Treatment.—As this rarely comes excepting in the epidemic form, that form will be treated on. The body should be washed with a good germicide, and all openings should be closed with absorbent cotton. The body should then receive a very heavy arterial injection, with drainage of blood, and cavity injection. As is the case in epidemics, the body should be buried as soon as possible. While the mortality is light, yet the most strenuous treatment should be given to assist in the campaign of the health authorities against the disease and its spread. When more is known about the characteristics of the disease, it is likely that a more definite treatment can be advised.
Malarial Fever.
—Synonyms.—Ague; Chills and fever; Intermittent fever; Swamp fever; Marsh fever; Paludal fever.
Definition.—A specific, infectious, although non-contagious disease, caused by the hematozoa of Lavaran, and consisting of two distinct parts; first, a succession of exacerbations and intermissions, or a series of short fevers separated by short intervals of health; second, a continued fever made up of exacerbations and remissions, there being but one cold stage.
Cause.—The hematozoa of Lavaran.
Pathology.—There is a destruction of the red blood corpuscles, due to the action of the parasite. There is an increase of pigment, in the spleen, liver, kidneys, bone marrow, skin, and in fact, in all the tissues, due to the conversion of hemoglobin into pigment granules. The spleen is enlarged as are also the liver and the kidneys. The skin presents a jaundiced appearance in chronic malarial fever.
Treatment.—Arterial injection of 64 oz. 1% solution of borax or oxalic acid followed by 64 oz. of half strength fluid and then a sufficient quantity of normal fluid to complete preservation. Drainage of blood and solution to wash stain from capillaries. Application of full strength peroxide hydrogen to face, and massage during injection.
For transportation of bodies dead of this disease, govern yourself according to the provisions of the transportation rules.
Yellow Fever.
—Synonyms.—Typhus ichteroides; Febris flava; Black vomit; Yellow jack.