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11 10 which occurred from exposure of one of the soldiers who instituted to prevent the introduction or to limit the diffu- visited the infectious quarters of the Massachusetts regiment sion of either of those infections, and as a consequence, which we have mentioned. In this instance, the case of many lives were sacrificed, and the military effectiveness of scarlatina was removed a short distance from the lines of the regiment has thereby been nearly destroyed. the encampment the hour that the evidences of his disease In the month of December, 1862, a first-class new regi- appeared, and a rigid domestic quarantine of the sick man Scarlatina deci- ment arrived in New York, en route to the seat of war, from mates a new reg- and his clothing was established. His nurse was the only iment, and its lo- its rendezvous in Massachusetts. A case of scarlatina calizing condi- other victim of the infection. After a detention of a few tions nearly de- stroy the corps. appeared during the trip hither. The men were assigned weeks, when these four regiments were sent forward to the to close and insalubrious quarters in the lofts of a warehouse Ultimate results field, the one last mentioned had its full quota of men ; in these four reg- in this city. The cases of scarlatina continued to multiply iments. while the three others had only about two-thirds the number from day to day and from week to week, until nearly two of soldiers who, a few weeks previously, had gone into their hundred cases had occurred, and until one of the most pro- encampment in full health-except the single company in mising regiments ever organized had become so broken which the measles first appeared. 30 per cent. the strength of of down by this cause that the dead, together with discharged We might add other illustrative instances of the pernicious the command hopelessly lost invalids, amounted to an aggregate of nearly two full com- effects of the exanthematous contagions in camps, but they panies. This regiment left its pestiferous quarters in the would all tend merely to strengthen this cumulative testi- city, after a detention of about two months, with its military mony to the hygienic utility and military necessity of special Preventive san- effectiveness diminished, as estimated by its veteran colonel, restrictive measures for arresting and preventing the spread itary measures against exanthe- fully thirty per cent. upon its original strength of one thou- of this class of diseases. And what is true of exanthematous matous diseases necessary in the The localizing causes of the en- sand men. And it is worthy of mention here that the local contagions, is practically, though in a modified sense, true army. demic produced other diseases. conditions that had rendered scarlatina so fatally endemic, of other diseases that depend upon specific and infectious also prostrated the strength of every man, and induced poisons. The special sanitary measures, which such poisons various inflammatory and typhous maladies which broke require for their control, may all be comprised under the down the health and vigor of men who seldom had known simple rule that- Measles intro- duced into four sickness previously. The immediate sources of infectiors poisons should be A general rule In the autumn of 1862, four full regiments of nine months' to be observed in new regiments at properly isolated from uninfected persons, the localizing relarion to all in- the same en- campment. men were ordered to encamp, while waiting transportation, fections. conditions of their endemic prevalence should be removed, in the vicinity of the Bay of New York, upon a plain that and every circumstance that adds to their virrulence or tends Effectiveness of had already been much used as a camping ground. Measles domestic quar- to give them existence or activity, should be prevented or antine. had already appeared in one of the regiments, and soon the controlled by sanitary measures. infection had extended to the three other commands. In The statements and suggestions that follow in these pages Applications of one regiment only was the malady subjected to an effectual this rule. will present practical illustrations and specific applica- and rigidly enforced domestic quarantine. In that camp tions of this rule ; and the fact will constantly appear that the measles ceased with the occurrence of the second case. such hygienic measures against infectious poisons and their Neglect of such In the three other camps no such measures of personal iso- immediate causes, are also the most effective sanitary works measures result- ed in great losses. lation of the sick were adopted until upwards of three hun- for the general prevention of disease and the improvement dred cases of that disease had occurred. of health. Arrest of scar- In the camp mentioned, where measles was arrested, latina by means Regarding all cases of infection and contagion, whether of the same meas- the utility of effectual domestic isolation for arresting the ures that arrest- ed measles. spread of scarlatina had been tested in a case of that disease

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This item is an essay that provides advice regarding the control and prevention of infectious diseases in camps, transports, and hospitals. Diseases referred to include smallpox, measles, typhus fever, cholera, and yellow fever.

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    "ocrText": "11\n10\nwhich occurred from exposure of one of the soldiers who\ninstituted to prevent the introduction or to limit the diffu-\nvisited the infectious quarters of the Massachusetts regiment\nsion of either of those infections, and as a consequence,\nwhich we have mentioned. In this instance, the case of\nmany lives were sacrificed, and the military effectiveness of\nscarlatina was removed a short distance from the lines of\nthe regiment has thereby been nearly destroyed.\nthe encampment the hour that the evidences of his disease\nIn the month of December, 1862, a first-class new regi-\nappeared, and a rigid domestic quarantine of the sick man\nScarlatina deci-\nment arrived in New York, en route to the seat of war, from\nmates a new reg-\nand his clothing was established. His nurse was the only\niment, and its lo-\nits rendezvous in Massachusetts. A case of scarlatina\ncalizing condi-\nother victim of the infection. After a detention of a few\ntions nearly de-\nstroy the corps.\nappeared during the trip hither. The men were assigned\nweeks, when these four regiments were sent forward to the\nto close and insalubrious quarters in the lofts of a warehouse\nUltimate results\nfield, the one last mentioned had its full quota of men ;\nin these four reg-\nin this city. The cases of scarlatina continued to multiply\niments.\nwhile the three others had only about two-thirds the number\nfrom day to day and from week to week, until nearly two\nof soldiers who, a few weeks previously, had gone into their\nhundred cases had occurred, and until one of the most pro-\nencampment in full health-except the single company in\nmising regiments ever organized had become so broken\nwhich the measles first appeared.\n30 per cent.\nthe strength\nof of down by this cause that the dead, together with discharged\nWe might add other illustrative instances of the pernicious\nthe command\nhopelessly lost\ninvalids, amounted to an aggregate of nearly two full com-\neffects of the exanthematous contagions in camps, but they\npanies. This regiment left its pestiferous quarters in the\nwould all tend merely to strengthen this cumulative testi-\ncity, after a detention of about two months, with its military\nmony to the hygienic utility and military necessity of special\nPreventive san-\neffectiveness diminished, as estimated by its veteran colonel,\nrestrictive measures for arresting and preventing the spread\nitary measures\nagainst exanthe-\nfully thirty per cent. upon its original strength of one thou-\nof this class of diseases. And what is true of exanthematous\nmatous diseases\nnecessary in the\nThe localizing\ncauses of the en-\nsand men. And it is worthy of mention here that the local\ncontagions, is practically, though in a modified sense, true\narmy.\ndemic produced\nother diseases.\nconditions that had rendered scarlatina so fatally endemic,\nof other diseases that depend upon specific and infectious\nalso prostrated the strength of every man, and induced\npoisons. The special sanitary measures, which such poisons\nvarious inflammatory and typhous maladies which broke\nrequire for their control, may all be comprised under the\ndown the health and vigor of men who seldom had known\nsimple rule that-\nMeasles intro-\nduced into four\nsickness previously.\nThe immediate sources of infectiors poisons should\nbe\nA general rule\nIn the autumn of 1862, four full regiments of nine months'\nto be observed in\nnew regiments at\nproperly isolated from uninfected persons, the localizing\nrelarion to all in-\nthe same en-\ncampment.\nmen were ordered to encamp, while waiting transportation,\nfections.\nconditions of their endemic prevalence should be removed,\nin the vicinity of the Bay of New York, upon a plain that\nand every circumstance that adds to their virrulence or tends\nEffectiveness\nof had already been much used as a camping ground. Measles\ndomestic quar-\nto give them existence or activity, should be prevented or\nantine.\nhad already appeared in one of the regiments, and soon the\ncontrolled by sanitary measures.\ninfection had extended to the three other commands. In\nThe statements and suggestions that follow in these pages\nApplications of\none regiment only was the malady subjected to an effectual\nthis rule.\nwill present practical illustrations and specific applica-\nand rigidly enforced domestic quarantine. In that camp\ntions of this rule ; and the fact will constantly appear that\nthe measles ceased with the occurrence of the second case.\nsuch hygienic measures against infectious poisons and their\nNeglect of\nsuch In the three other camps no such measures of personal iso-\nimmediate causes, are also the most effective sanitary works\nmeasures result-\ned in great losses.\nlation of the sick were adopted until upwards of three hun-\nfor the general prevention of disease and the improvement\ndred cases of that disease had occurred.\nof health.\nArrest of scar-\nIn the camp mentioned, where measles was arrested,\nlatina by means\nRegarding all cases of infection and contagion, whether\nof the same meas-\nthe utility of effectual domestic isolation for arresting the\nures that arrest-\ned measles.\nspread of scarlatina had been tested in a case of that disease"
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