,diph!ria   ,,h[ ,,to ,,recognize ,,!   
,,disease   ,,h[ ,,to ,,keep ,,f ,,cat*+
 ,,x     ,,h[ ,,to ,,treat ,,^? ,,:o ,,d
 ,,cat* ,,x          ,,keep ,,well      
,,s]ies ,no4 #d           ,illu/ration3 
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,diph!ria   ,aft] babyhood has pass$1   
bew>e ( diph!ria4 ,( all ! dea?s (      
*ildr5 #c & #d ye>s ( age1 m ?an        
"o-sev5? are caus$ by diph!ria4         
,diph!ria is prev5table &1 :5 prop]ly   
treat$ ) antitox91 is curable4 ,mo/ ( ! 
*ildr5 :o die f diph!ria really lose _! 
lives because ( ! ignorance &           
c>elessness ( _! p>5ts4  ,diph!ria is a 
disease mo/ (t5 occurr+ 9 *ildr5 &      
resembl+ a sore ?roat or tonsillitis4 ,x
 is caus$ by a small g]m call$ !        
diph!ria bacillus4 ,! disease may       
resemble3  ,a v mild sore ?roat1 !      
tonsils & back ( ! m\? be+ r$d] ?an     
usual1 & ! p]son n feel+ ill4  ,x may   

look l a m sev]e sore ?roat or          
tonsillitis ) a :ite or grayi% pat*1    
call$ a membrane1 on ! tonsils4 ,!re may
 be only "o or a few small di/9ct       
pat*es1 & ! ?roat may feel some:at sore4
 ,! gl&s 9 ! neck1 bel[ ! tonsils1 may  
be slightly enl>g$ & may feel ab\t !    
size ( small peas4 ,! pati5t may feel r 
ill4  ,or ! disease may be l a v sev]e  
sore ?roat1 ) small or l>ge gray or :ite
 pat*es4 ,n only ! tonsils b also !     
uvula1 ! small r\nd$ end ( ! palate :i* 
hangs d[n betwe5 ! tonsils1 may h on x  
:ite or gray pat*es4 7,if !re is a      
membrane on ! uvula1 ! disease is almo/ 
c]ta9ly diph!ria47 ,) su* a ?roat !     
p]son feels v sick4 ,n only does ! ?roat
 hurt1 b !re are usually a*es 9 ! back (
 ! neck & 9 ! muscles g5]ally4 ,! gl&s 9
 ! neck may be q l>ge & feel pa9ful :5  
t\*$4 ,! sor5ess 9 ! ?roat may ext5d d[n
 ! w9dpipe1 & membranes may =m !re4 ,!  
pati5t is fev]i% & (t5 is deliri\s4 ,!  
fev]1 h[ev]1 is n necess>ily high4  ,9  
"s cases ! membranes may =m 9 ! l>ynx   

7,adam's apple74 ,:5 ?is is ! case !    
pati5t's voice s\nds ho>se & cr\py1 & ! 
*ild may brea! ) difficulty4 ,9 small   
*ildr5 x is n uncommon1 if su* cases    
rema9 untreat$1 = ?is membrane to *oke !
 pati5t4 ,!re=e1 9 all cases ( cr\p1 s5d
 = a doctor imm$iately4   ,,?roat       
,,cultures4  ,9 ord] to prev5t ! spread 
( diph!ria to o!rs x is important always
 to recognize ! pres5ce ( ! disease1 ev5
 9 mild cases4 ,9 ord] to d ?is ! doctor
 makes a culture f ! ?roat & nose ( !   
suspect$ individual4 ,he takes a piece (
 /]ile cotton wrapp$ ar\nd ! end ( a ?9 
/ick ( wire & t\*es ?is to ! ?roat &    
tonsils1 especially :]e !re are pat*es  
or membranes4 ,!n he s5ds ?is swab to a 
laboratory1 :]e cultures are plant$ f x4
 ,! next day ^! cultures are exam9$ ) a 
microscope to see if diph!ria bacilli1 !
 g]ms :i* cause diph!ria1 are pres5t4   
,s9ce ! diph!ria g]ms or bacilli gr[ on 
! l9+ ( ! ?roat & air passages1 !y are  
easily ?r[n out f ! m\? & nose ( !      
pati5t ) p>ticles ( mucus or spit :5 !  

pati5t c\ghs1 spits1 or sneezes4 ,b ev5 
:5 ! pati5t talks1 especially :5 he     
talks l\dly1 t9y droplets ( mucus or    
spit are giv5 (f4 ,^! droplets may h    
diph!ria bacilli on !m4 ,! same is true 
( p>ticles ( food1 no matt] h[ small1   
fall+ f ! pati5t's lips4 ,eat+ ut5sils  
su* z cups1 glasses1 =ks1 & spoons t h  
t\*$ ! lips ( ! pati5t may likewise h   
saliva on !m4 ,:5 ! pati5t has diph!ria 
all ^! droplets ( saliva & ( mucus may1 
& usually d1 conta9 _m diph!ria bacilli4
 ,curi\sly1 "s p]sons may h diph!ria    
bacilli 9 ! nose & ?roat & yet rema9    
entirely well4 ,su* p]sons are call$    
heal?y c>ri]s4 ,!y are especially       
dang]\s1 because !re is no outw>d sign  
:i* w tell !m or o!rs t !y are c>ry+    
deadly disease g]ms ar\nd4  ,all :o     
att5d ! pati5t mu/ be v c>eful n to get 
any ( ! dang]\s dis*>ges f ! pati5t's   
m\? or nose on ! h&s4 ,9 fact1 x is     
important = ! att5dant always to wa% h] 
h&s promptly aft] wait+ on ! pati5t4    
,besides ?is1 c>e %\ld be tak5 t ! g]ms 

are n c>ri$ to o!rs by ! use ( eat+     
ut5sils1 su* z cups1 glasses1 spoons1   
=ks1 or plates4 ,all ( ^! %\ld be       
/]iliz$ ) boil+ wat] aft] ea* meal4     
,,antitox9 ,,treatm5t4  ,dep5d+ on ! way
 x is treat$1 diph!ria is "o ( ! lea/   
dang]\s or "o ( ! mo/ dang]\s diseases4 
,x is "o ( ! lea/ dang]\s :5 promptly   
treat$ ) antitox92 x is "o ( ! mo/      
dang]\s :5 ! antitox9 treatm5t is n     
giv51 or is delay$ or insuffici5t4 ,9 ! 
days be=e we _h antitox9 "o out ( e ?ree
 *ildr5 :o _h diph!ria di$4 ,n[1 if     
antitox9 is us$ on ! fir/ or second day 
( ! disease n9ety-eight out ( e hundr$  
*ildr5 recov]4 ,! soon] diph!ria is     
att5d$ to ! m c]ta9 is a cure4  ,9 sev]e
 cases suspect$ to be diph!ria ! doctor 
always gives diph!ria antitox9 at once4 
,?is is a wise ?+ to d1 because !       
disease goes on rapidly & a delay ( #ab 
or #bd h\rs may be fatal4 ,besides1 no  
h>m is done1 ev5 if ! disease proves n  
to be diph!ria4 ,! antitox91 al?\gh mak+
 "s p uncom=table = a day or two1 nev]  

does any real h>m4 ,:5ev] antitox9 is   
giv5 to a p]son ill ) diph!ria x %\ld be
 giv5 9 "o dose1 l>ge en\gh & e>ly      
en\gh4   ,,tempor>y ,,protection ,,)    
,,antitox94  ,diph!ria is v contagi\s1 &
 _m p1 especially *ildr51 c cat* x4 ,=  
?is reason1 :5ev] a case ( diph!ria is  
discov]$1 ! doctor injects ! antitox9 n 
only into ! pati5t1 b also1 z a         
protective aga9/ ! disease1 into ^? :o h
 come into contact ) ! pati5t4 ,?is is  
spok5 ( z immuniz+ ^! individuals4 ,!   
immuniz+ dose is n s l>ge z ! curative  
dose giv5 to ! pati5t1 b x is usually   
suffici5t to protect ^? expos$ to       
diph!ria = a mon? f ! "t ( injection4   
,at ! end ( t "t ! protection disappe>s4
   ,,! ,,s*ick ,,te/4  ,a few ye>s ago a
 v simple te/ 0 discov]$ to tell :e!r a 
p]son c\ld or c\ld n cat* diph!ria4 ,?is
 is kn[n z ! ,s*ick te/4 ,x consi/s 9   
inject+ a few drops ( a prep>$ diph!ria 
tox9 into ! sk9 & !n wat*+ :e!r a       
*>act]i/ic r$ spot appe>s :]e !         
injection 0 made4 ,if su* a spot does n 

appe> )9 two or ?ree days x %[s t !     
p]son c n cat* diph!ria4   ,,la/+       
,,protection ,,by ,,diph!ria            
,,vacc9ation4  ,= ^? 9 :om ! *>act]i/ic 
r$ness appe>s1 & :o are !re=e kn[n to be
 liable to cat* diph!ria1 doctors n[    
advise a c\rse ( protective injections  
simil> to ^? :i* h prov5 s successful   
aga9/ typhoid fev]4 ,?is protective     
treatm5t consi/s ( ?ree small           
injections1 a week ap>t4 ,!re is no     
sore1 z !re is 9 smallpox vacc9ation1 & 
! injections are h>mless4 ,! protection 
la/s = ye>s1 & p]haps ev5 = life4  ,:y n
 h ! doctor make a ,s*ick te/ on y\r    
*ild1 & if ?is %[s ! lack ( protection  
aga9/ diph!ria h him give ! ?ree        
protective injections8   ,,p]sonal ,,&  
,,b$side ,,hygi5e4  #a4 7a7 ,all        
dis*>ges f ! nose & m\? %\ld be ga!r$ 9 
s(t1 clean clo?s or rags or pap]s &     
de/roy$ by burn+4 7b7 ,! pati5t %\ld    
cov] ! m\? & nose :5 c\gh+ or sneez+1 = 
a c\gh or sneeze w ?r[ droplets ( mucus 
to a di/ance ( #aj or #ab feet4  #b4 ,! 

att5dant %\ld we> a wa%able g[n t       
completely cov]s h] clo?+4 ,x %\ld be   
put on :5 ent]+ ! room ( ! pati5t & tak5
 (f imm$iately on leav+ x4  #c4 ,a bas9 
( wat]1 toge!r ) a cake ( ca/ile soap   
7or :]e possible an antiseptic          
solution71 %\ld be plac$ 9 a conv5i5t   
place1 s t ! doctor & nurse att5d+ !    
pati5t may wa% _! h&s :5ev] leav+ !     
room1 & ev5 be=e t\*+ ! door h&le4  #d4 
,all eat+ ut5sils t ! pati5t uses %\ld  
be wa%$ 9 boil+ hot wat] sep>ately f o!r
 di%es & us$ exclusively by ! pati5t4   
#e4 ,all b$clo!s & b$d+ %\ld be boil$ 9 
soap & wat]1 or !y %\ld be expos$ to !  
sun%9e4 ,direct sun%9e kills disease    
g]ms4  #f4 ,! p]son att5d+ ! pati5t %\ld
 we> a d\ble lay] ( gauze or o!r s(t ?9 
clo? across ! m\? & nose z a face mask  
:5ev] ne> ! pati5t s z to prev5t !      
droplets conta9+ ! g]ms com+ f !        
pati5t's m\? f ent]+ & lodg+ on ! l9+ ( 
! m\? or ?roat ( ! att5dant4 ,always    
rememb] t ev5 ?\gh y may n get ! disease
 if ! g]ms lodge 9 y\r ?roat !y may gr[ 

!re & y may c>ry ! disease to ano!r     
p]son :o may cat* x4  #g4 ,!re %\ld be b
 "o att5dant :]ev] possible4  #h4 ,no   
visitors %\ld be p]mitt$ 9 ! sick       
room--n ev5 dur+ convalesc5ce4  #i4 ,!  
"o :o att5ds ! sick %\ld n prep>e or    
h&le ! food ( o!rs4 ,sometimes x is     
impossible to take ?is precaution1 z v  
(t5 x is ! "m :o mu/ take c>e ( !       
pati5t1 cook1 & d all ! h\sework4 ,9 su*
 cases ! "o att5d+ ! sick mu/ nev]      
neglect :5ev] ne> ! pati5t--        7#a7
 ,to we> a face mask4        7#b7 ,to   
we> a wa%able g[n 7:i* is to be tak5 (f 
on leav+       ! room74        7#c7 ,to 
wa% h] h&s :5 leav+ ! sick room4  ,e    
att5dant on ! sick %\ld "k h[ disease   
g]ms are c>ri$ f ! sick to ! well4 ,?is 
k %\ld make h] m c>eful1 & ?us help to  
prev5t ! spread ( ! disease4            
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