A medicine made especially for YOUR BABY
During the first few years of life your baby may be troubled with many minor ailments. Colic, diarrhea, sour stomach, -indigestion and constipation are some of these: Castoria helps to correct these conditions by eliminating the causes and regulating the stomach and bowels. Castoriais the only medicine you should use for your baby because it is espe cially made for infants and children. Mild and effective,
Castoria is also pleasant to take and is entirely harmless. Keep your child bealthy and happy, with Castoria,
CASTORIA
The medicine made especially for children
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The Very
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To-day the quality of radio trans- mission and reception has reached a very high standard and it has been left to Celestion to develop a reproducer that is capable of filing that most vital link between the broadcasting studio and the listener.
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THE HONGKONG TELEGRAPH.
WEDNESDAY,
TUBERCULOSIS FIGHT SIMPLE HYGIENE INSTRUCTION TO CHINESE FAMILIES ADVOCATED DR. GILES HALL'S ADDRESS
An inexpensive method of preventing the spread of tuberculosis by examining each family member and instructing all in simple health principles, was the subject of a talk to the Hongkong Rotary Club yesterday by Dr. Giles Hall of the Peiping Union Medical College, a brother of Bishop R. O. Hall.
The speaker was thanked by Professor W. L. Gerrard, who remarked that nothing was being done to prevent the discase' in Hongkong and it would be good work on the part of the Rotary Club to take the initintive.
in
Isolation Unsuitable
Major R. D. Walker, M.C., presided, and welcomed the guests, who included: Rotarian L. M. Hanaman, Manila; Rotarian K. R. Plowright, Shanghai: Dr. Anderson, Dr. Greaves, Mr. R. Schmidt, Surg. Cmdr. Cleaye, Mr. How Ah-lau and Mr. Mr. H. Desebrnek. The speaker sald: It is not for me in the lungs for many months DT to emphasise to this audience the years without producing symptoms importance of tuberculosis and its which are sufficient to take the pa- effect on the economic life of China. tlent from his work or to his doctor.
mortality The
from tuberculosis jolene is a serious problem, but when It is realised that it selects for its victims young men and women the most productive years of their life and condemns them to years of inactivity, with but small hope of ever again becoming maximally pro- ductive, its cost to the community la incalculable. When it is realised further that with ideal methods of treatment under ideal circumstances less than 50% of adults who have developed symptoms of tuberculosis are completely cured, the wisdom and economy of tuberculosis proven- tion become obvious.
It has been said that the tuber- culosis problem is an economic pro- blem and that nothing can be done to control tuberculosis in China un
it the economic level of the country is raised. This attitude is incorrect and unjustifiable. Tuberculosis is a spreife and contagious disease, and If correct principles are followed. schemes which are effective in its control can be adapted to communi- tles at any economic level.
Examination by ordinary methods at this stage does not, as a rule, re- veal the presence of the disease. On these two outstanding characteristics,
саде
JULY
14, 1937.
any Chinese household. Plana wifi differ in different households, They must be easy to understand, simple to carry out, not icksomo, not inter- fering with the life of the family, and, above all, they must be Inex- pensive. They will vary from the prov provision ot a sputum cup and the
removal of the Infectious person from the family bed to sleep in his own bed in a corner of the single room to the bullding of a sun room In the corner of a verandah in which tha patient may be completely isolated
ted and receive satisfactory treatment. Plans of a more elabor- ate nature will include the provision of portable huts which may be erected in the courtyard, and the de velopment of a tuberculosis colony where familles may live and work while the infectious member isolated and under treatment, it is surprising how easy it is to teach the few simple principles on which adequate isolation depends and how faithfully
established the routines are followed
by some familles of the lowest economic intelligence levels. Though it may not be perfect, the Isolation of contagious tuberculous individuals in their homes can be adequate and effective in reducing the morbidity from tuberculosis in other members of the household.
contagion and the tendency to a Intent period, effective anti- tuberculosis measures can be deve- loped. Such mensures are based on two principles Isolation
and case Anding. A A perfect anti-tuberculoals scheme
would Include the compul- isolation of all Infectious per- sory
ons in special hospitals or sanatoria. There are many reasons why this is impracticable. The expense alone would would make it impossible. Even patients who are ill with tuber
tuberculo- sis, become restive under prolonged treatment and isolation, and those who feel themselves perfectly well could not costly bo
be compelled to sub- mil to isolation in
In any
Institution, no matter how attractive it might be.. Where funds are avaliable sanatoria and other special Institutions should certainly be provided at the
public expense, in which patients, irrespec- tive of their ability to pay for it, may have adequate and prolonged treat- ment. It is, however, too much to expect that accommodation in such Institutions will be avaliable in Ching, even for those persons willing to avail themselves of it, for many
Not Economic Problem Firm belief (the result of a divine revelation not based on knowledge) in the contagious nature of leprosy, coupled with a horror of the disease, have been effective in stamping it out from those countries entertain-years to come.
What, then, can be done? Ya It ing this belief.
is contagious in a possible to provide adequate isola- Tuberculosis
tion for n contagious tuberculous way similar to
to that of leprosy. Sin-
7 be- le contacts with a leper seldom, if patient in a Chinese home?
It is. Isolation need not be ever, produce the disease. Contact leve must be prolonged and intimate, and complete and absolute to be effective even so the disease may be dormant in reducing the morbidity from the for many months or years. Tuber-disense. culosis similarly seldom develops from a single contact with the in-
Under normal conditions in a fectious persons. Frequent and re- peated contacts with an infectious Chinese home a contagious person is person are necessary in the majority probably sleeping in a common bed of instances before the disease is and even sharing common bed clothes reproduced. A second and most im-with the healthy members of the portant point which must be empha-family. Arrangements which reduce
In the chances slaed is that tuberculosis may
of Infection many cases be present and extending i minimum can be adapted to almost
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to
Unaware of Disease
It has been said by a prominent specialist in New York that co to 70 per cent, of intelligent persons are un- aware of the presence of tuberculous Icsions In their lungs until such calons are so advanced as to give cure. A but poor prospects of physician is not doing his duty if he walts for patients to come to him from tuberculosis. He
before must look for the disease must joo produces symptoms. Is this possible? I think it is. Tuberculosis in this laten! form cannot, however, be de
methods of tected by ordinary
ceted examination, but demands the use of expensive x-ray equipment for its driection,
Д
"I
The tendency for tuberculosis to run in famliles was noted by Chin- ese physicians of the Ming dynasty, and this fact is one that looms largest In the thoughts of, the pubile to-day. You think immediately of some weakness in the family-a thint or trait which makes it more suscep- tible. This was thought to be the case until quite recently. We now know that it is not inherited weak- ness, but the presence of contagion within the family, that is responsi- ble for the extent of the disease in what is erroneously called the Bus- ceptible family.
Luberculosis
Family Infection Statistics show that develops seven times more frequent- ly in families in which one or more member has tuberculosis in an in- fectious form than in healthy fami- lies On the other hand, tuberculo- sis develops no more frequently in the offspring of the parents with tuberculosis in a non-infectious form than it docs in the offspring of
families. healthy
There is, therefore, in the familles of patients suffering from infectious tuberculosis a concentration of cases of both latent and manifest tubercu- losis which makes the employment of the somewhat expensive measure of x-ray examination of apparently healthy persons a possible and legiti
health charge against publie funds. It is estimated that some 60 to 70 per cent of tuberculous lesions sn discovered are minimal in extent, are of recent development, and res pond well and rapidly to treatment,
effective,
ive, poten- When treatment
rnate
tial sources of contagion will have been provenied from developing, and the health and working capacity of many persons will have been pre- served.
Amak A Carrier
The examination of the members of the family of tuberculosis persons will also bring to light unexpected sources of infection. Remember that servants must always be reckoned as members of the family.
I remember well the case of a child with tuberculosis whose father and mother were perfectly healthy and whose younger brother and sis- ter had already died from the dis- case, and I insisted upon a complete family examination. An old amah who had worked faithfully and de- votedly for the family for more than ten years and to whose
care the
waited five hours for a Milk Bath ... but couldn't get
children were almost completely given, was found to have a cavity in one of her lungs into which you could have put your fist. She had not missed ♫1 day's duty with the family on account of ill-health, but, when pressed, she admitted that she coughed and raised sputum in the morning. The sputum was found to contain innumerable baclill.
into the bottle
AN EXCLUSIVE INTERVIEW
WITH A DISAPPOINTED QUST PARTICLE "It was about 5 AM.
衍
when I saw the milkman
leave a beautiful bottle
in the doorway and drive off. Anticipating a nice cool milk-bath. I hitch-
hiked onto the next wind current and blew over to the bottle. But alas-my hopes were soon shattered. That boi- tlo was sealed with one of those snug- fitting Welded Wire Seals, and, strug- gle as I might, there just wasn't any
way I could get in."
Needless to say, it was
The discovery and removal of this focus of infection from the family probably saved the life of my pallent and of children who have since been born Into the family,
Not Expensive
I have, perhaps, taken up too much
atc
DAIRY FARM
THE TREBLY PROTECTED MILK. from a
TUBERCULIN TESTED HERD
FULL CREAM — PASTEURIZED PRESERVATIVE FREE
and then, as a final vital protection. The lamperproof hood and seal.
The answer is obvious
of your time by elaborating the prin- ciples on which I feel that anti- tuberculosis schemes should be based, but I think it has been neces- sary in order that you may appre- clate the fact that schemes based on these principles need not be elabor- nor expensive in order to be They are extremely effective. elastle and can be adjusted to the personnel and budget available in any community. Effective schemes on Uliese lines could immediately be adapted to suit an isolated mission hospital or
or the health service of any large city, in
In China. Unili fairly established on a sound financial basis I feel thint young and struggling public health services in China should not be expected to originato anti-tuberculosis measures, but once established they should be closely linked and co-ordinated with such public health work as exists in the community.
Peiping Lead
Insist ON DAIRY FARM MILK
for regular daily supplies
The Dairy Farm, Ice & Cold Storage Co., Ltd.
The Pelping Tuberculosis Centre, which is, I think, the only clinic In China working specifically on tuber- eulosis prevention, originated from a (Continued, on Page 4.)
PURE FOOD SPECIALISTS
SURE...
DAD WEARS THE PANTS but even the baby tells him which pair to put on!
The
Jones Family
meet them once and you'll be friends for lifel
EDUCATING FATHER
FOX picture with
JED PROUTY. SHIRLEY DEANE. DIXIE DUNBAR .
SPRING BYINGTON
KENNETH HOWELL • JUNE
CARLSON GEORGE ERNEST •
FLORENCE ROBERTS.
WILLIAM MAHAN » Ducted by
James Tialing Austere Pradeter Pan Golden
the family next door
only funnier!
SHOWING TO-MORROW at the
ALHAMBRA
COUNT THE
"TELEGRAPHS"
EVERYWHERE
Page 5Page 6
THE HONGKONG TELEGRAPH. WEDNESDAY, JULY 14, 1937.
The Sovereign Remedy.
Watson's
HALL