To the Editor:—
There is at present no generally accepted preventive of poliomyelitis, nor any effective remedy in the acute stage, other than absolute rest. Complete rest is so important in the early days of this inflammation of the central nervous system that it is usually far better to leave the child in bed at home when the disease is first suspected than to move him any appreciable distance to a hospital, particularly if the move is a fatiguing one.The early manifestations on which the disease can be suspected are fever, headache, irritability, possibly vomiting, perhaps a tremor in the hands which may cause the patient to spill his glass of water, and in particular a tender rigid spine, which will make it impossible for the child to touch his chin to his knee.When any considerable proportion of these manifestations are present, a doctor should be called to
Stimson PM. STATEMENT ABOUT INFANTILE PARALYSIS. JAMA. 1938;110(19):1620. doi:10.1001/jama.1938.02790190090021
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