CHAPTER  I - KEEPING WELL

How many times have you been absent this term? No oftener than you were obliged to be, I am sure; for it’s almost as bad as being “put in Coventry” to come back and hear about the good time the rest of the class have been having, and feel that you “weren’t in it.” Of course, sometimes, when you are not well, you have to be absent; it is best that you should be. But it is better still to know how to keep well, so you won’t have to be absent, and won’t have to miss any good times in work or play all your life.

You remember that all the parts of your body are fed and ventilated by the blood, which is pumped to them from the heart. So long as this blood is pure and has plenty of oxygen in it, it does good to every part of the body to which it comes. But the moment that poisons and dirt and waste begin to pile up in the blood, then the blood that comes to the different parts of the body may be poisonous to them, instead of helpful.

Such poisons in the blood are particularly harmful to the nerves and the brain, because these are among the most delicate and sensitive of all the structures in the body.

Often we think of the body as a beautiful house. Now a house does not look very beautiful when it has dust and crumbs on the floor, buckets of greasy dishwater in the kitchen, and smoke from the furnace in the air! You could not live in such a place. No, the smoke must go out up the chimney, the dust and crumbs must be swept away, the dirty water must be drained off in pipes; the house must be not only cleaned, but kept clean all the time. This is true of your body, too.

Now Mother Nature sends the smoke from the body out through the lungs, and the crumbs and solid dirt down and out by means of the food tube. But the waste water-how does she get rid of that? The waste water, you remember, is in the blood vessels, mixed with the blood. How does she get it out of the blood? She sends it through three magic cleaners, or strainers,-the skin, the liver, the kidneys.

That the skin is a strainer, you already know; for you know how the skin lets out the waste water in perspiration, or sweat, and how important it is that we keep the little holes of the strainer open and clean. And you know, too, that most of the water that passes out of the body goes first to the kidneys.

The liver, however, is the largest cleaning machine of all and has to work very hard. The blood comes to it full of foods and poisons. This wonderful cleaner picks out the food it needs and takes up many of the poisons, too. “What does it do with the poisons?” you ask. Some of them it changes into good food, and others it makes harmless and sends away down the food tube in a fluid called bile. If we are strong and healthy, the liver has the power to kill many of the disease germs that get into the body. That is why sometimes, when you have had a chance to take mumps or grippe or some other “catching” disease, you don’t take it. Your liver kills the germs, or seeds. See how carefully Mother Nature has planned that we may be clean inside as well as outside.

But you must not over-work your liver. If you do, it may become too tired to do anything at all. Then all these poisons will spread through the body; the skin and the whites of the eyes will grow yellow, and you will be what is called “bilious.” When this happens, the poisons go to your brain, too, and make you feel sad; your tongue looks white instead of pink, and you have a disagreeable taste in your mouth. Your happiness depends very much on your liver.

“How shall I keep my liver rested and in good working order?” By eating only sound, wholesome, pure food, and avoiding dirty milk; by going to the toilet regularly every morning after breakfast; by keeping your windows open and avoiding the poisons and disease germs in foul air. Then, if you run and play and work out of doors, so that the muscles move a great deal and you breathe in plenty of oxygen to keep the body fires burning briskly, that will help a great deal.

Last summer up in the mountains I saw a big log close by the path. It had been sawed across so that the end was smooth. It was brown and weather-stained, so of course I knew that it had lain there a long time. How surprised I was to see a pile of fine fresh sawdust on the ground beside it. As I came nearer, I saw piece after piece of sawdust dropping, dropping, dropping, one after the other, from a hole in the log. I looked into the hole, and what do you think I saw? Hundreds of little brown ants, busy as could be carrying the sawdust, throwing it out, and then scurrying back to get some more. Several feet inside the log, other ants were cutting the sawdust, hollowing out the rooms of their house; and in another part others were getting food for the workers, and still others taking care of the baby ants. They were all helping one another, and whatever one ant did helped all the rest. That is the way with the parts, or organs, of the body. When one part works well, it helps all the rest; when one squad of tiny cells in the muscles or liver or heart is doing its duty, like the little ants, it helps all the other cell-workers in the body to keep healthy.

If you eat proper food, you help not only your stomach but your liver, too; for it has not so many poisons to get rid of. While you are helping your stomach and your liver, you are helping your heart and your brain, and so on. So what you do to help one helps all.

There are, however, some poisons that the liver cannot get rid of; but these the skin or the kidneys carry away. Have you ever seen kidney beans? The bean is the shape of a kidney. The kidneys are in the middle of your back, packed close to your backbone, on a line with your waist. This is a picture of them. Do you see the little tubes leading down from the kidneys, carrying the waste water and poison down into a kind of bag? The walls of this bag, called the bladder, will stretch, and it will hold about a pint of waste water. From the bladder a tube carries the water down out of the body.

You can help your kidney-strainers by emptying your bladder at certain times each day. Some children have to empty the bladder much oftener than others, but most children can form what we call regular habits about it, by trying to do it at the same times each day. If you are quite strong, five times a day is often enough: when you first get up, at recess, at noon, at four o’clock, and at bedtime. Many children do it much oftener than this; but as they grow older and the muscles grow stronger, they slowly outgrow this trouble, if they try to form the right habits.

There are many diseases of the kidneys; for, like the liver, they are sometimes over-worked and do not carry the poisons from the body. You are helping your kidneys when you drink plenty of fresh clean water every day, and also when you play or work hard enough to get into a good perspiration; for, as perspiring carries out some of the poisons, it leaves less for the kidneys to pour out. You ought to get into a good perspiration at least once every day, or better, three or four times, if you wish to keep healthy. The Bible says, “In the sweat of thy brow shalt thou eat bread”; and you must earn health and happiness at the same price.

CHAPTER II - SOME FOES TO FIGHT

You have seen that sitting or sleeping in rooms where the air is bad, or eating the wrong kind of food, or working after you are badly tired, will poison your blood and hinder the proper working of that beautiful machine, your body. These poisons are made inside your body, and you can prevent them by living healthfully and wholesomely. But there are other poisons, which may get into the blood from outside the body; and while it is best for you not to think too much about these, or to worry over dangers that may never come, yet it is well to know just enough about some of them to be able to keep out of their way, as far as possible.

The most dangerous form of poisons from outside the body are those made by the germs of some rather common diseases, which, because you can “catch” them from some one else who has them, are called “catching,” or infectious, or contagious.

Some of the germs of these “catching” diseases, like the germs of typhoid fever, of which we have spoken in connection with our drinking water, are carried in the water or milk that we drink, or upon the food that we eat; and one of the worst carriers of germs is the ordinary household fly.

Not so very many years ago, people did not know that dirt makes people sick. You see, they did not know anything about the disease seeds (germs) that grow so fast in dirt. They did not like to have flies about, because flies look so dirty and bite people and crawl over things and spot them. But nowadays, we will not have flies about because we know that they have been in dirty places where disease germs live, and that one little fly can carry thousands and thousands of these germs on his feet.

Have you ever looked at a fly through a magnifying glass or under a microscope? If you haven’t, try it sometime. You will see that his legs are covered with little hairs; and it is on these little hairs that the germs lodge. They are too small for you to see except with a very powerful glass; but scientists have proved that they are there, and they have found that there are always typhoid germs among them.

Did you ever see a fly wipe his feet before he came into the house? No, indeed; and he goes anywhere he pleases, over the bread and into the cream. Yet he was born in dirt and bred in dirt, and he lives in dirty places all the time he is not crawling over your clean things and spoiling them.

Flies are hatched from eggs; and these eggs can hatch only in piles of dirt, such as heaps of manure, or places where garbage and scraps from the house are dumped or thrown. We call the common fly the “domestic” or “house” fly, because he lives only in the neighborhood of houses and barnyards where heaps of manure and piles of dirt are allowed to gather.

When the fly first hatches from the egg, it is a little white, wriggling worm called a maggot, like those that some of you may have seen in decaying meat or fish or cheese. The maggots must have decaying substances to eat and live upon while they are growing, and this is why the eggs are laid in manure heaps and garbage piles.

It takes the maggot about five days to grow to its full size, and then it turns into a chrysalis. That is, it is shut up in a kind of case that it has spun for itself, like the cocoon of the silkworm or the caterpillar. In about five days more it breaks out of this cocoon and appears as a fly with wings.

So, you see, the eggs must stay in that manure heap about two weeks if they are to hatch. If, within that time, the manure is carted away and thrown out somewhere where it will dry, the little unhatched flies will be killed, or prevented from hatching. All we have to do, then, to be entirely rid of flies about our houses is to see that the heaps of manure and all piles of cans and garbage are taken away at least once a week.

If manure heaps or piles of dirt cannot, for any reason, be carried away as often as this, then they can be sprinkled with something that is poisonous to flies, such as arsenic or kerosene. This will kill the maggots. If we keep every kind of waste and scraps from the house, and all the manure from the barn and the pig-pen and the hen-house carefully cleaned up, or sprinkled with some poison, we shall get rid of flies entirely and never need to use screens at the doors and windows. Until we do this, it is best to put screens at the doors and windows in the summer time, and particularly to screen carefully any place where food is kept or cooked; for we know that a great many cases of typhoid and of other diseases of the stomach and bowels, such as summer sickness, or summer diarrhea, and cholera morbus, are carried to our food by the dirty feet of flies.

Many of the germs of “catching” diseases-most of them, in fact-are carried in the air, in scales that have rubbed off the skin of the persons sick with them, or in spray that they have coughed into the air, or in saliva that they have spit upon the floor.

There is one sickness of this kind that I ought to tell you about, because it kills so many thousand people here in our own country every year. We sometimes call it the “Great White Plague.” Its common name is consumption, and the doctors call it tuberculosis. I dare say you have heard of it and wondered what it meant.

A few years ago people thought it could not be cured. They thought that children had it because their parents had had it before them. But now, the cheering thing about it is that we have found that Mother Nature herself can cure it with fresh air and sunshine and wholesome food. We have found, too, that people catch it from others who are sick with it, and need not have it just because their parents did.

This means, then, that thousands of people who have it need not die, but can be cured simply by living and sleeping out of doors and eating plenty of milk, eggs, and meat, nuts and fruit. There are camps for them in almost every state in the Union now. The fresh air gives them such a big appetite that they can eat more than most healthy people, and they soon get strong and well.

If all the people who now have consumption were taken out into the country and cured, there would be no one left for the rest of us to catch it from, and the disease would soon die. Some day our Boards of Health will decide to do this, and then consumption will become as rare as smallpox is now, and will kill only a few hundred people a year in the United States instead of 150,000 every year, as it does now.

People and governments are giving great sums of money, not only to cure the people who now have consumption, but to do something towards stopping the disease by keeping things so clean and people so strong that no one will ever have it. Even little children can help to fight and kill this “Great White Plague,” and I’ll tell you how.

We know that, when people have consumption in their lungs, what they cough and spit out of their mouths and blow out of their noses (we call it sputum) has the germs, or seeds, of the disease in it. So, to keep other people from catching the disease, they must hold something before the face when they cough, and they must catch the sputum in paper (newspapers or paper napkins are very good for this) and burn it, for burning kills the germs. Then, too, they must not kiss other people on the mouth, and others must not kiss them. They must use their own drinking-cups, and never lend or borrow a cup. You see, you can look out for these things, yourselves. When grown people kiss you, just turn your cheek to them, instead of your mouth. Your cheek will not carry anything to your windpipe and lungs. And be sure to carry your own drinking-cup, or, better still, make the one for which you already have the pattern, every time you need one.

This sounds easy enough; and it is, too. But sometimes people don’t know when they have this “plague,” and of course they do not feel that they must be careful. What is to be done, then?

If people won’t take care of themselves, then the government has to make health laws to protect them, and the health officers have to see that the laws are obeyed. In many of the states and cities, laws have been made so that nobody is allowed to spit on the sidewalk or in the cars or in any other public place; and common drinking-cups are forbidden at all park fountains and at the water-coolers in schools and trains and stations and other public places.

You ought to know about these things, because, as I have just said, other sicknesses, too, are carried about in the nose and mouth. Grippe, pneumonia or lung fever, and what we call colds are caught in exactly the same way. We used to think we caught them by being chilled; but we are much more likely to take them by being shut up in a hot, stuffy room with other people who already have them. Mother Nature never gave us such things in her beautiful, clean outdoors. We must wear clothes enough to keep us warm when we go out, and have bedclothes enough to keep us warm while we sleep; but we need not be afraid of catching any sickness from the clean outside air, either by day or by night. Drafts are not dangerous, except when our blood is already full of poisons and germs from foul air.

Of course it is foolish even for strong, healthy people to run any risks that can be avoided, and there is one other thing that you should keep on the watch against doing; and that is, touching or kissing or playing with other children who may be sick. It is better not even to sit in the same room with them if you can avoid it.

Many of the infectious diseases-and nearly three fourths of all the diseases that children have are infectious-are caught, as we have seen, from germs that are carried in the air. That is one reason why so many infectious diseases are likely to begin with running at the nose, or sneezing, or cold in the head, or sore throat. The germs, having been breathed in with the air, catch on the sides of the nostrils or at the back of the throat, and start inflammation and soreness wherever they land. This is just the way that measles, scarlet fever, chicken pox, whooping cough, and diphtheria begin. Nearly all colds in the head, and sore throats with coughing, are infectious; so the best thing to do whenever you have a bad cold in the head, or a sore throat, is to keep out in the open air as much as you can, until it is better. Of course, a cold is not such a serious thing in itself; but, if it is neglected, it may lead to some very dangerous troubles, particularly to inflammation of the lungs, and sometimes even of the kidneys or the liver or the heart. Several of these infectious diseases-measles, chicken pox, and scarlet fever, for instance-have a rash, or breaking-out, called an eruption, upon the skin. This is another thing easy to look out for; and if you see anyone with a rash upon his face and hands, it is a good thing to keep away from him and not let him touch you. Even if he should not have measles or scarlet fever or chicken pox, but only a disease of the skin itself, he still might spread the infection of that; for most diseases that cause a breaking-out upon the surface of the skin are infectious.

Some of these infectious diseases are so common among children that they are called Children’s Diseases, or the Diseases of Infancy, just as if it were natural for you to have them while you are children, and as if they were something that you have to have as a matter of course, before you grow up.

But it isn’t necessary at all to have them, if you will take care of yourselves and help your doctors and the Board of Health of your county or town or city to prevent their spreading. These diseases, although usually very mild, never do anyone any good whatever, and may do serious harm; for their poisons may stay in the blood and injure the heart or the kidneys or the nerves.

One thing I should like to urge you to do if you happen to get one of these “children’s diseases”; and that is, to stay in bed or out of school or away from work just as long as your doctor tells you to. This is important, because it is very dangerous indeed to become over-tired or overheated or chilled, or to get your feet wet or romp too hard or sit up too late, before you have fully recovered; and you will not have fully recovered until at least three or four weeks after you are able to be out of bed. But if you take good care of yourselves for three or four weeks after measles or chicken pox or whooping cough or a very bad cold, you will avoid almost all danger of their poisons injuring your heart or kidneys or nerves, and causing chronic diseases, like Bright’s disease or heart disease, later in life.

Perhaps now I have told you enough about poisons and sickness. You must not be frightened about them. I have told you these things so that you may understand why you must bathe, and brush your teeth, and wash your face and hands, and wear clean clothes, and breathe fresh air, and keep your windows open, and play out of doors-in fact, keep your bodies clean inside and out. I know you will be glad enough to do these things, troublesome though some of them may be, if you know the reason why. The best of it is that when you keep perfectly clean and healthy, not even the “Great White Plague” and cold seeds, or germs, can hurt you, even though they get into your mouth or nose; for Mother Nature gives healthy bodies the power to kill germs, and quite without our knowing it.

CHAPTER III - PROTECTING OUR FRIENDS

If you knew that some of your little friends were sick with an infectious disease like measles or scarlet fever, of course you would keep away from them, so as to avoid catching the disease. And if they knew that they had a disease that was infectious, of course they would want to let all their friends know of it, so as to prevent them from coming and catching it. But how can they let all their friends know? Sick people don’t feel like writing letters; and, even if they did, some diseases can be carried in letters. So that might not be at all a friendly thing to do.

This has always been the greatest difficulty in preventing the spread of infectious diseases-how to let other people know. So about fifty or sixty years ago, people got together and decided that the best thing to do was to appoint an officer known as a Health Officer, or a committee known as a Board of Health, in each town and in each county, whose business it should be to find out cases of infectious disease, and to warn other people against them.

These officers first ask all the doctors in the town to report to this Central Health Office, or Board of Health, every case of a patient with an infectious disease. Then, when the case has been reported, that office sends some one with a card on which the name of the disease is printed in large letters, and he tacks the card upon the front of the house or upon the fence around the lot, so that everyone who goes near the house may know that there is danger, and keep away from it. Then, sometimes, a messenger from the Board of Health goes into the house and talks to the family, and tells them how they can keep the patient in a room by himself, so as to prevent the rest of the family from catching the disease; and how they can best take care of the patient, and keep from carrying the infection through clothing or food or anything else.

Then, because anyone who has been sick with an infectious disease will still be shedding the germs of the disease and spitting or coughing, not only as long as he is sick, but for two or three weeks after he is beginning to feel better, the messenger will tell the family that the patient must stay either in his own room or within his own house or yard, for so many days or weeks. This is called keeping quarantine. The word comes from the Italian word quaranta, “forty”; because in the early days when the practice was first begun, the patients used to be kept by themselves in this way for forty days. While sometimes this is very inconvenient and hard and troublesome, it is really the only safe way of stopping the spread of these diseases; and I am sure anyone of you would be willing to take this extra trouble sooner than let any of your friends catch a disease from you, and perhaps die of it. Quarantine is also the best and safest thing for the patient, because it keeps him quiet and at rest until he has completely recovered, and until all danger that the poison of the disease will attack his lungs or heart or kidneys is over.

In some of the best schools now there is an examination of all the children every morning, by a visiting doctor sent by the Board of Health. If the doctor finds any child that has red and watery eyes, or is running at the nose, or sneezing, or coughing, or has a sore throat, he usually sends him home at once, so that the other children will not catch the infection. The school doctor is not thinking only about what seems to be a cold, although, as you know, it is very important that anyone with a cold should take good care of himself and should not let others catch it from him. The doctor sends the child home because this is just the way in which several other infectious diseases may begin-measles, scarlet fever, chicken pox, whooping cough, and diphtheria. For most infectious diseases, as you will remember, are caught from germs floating in the air and breathed into the nose and throat.

The Board of Health takes care of the public in many ways besides these. It keeps a very careful watch upon the water supply of the town, or city, so as to keep the houses and factories from running their drainage, or sewage, into it; for this, as you already know, might cause the spread of typhoid fever and of other diseases of the bowels and stomach.

The Board of Health sends men to examine, or inspect, the milk the dairymen bring, to see that it is sweet and pure, and that there are no infectious germs in it. And it sends men out into the country to examine the dairy farms and see that the cows are properly fed, and that the barns in which they are milked are kept clean; and that the water in which the milk pans and bottles are washed comes from clean, pure wells or springs.

Another thing that the Board of Health does is to send an inspector round to look very carefully at all the meat that is sold in the butcher shops, and at all the fruits and vegetables at the grocers’. If he finds any meat that is diseased or tainted or bad, or any fruit or vegetables that are beginning to spoil, or any flour, sugar, or canned goods that have been mixed with cheaper stuffs that are not good to eat,-in fact, are what the law calls adulterated,-he may seize the bad and dangerous foods and destroy them, and summon to court the dealers who are trying to sell them. Then the dealers are fined or perhaps sent to prison.

So, you see, the Board of Health is one of the very best friends that you have, trying to keep your food pure and good, the water that you drink clean and wholesome, and the milk sweet and free from dirt or disease germs. You ought to help these officers and their inspectors in every way that you can. I know that it is sometimes troublesome to obey all their rules; and perhaps when you don’t know what the dangers are which they are trying to guard you against, it seems to you that they are too particular about a great many things. But just see what they have done already to make our cities and houses healthier and pleasanter places to live in.

Only one hundred and fifty years ago, for instance, that terrible disease called smallpox killed hundreds of thousands of people every year in Europe; and it attacked the eyes and blinded so many of those who recovered from it, that nearly half the poor blind people in the blind asylums had had their sight destroyed by it. In smallpox there is a terrible eruption, or breaking out, upon the skin, which is likely to leave it pitted and scarred; and even fifty years ago it was exceedingly common to see people who had been pitted by smallpox, or, as the expression was, “pock-marked.”

Cows have a disease somewhat like this, but much less dangerous, called cow-pox. Years ago, before dairies were inspected as they are now, dairy maids often caught this disease from the cows they milked, so that their hands would break out with pock-marks.

About a hundred years ago, a Dr. Richard Jenner discovered that the dairy maids in the country district in which he lived, who had caught this mild infection from the cows they milked, never caught smallpox even when they were exposed to it. So after studying over the subject for some years, he took a little of the matter, or pus, from the eruption on the udder of a cow that had cow-pox, scratched the arm of a little patient of his, and rubbed some of the pus into it. Only a short time after, the family of this little boy was exposed to smallpox, and all the other children took it badly, but he escaped.

This was the beginning of what we call vaccination; and as soon as it was found that this scratching of the arm and putting a little of this vaccine matter into it would cause only a few days of feverishness, and then after that give complete protection against smallpox, the Boards of Health all over the civilized world took it up and insisted upon everybody’s being vaccinated when a baby.

As a result, smallpox has become one of the rarest, instead of the commonest, of our infectious diseases. Only a few dozen people die of it each year in Europe, instead of several hundred thousands; scarcely one one-hundredth of the people now in our blind asylums have been sent there by smallpox, and I dare say that many of you have never even seen a pock-marked person.

Another disease that used to be very dangerous to little children is diphtheria. It was not only very infectious, but very deadly; and nearly half of the children who took it died of it, and the doctors didn’t know anything that would cure it. About twenty years ago, two great scientists, one a Frenchman named Roux-a student of the great Professor Louis Pasteur, of whom I am sure you have heard-and the other, a German, named Behring, discovered an antitoxin for diphtheria; that is, something to defeat the poison of the diphtheria germ. When this antitoxin is injected into the blood, it will cure diphtheria.

The doctors and the Boards of Health took this up too, and insisted upon its being used in all cases; with the result that where the antitoxin is used early, scarcely one in twenty of the patients dies, instead of eight or ten out of twenty, as before.

You know how careful we are all trying to be not to let consumption spread. By insisting that all houses shall be built so as to give plenty of light and fresh air to everyone; and by forbidding spitting upon the streets; and by insisting that food to be sold, especially milk, shall be clean,-by preventing the spread of the disease in every way, our Boards of Health have cut down the number of deaths from this disease nearly one half; and people in the United States, for instance, or in England, where these health laws are enforced, live now almost exactly twice as long on the average as they did one hundred years ago, or as they do now in India and in Turkey, for instance, where the people are ignorant and dirty and careless.

So you see that even if some of the health regulations do seem rather troublesome and fussy, it is well worth while to try to follow them and help the health inspectors in every way. Even little children can help very much in keeping the houses and the cities in which they live clean and healthful and beautiful.