[?]LTH NOTES

Rotorua Morning Post, Volume 3, Issue 636, 14 September 1933, Page 3

[?]LTH NOTES

I] by Dept. of Health.)

Ient of mumps Irg DISEASE PASSED ■m person to k person. kp transmission.

■* general wiecuous auu ■sease. As a rule, it first Korotid glad, which is the iarv gland' and is SitUa~ land below the ear. The Kv glands (the sub-axil-Iblingual) are also often He organism which eauses |Lt be.n isolated, but the lency has been proved to ■saliva of patients sufferI disease. The virus enters ■tream, and htnce other Ie body (such as thyroid, ■nd reproductive glands) Indarily infected. Bse occurs in all climates, 1 rapidly from individual B especially where people ■ together, as in institu|]g and camps. Colour»d ■ffected more readily and |n are whitc. In most litutional symptoms are lie disease is not severe. Ipecially so in children. Ilater Hfe complications Iblesome; at all ages the fis very low. The most |d for attack is between iteen years of age duiing lut cases occur at any time | to extrcme old age. Girls |e equally liable to attack, I jife more men are affectKje than women, probably Iheir greater exposure to itagion. |se is a contagious one, [nitted directly from per|n. Infection is contained lent's saliva, and is conlugbing, sneezing, etc. a lealthy person may translease if his hands, face Clive become contaminated i-us from an acute case of ■ possibly he may be him*ier of the virus. Rarely, fcbjects, as books, clothing, It as carriers, prtsumably iy have been contaminated I saliva. In scrupulously Iholds and hospitals, howIrobably true that infection ited only from person to Iriod of Infection. jase may be communicated iy stages, viz., before the Illing of the glands occurs. I average for five to sevtn Ihicli time the gland has, ■ reached its normal size. 1 convalescence of the paI is kss danger of infec|h in exceptional cases ini been known to be transIweeks after the develople disease. One attack of iduce^ immunity, which in Ity of cases endures for I even for life. A smali lof people, however, suffer illsease two or cven more lise and Symptoms. Inism which causes mumps I been isolated, but the I the saliva of patients in pfection has ken proved. Ige duration of time from 10 infection to development lease is 18 days. In the I mild cas, s of mumps the ■it of the parotid gland is la swelling below and in Ie ear. More rarely both paKds are affected. Stiffness 11 and pain on opening tbe timpany the swelling; a mild jnperature lasts about two Ithe swelling gradually subIdisappears in, four or five lless involvement of other lands occurs, or unless other Bns dtvelop, such as inlof the reproductive glands, Is complete at the end of Ight days. Initial symptoms lease art similar to those ler in any infectious dis[ache, loss of appetite, thirst, In temperature, pains in the jlimbs, a fe.ling of chilliI distinct chill. and in childllusions occasionally occur. jrom the nose has been noted ler of epidemics.

Illen parotid gland is visible | in front of the ear. The Ithe c-ar is raised and occu[entre of the .-welling, which |i baekwards beliind the ear. jevtre eases. where other sa|nds also are involved, the jnaw reach down to the colI obliterating the normal Pe neck. The enlargemcnt N increases for two to four pins stationary for two to L and by the end of seven to [ has, as a rule, subsided. pi however, the gland does Pe its normal size for three P'eeks. The skin over the Ry reach down to the colf constant symptom, and is l attcmpt? to move the jaw PnS or speaking. Some paflplain of earache. Relapses pvalescence are not unN the second parotid gland Ne, affected in the relapse. I Treatment. [obleni is make the patient prevent complication as pssible, and to protect other p°m infection. During the pe the patient should be F for a few days as this dijthe liability of complications. I should be light, tbe mouth Pean and moist by a simple r wash. Soothing applicajhe swelling give relirf . When r®s occur appropriate treatF, family doctor is indicated hn bed essential. [ect other persons, the par^e isolated as soon as the ils made, and should not be r^associate with others unpiptonis have disappeared pnds have been normal for Fek. Por ordinary mild cases r °f quarantine should not [,an fwo weeks. In complicated r necessarily extended.