a I the a mo r^/ iS ° lati0n - The Catarrhal -tai s the most contagious stage because it is then to be e^ r infeCti ° n " m ° St Hkely t0 occ - But ma£ i„ ^ 7?*' diagn ° sis ™ st * ln * e P racata rrhal and in the preemptive to handl ! ^^ ^ largG grou P s of ch i'dren to handle, and even in the home, the only reliable means of control lies in the routine taking o Tem- peratures, and the isolation of all children hav- ing temperatures above 99° F. When this pro- cedure was introduced among the detained chil- dren at Ellis Island the incidence of measles previously very large, immediately fell fda viagra hearing fda viagra hearing about one- half and has remained low ever since (Wilson Archives of Pediatrics, April, 1917.) It WO uld seem that an analogous procedure in schools or even in homes, accomplished through the coopera- tion of physicians, parents, and health officers would fda viagra hearing materially reduce the morbidity from measles in a given community. Every rise in temperature in a child should mean isolation as completely as if that child were in fact afflicted with an acute contagious disease. Where home isolation is not possible hospital isolation must be carried out in the interest of the community But here it must be admitted that the mortality from measles in hospitals is very high, higher even than in the homes, and no parent would be viagra online ask inclined to submit to this sacrifice in the interest of the community. This increase in the mortality the likelihood to cross infection, and to complica- tions is not inherent in hospital isolation, but is the result of the present faulty technique, faulty hospital construction, and careless attendants, as well as overcrowding and generally poor isolation facilities. Nevertheless, no matter how obtained^ isolation is the only remedy for the measles epi- demic. The cubicle system fda viagra hearing of hospital isolation is the goal to be aimed at. Each patient should be com- pletely walled off from the others, although the partitions can be made of glass to ameliorate some- what the lonesomeness of the patients. In some European hospitals they believe that if infection from the droplet can be avoided measles patients can be treated in the general ward with only a wire screen between patients to remind attend- ants that there is a contagious case included within the screen — in short, for psychological rea- sons. This principle seems to be a rather radical departure in the present stage of our knowledge of the disease. But with the cubicle system other cases may also be taken into the ward without danger of infection provided technique and at- tendants are good. fda viagra hearing In keeping with modern scientific aims for all disease conditions the aim in the prevention of measles would also be artificial immunization. The measles virus is contained in the blood at least twenty-four hours before the appearance of the exanthem and begins to fade about twenty- four hours thereafter. During this period mon- viagra online ask keys have been successfully inoculated. Yet the period during which the virus can be found is very short and thus far experiments leading toward immunization have not been successful; but those are being carried on and there is hope that their success will add another triumph to preventive medicine. THE HEALTH OF MUNITION WORKERS. One of the mistakes made in England early in the viagra online ask war was in fda viagra hearing relation to the feverish energy in muni- tion making. No effort was spared to produce a maximum output, and the ordinary laws of health for a time were disregarded. At many establish- ments work was continuous seven days in the week. This burning of the candle at both ends quickly resulted in a decline of output and fda viagra hearing a general dete- rioration of health, or rather the deterioration of health resulted in a decline of output. It became evident, as indeed it should have viagra online ask been evident from the first, that if the health of the workers were not guarded all resources could not be conserved, an es- sential point in the war of resources, and the high- est level of production in fda viagra hearing the factories could not be maintained for a protracted period of time. As Dr. J. W. Schereschewsky, Surgeon U. S. Public Health Service, writing in Public Health Re- ports, June 1, 1917, points out, it is entirely prac- ticable to keep the health of the workers at an efficient point, and thus avoid the difficulty in which England found herself, by taking steps looking to- ward (1) the prevention of occupational diseases and viagra online ask poisonings, (2) the sanitation of work places,