Pneumonic Plague in Ecuador during 1939

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Abstract
3 outbreaks reported show that pneumonic plague is highly contagious, with a mortality rate that may at times approximate 100%. The best methods to control the out-breaks and break the chain of contact are: To isolate rigidly the infected patients when the first suspicious symptoms are recognized; to quarantine all persons who have been in direct contact with the infected person or persons (under armed guards, if necessary); to protect nurses and doctors in attendance by suitable head masks, gowns, and rubber gloves; to disinfect and fumigate quarters previously occupied by pneumonic plague patients; and to make house-to-house inspection of infected sectors, with temp. taken twice daily and isolation of all who show temp. regardless of cause. Outbreaks almost always result from cases of bubonic plague that develop a secondary pnuemonia.

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