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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..6833f05 --- /dev/null +++ b/.gitattributes @@ -0,0 +1,3 @@ +* text=auto +*.txt text +*.md text diff --git a/36006-h.zip b/36006-h.zip Binary files differnew file mode 100644 index 0000000..dc1faad --- /dev/null +++ b/36006-h.zip diff --git a/36006-h/36006-h.htm b/36006-h/36006-h.htm new file mode 100644 index 0000000..4ef2908 --- /dev/null +++ b/36006-h/36006-h.htm @@ -0,0 +1,837 @@ +<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" + "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> + +<html xmlns="http://www.w3.org/1999/xhtml"> + <head> + <meta http-equiv="Content-Type" content="text/html;charset=iso-8859-1" /> + <title> + The Project Gutenberg eBook of 'Diphtheria' by U. S. Public Health Service + </title> + <style type="text/css"> + + p { margin-top: .75em; + text-align: justify; + margin-bottom: .75em; + } + h1,h2,h3,h4,h5,h6 { + text-align: center; /* all headings centered */ + clear: both; + } + + hr { width: 33%; + margin-top: 2em; + margin-bottom: 2em; + margin-left: auto; + margin-right: auto; + clear: both; + } + + body{margin-left: 10%; + margin-right: 10%; + } + + .pagenum { /* uncomment the next line for invisible page numbers */ + /* visibility: hidden; */ + position: absolute; + left: 92%; + font-size: small; + font-weight: normal; + text-align: right; + } /* page numbers */ + + + + .blockquot{margin-left: 5%; margin-right: 10%;} + .center {text-align: center;} + .size90 {font-size:90%;} + .smcap {font-variant: small-caps;} + + .extraspace {padding-top: 4em; } + + .caption {font-weight: bold;} + + .cap:first-letter {float: left; clear: left; margin: -0.2em 0.1em 0; margin-top: 0%; + padding: 0; line-height: .75em; font-size: 300%; text-align: justify;} + .cap {text-indent: 0!important;} + .uc {text-transform: uppercase; } + + .figcenter {margin: auto; text-align: center;} + + </style> + </head> +<body> + + +<pre> + +The Project Gutenberg EBook of Diphtheria, by Public Health Service + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Diphtheria + how to recognize the disease, how to keep from catching + it, how to treat those who do catch it + +Author: Public Health Service + +Release Date: May 1, 2011 [EBook #36006] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK DIPHTHERIA *** + + + + +Produced by Bryan Ness, Dianna Adair and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + + + + + +</pre> + + + +<p><span class='pagenum'><a name="Page_1" id="Page_1">[1]</a></span></p> + +<h1>Diphtheria</h1> + +<div class="center extraspace"><span class="smcap">How to Recognize the Disease<br /> + +How to Keep from Catching It<br /> + +How to Treat Those Who Do Catch It</span><br /><br /> + +<p class="center extraspace">KEEP WELL SERIES No. 4</p></div> + +<div class="figcenter extraspace" style="width: 133px;"> +<img src="images/deco_001.png" width="133" height="129" alt="medical icon" title="" /> +</div> + + +<div class="center extraspace"><small>TREASURY DEPARTMENT</small><br /> +UNITED STATES PUBLIC HEALTH SERVICE<br /> +<small>1919</small></div> + + +<div class="center extraspace"><small>GOVERNMENT PRINTING OFFICE</small></div> +<p><span class='pagenum'><a name="Page_2" id="Page_2">[2]</a></span><br /></p> + +<hr style="width: 65%;"/> + + +<p><br /><span class='pagenum'><a name="Page_3" id="Page_3">[3]</a></span></p> +<h1><a name="Diphtheria" id="Diphtheria"></a>Diphtheria </h1> + + + + +<p class='cap'><span class="uc">After</span> babyhood has passed, beware of +diphtheria. Of all the deaths of children +3 and 4 years of age, more than one-seventh +are caused by diphtheria. +</p> + +<p>Diphtheria is preventable and, when +properly treated with antitoxin, is curable. +Most of the children who die from diphtheria +really lose their lives because of the +ignorance and carelessness of their parents.</p> + +<p>Diphtheria is a disease most often occurring +in children and resembling a sore +throat or tonsillitis. It is caused by a small +germ called the diphtheria bacillus. The +disease may resemble:</p> + +<p><i>A very mild sore throat</i>, the tonsils and +back of the mouth being redder than usual, +and the person not feeling ill.</p> + +<p>It may look like a <i>more severe sore throat</i> +or tonsillitis with a white or grayish patch, +<span class='pagenum'><a name="Page_4" id="Page_4">[4]</a></span>called a membrane, on the tonsils. There +may be only one or a few small distinct +patches, and the throat may feel somewhat +sore. The glands in the neck, below the +tonsils, may be slightly enlarged and may +feel about the size of small peas. The +patient may feel rather ill.</p> + +<p>Or the disease may be like a <i>very severe +sore throat</i>, with small or large gray or +white patches. Not only the tonsils but +also the uvula, the small rounded end of +the palate which hangs down between the +tonsils, may have on it white or gray +patches. (If there is a membrane on the +uvula, the disease is almost certainly diphtheria.) +With such a throat the person +feels very sick. Not only does the throat +hurt, but there are usually aches in the +back of the neck and in the muscles generally. +The glands in the neck may be +quite large and feel painful when touched. +The soreness in the throat may extend +down the windpipe, and membranes may +form there. The patient is feverish and +often is delirious. The fever, however, is +not necessarily high.</p> + +<p><span class='pagenum'><a name="Page_5" id="Page_5">[5]</a></span>In some cases the membranes may form +in the larynx (Adam's apple). When this +is the case the patient's voice sounds hoarse +and croupy, and the child may breathe +with difficulty. In small children it is not +uncommon, if such cases remain untreated, +for this membrane to choke the patient. +Therefore, in all cases of croup, send for a +doctor immediately.</p> + + +<h4>THROAT CULTURES.</h4> + +<p>In order to prevent the spread of diphtheria +to others it is important always to +recognize the presence of the disease, even +in mild cases. In order to do this the doctor +makes a culture from the throat and +nose of the suspected individual. He takes +a piece of sterile cotton wrapped around +the end of a thin stick of wire and touches +this to the throat and tonsils, especially +where there are patches or membranes. +Then he sends this swab to a laboratory, +where cultures are planted from it. The +next day these cultures are examined with<span class='pagenum'><a name="Page_6" id="Page_6">[6]</a></span> +a microscope to see if diphtheria bacilli, +the germs which cause diphtheria, are +present.</p> + +<p>Since the diphtheria germs or bacilli +grow on the lining of the throat and air +passages, they are easily thrown out from +the mouth and nose of the patient with +particles of mucus or spit when the patient +coughs, spits, or sneezes. But even when +the patient talks, especially when he talks +loudly, tiny droplets of mucus or spit are +given off. These droplets may have diphtheria +bacilli on them. The same is true +of particles of food, no matter how small, +falling from the patient's lips. Eating +utensils such as cups, glasses, forks, and +spoons that have touched the lips of the +patient may likewise have saliva on them. +When the patient has diphtheria all these +droplets of saliva and of mucus may, and +usually do, contain many diphtheria bacilli. +Curiously, some persons may have diphtheria +bacilli in the nose and throat and +yet remain entirely well. Such persons<span class='pagenum'><a name="Page_7" id="Page_7">[7]</a></span> +are called "healthy carriers." They are +especially dangerous, because there is no +outward sign which will tell them or others +that they are carrying deadly disease germs +around.</p> + +<p>All who attend the patient must be very +careful not to get any of the dangerous discharges +from the patient's mouth or nose +on the hands. In fact, it is important for +the attendant always to wash her hands +promptly after waiting on the patient. Besides +this, care should be taken that the +germs are not carried to others by the use +of eating utensils, such as cups, glasses, +spoons, forks, or plates. All of these +should be sterilized with <i>boiling</i> water +after each meal.</p> + + +<h4>ANTITOXIN TREATMENT.</h4> + +<p>Depending on the way it is treated, diphtheria +is one of the least dangerous or one +of the most dangerous diseases. It is one +of the least dangerous when promptly +treated with antitoxin; it is one of the most<span class='pagenum'><a name="Page_8" id="Page_8">[8]</a></span> +dangerous when the antitoxin treatment is +not given, or is delayed or insufficient. In +the days before we had antitoxin one out +of every three children who had diphtheria +died. Now, if antitoxin is used on the first +or second day of the disease ninety-eight +out of every hundred children recover. +The sooner diphtheria is attended to the +more certain is a cure.</p> + +<p>In severe cases suspected to be diphtheria +the doctor always gives diphtheria +antitoxin at once. This is a wise thing to +do, because the disease goes on rapidly +and a delay of 12 or 24 hours may be fatal. +Besides, no harm is done, even if the disease +proves not to be diphtheria. The +antitoxin, although making some people +uncomfortable for a day or two, never does +any real harm. Whenever antitoxin is +given to a person ill with diphtheria it +should be given in <i>one dose, large enough +and early enough</i>.</p> + + +<h4><span class='pagenum'><a name="Page_9" id="Page_9">[9]</a></span>TEMPORARY PROTECTION WITH ANTITOXIN.</h4> + +<p>Diphtheria is very contagious, and many +people, especially children, can catch it. +For this reason, whenever a case of diphtheria +is discovered, the doctor injects the +antitoxin not only into the patient, but +also, as a protective against the disease, +into those who have come into contact +with the patient. This is spoken of as +"immunizing" these individuals. The immunizing +dose is not so large as the curative +dose given to the patient, but it is usually +sufficient to protect those exposed to +diphtheria for a month from the time of +injection. At the end of that time the protection +disappears.</p> + + +<h4>THE SCHICK TEST.</h4> + +<p>A few years ago a very simple test was +discovered to tell whether a person could +or could not catch diphtheria. This is +known as the Schick test. It consists in +injecting a few drops of a prepared diphtheria +toxin into the skin and then watching<span class='pagenum'><a name="Page_10" id="Page_10">[10]</a></span> +whether a characteristic red spot appears +where the injection was made. If +such a spot does not appear within two or +three days it shows that the person can not +catch diphtheria.</p> + + +<h4>LASTING PROTECTION BY DIPHTHERIA +VACCINATION.</h4> + +<p>For those in whom the characteristic +redness appears, and who are therefore +known to be liable to catch diphtheria, +doctors now advise a course of protective +injections similar to those which have +proven so successful against typhoid fever. +This protective treatment consists of three +small injections, a week apart. There is +no sore, as there is in smallpox vaccination, +and the injections are harmless. The +protection lasts for years, and perhaps even +for life.</p> + +<p>Why not have the doctor make a Schick +test on your child, and if this shows the +lack of protection against diphtheria have +him give the three protective injections?</p> + + +<h4><span class='pagenum'><a name="Page_11" id="Page_11">[11]</a></span>PERSONAL AND BEDSIDE HYGIENE.</h4> + +<p>1. (<i>a</i>) All discharges from the nose and +mouth should be gathered in soft, clean +cloths or rags or papers and destroyed by +burning. (<i>b</i>) The patient should cover the +mouth and nose when coughing or sneezing, +for a cough or sneeze will throw droplets +of mucus to a distance of 10 or 12 feet.</p> + +<p>2. The attendant should wear a washable +gown that completely covers her clothing. +It should be put on when entering the room +of the patient and taken off immediately on +leaving it.</p> + +<p>3. A basin of water, together with a cake +of castile soap (or where possible an antiseptic +solution), should be placed in a convenient +place, so that the doctor and nurse +attending the patient may wash their hands +whenever leaving the room, and even <i>before</i> +touching the door handle.</p> + +<p>4. All eating utensils that the patient uses +should be washed in boiling hot water separately +from other dishes and used exclusively +by the patient.</p> + +<p><span class='pagenum'><a name="Page_12" id="Page_12">[12]</a></span>5. All bedclothes and bedding should be +boiled in soap and water, or they should be +exposed to the sunshine. <i>Direct sunshine +kills disease germs.</i></p> + +<p>6. The person attending the patient +should wear a double layer of gauze or +other soft thin cloth across the mouth and +nose as a <i>face mask</i> whenever near the +patient so as to prevent the droplets containing +the germs coming from the patient's +mouth from entering and lodging +on the lining of the mouth or throat of the +attendant. <i>Always remember that even +though you may not get the disease if the +germs lodge in your throat they may grow +there and you may carry the disease to +another person who may catch it.</i></p> + +<p>7. There should be but one attendant +wherever possible.</p> + +<p>8. No visitors should be permitted in the +sick room—not even during convalescence.</p> + +<p>9. The one who attends the sick should +not prepare or handle the food of others.<span class='pagenum'><a name="Page_13" id="Page_13">[13]</a></span> +Sometimes it is impossible to take this precaution, +as very often it is the mother who +must take care of the patient, cook, and do +all the housework. In such cases the one +attending the sick must <i>never neglect</i> whenever +near the patient—</p> + +<div class="blockquot"><p>(1) To wear a face mask.</p> + +<p>(2) To wear a washable gown (which +is to be taken off on leaving the +room).</p> + +<p>(3) To wash her hands when leaving +the sick room.</p></div> + +<p><i>Every attendant on the sick should know +how disease germs are carried from the +sick to the well. This knowledge should +make her more careful, and thus help to +prevent the spread of the disease.</i></p> + +<div class="figcenter extraspace" style="width: 146px;"> +<img src="images/deco_002.png" width="146" height="167" alt="medical icon" title="" /></div> + +<p><span class='pagenum'><a name="Page_14" id="Page_14">[14]</a></span><br /> <br /> + +<span class='pagenum'><a name="Page_15" id="Page_15">[15]</a></span></p> + + +<p class="center size90 extraspace"> +For other instructive Health Leaflets<br /> +write to the— +</p> +<p class="center size90"> +UNITED STATES<br /> +PUBLIC HEALTH SERVICE<br /> +WASHINGTON, D. C. +</p> + +<p><span class='pagenum'><a name="Page_16" id="Page_16">[16]</a></span></p> + +<div class="figcenter extraspace" style="width: 69px;"> +<img src="images/deco_003.png" width="69" height="250" alt="medical icon" title="" /> +</div> + + + + + + + + + +<pre> + + + + + +End of the Project Gutenberg EBook of Diphtheria, by Public Health Service + +*** END OF THIS PROJECT GUTENBERG EBOOK DIPHTHERIA *** + +***** This file should be named 36006-h.htm or 36006-h.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/3/6/0/0/36006/ + +Produced by Bryan Ness, Dianna Adair and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Diphtheria + how to recognize the disease, how to keep from catching + it, how to treat those who do catch it + +Author: Public Health Service + +Release Date: May 1, 2011 [EBook #36006] + +Language: English + +Character set encoding: ASCII + +*** START OF THIS PROJECT GUTENBERG EBOOK DIPHTHERIA *** + + + + +Produced by Bryan Ness, Dianna Adair and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + + + + + + + + + Diphtheria + + +HOW TO RECOGNIZE THE DISEASE + HOW TO KEEP FROM CATCHING IT + HOW TO TREAT THOSE WHO DO CATCH IT + + + KEEP WELL SERIES No. 4 + + + [Illustration: logo] + + + TREASURY DEPARTMENT +UNITED STATES PUBLIC HEALTH SERVICE + 1919 + + + GOVERNMENT PRINTING OFFICE + + + + + + +Diphtheria + + +After babyhood has passed, beware of diphtheria. Of all the deaths of +children 3 and 4 years of age, more than one-seventh are caused by +diphtheria. + +Diphtheria is preventable and, when properly treated with antitoxin, is +curable. Most of the children who die from diphtheria really lose their +lives because of the ignorance and carelessness of their parents. + +Diphtheria is a disease most often occurring in children and resembling +a sore throat or tonsillitis. It is caused by a small germ called the +diphtheria bacillus. The disease may resemble: + +_A very mild sore throat_, the tonsils and back of the mouth being +redder than usual, and the person not feeling ill. + +It may look like a _more severe sore throat_ or tonsillitis with a white +or grayish patch, called a membrane, on the tonsils. There may be only +one or a few small distinct patches, and the throat may feel somewhat +sore. The glands in the neck, below the tonsils, may be slightly +enlarged and may feel about the size of small peas. The patient may feel +rather ill. + +Or the disease may be like a _very severe sore throat_, with small or +large gray or white patches. Not only the tonsils but also the uvula, +the small rounded end of the palate which hangs down between the +tonsils, may have on it white or gray patches. (If there is a membrane +on the uvula, the disease is almost certainly diphtheria.) With such a +throat the person feels very sick. Not only does the throat hurt, but +there are usually aches in the back of the neck and in the muscles +generally. The glands in the neck may be quite large and feel painful +when touched. The soreness in the throat may extend down the windpipe, +and membranes may form there. The patient is feverish and often is +delirious. The fever, however, is not necessarily high. + +In some cases the membranes may form in the larynx (Adam's apple). When +this is the case the patient's voice sounds hoarse and croupy, and the +child may breathe with difficulty. In small children it is not uncommon, +if such cases remain untreated, for this membrane to choke the patient. +Therefore, in all cases of croup, send for a doctor immediately. + + +THROAT CULTURES. + +In order to prevent the spread of diphtheria to others it is important +always to recognize the presence of the disease, even in mild cases. In +order to do this the doctor makes a culture from the throat and nose of +the suspected individual. He takes a piece of sterile cotton wrapped +around the end of a thin stick of wire and touches this to the throat +and tonsils, especially where there are patches or membranes. Then he +sends this swab to a laboratory, where cultures are planted from it. The +next day these cultures are examined with a microscope to see if +diphtheria bacilli, the germs which cause diphtheria, are present. + +Since the diphtheria germs or bacilli grow on the lining of the throat +and air passages, they are easily thrown out from the mouth and nose of +the patient with particles of mucus or spit when the patient coughs, +spits, or sneezes. But even when the patient talks, especially when he +talks loudly, tiny droplets of mucus or spit are given off. These +droplets may have diphtheria bacilli on them. The same is true of +particles of food, no matter how small, falling from the patient's lips. +Eating utensils such as cups, glasses, forks, and spoons that have +touched the lips of the patient may likewise have saliva on them. When +the patient has diphtheria all these droplets of saliva and of mucus +may, and usually do, contain many diphtheria bacilli. Curiously, some +persons may have diphtheria bacilli in the nose and throat and yet +remain entirely well. Such persons are called "healthy carriers." They +are especially dangerous, because there is no outward sign which will +tell them or others that they are carrying deadly disease germs around. + +All who attend the patient must be very careful not to get any of the +dangerous discharges from the patient's mouth or nose on the hands. In +fact, it is important for the attendant always to wash her hands +promptly after waiting on the patient. Besides this, care should be +taken that the germs are not carried to others by the use of eating +utensils, such as cups, glasses, spoons, forks, or plates. All of these +should be sterilized with _boiling_ water after each meal. + + +ANTITOXIN TREATMENT. + +Depending on the way it is treated, diphtheria is one of the least +dangerous or one of the most dangerous diseases. It is one of the least +dangerous when promptly treated with antitoxin; it is one of the most +dangerous when the antitoxin treatment is not given, or is delayed or +insufficient. In the days before we had antitoxin one out of every three +children who had diphtheria died. Now, if antitoxin is used on the first +or second day of the disease ninety-eight out of every hundred children +recover. The sooner diphtheria is attended to the more certain is a +cure. + +In severe cases suspected to be diphtheria the doctor always gives +diphtheria antitoxin at once. This is a wise thing to do, because the +disease goes on rapidly and a delay of 12 or 24 hours may be fatal. +Besides, no harm is done, even if the disease proves not to be +diphtheria. The antitoxin, although making some people uncomfortable for +a day or two, never does any real harm. Whenever antitoxin is given to a +person ill with diphtheria it should be given in _one dose, large enough +and early enough_. + + +TEMPORARY PROTECTION WITH ANTITOXIN. + +Diphtheria is very contagious, and many people, especially children, can +catch it. For this reason, whenever a case of diphtheria is discovered, +the doctor injects the antitoxin not only into the patient, but also, as +a protective against the disease, into those who have come into contact +with the patient. This is spoken of as "immunizing" these individuals. +The immunizing dose is not so large as the curative dose given to the +patient, but it is usually sufficient to protect those exposed to +diphtheria for a month from the time of injection. At the end of that +time the protection disappears. + + +THE SCHICK TEST. + +A few years ago a very simple test was discovered to tell whether a +person could or could not catch diphtheria. This is known as the Schick +test. It consists in injecting a few drops of a prepared diphtheria +toxin into the skin and then watching whether a characteristic red spot +appears where the injection was made. If such a spot does not appear +within two or three days it shows that the person can not catch +diphtheria. + + +LASTING PROTECTION BY DIPHTHERIA VACCINATION. + +For those in whom the characteristic redness appears, and who are +therefore known to be liable to catch diphtheria, doctors now advise a +course of protective injections similar to those which have proven so +successful against typhoid fever. This protective treatment consists of +three small injections, a week apart. There is no sore, as there is in +smallpox vaccination, and the injections are harmless. The protection +lasts for years, and perhaps even for life. + +Why not have the doctor make a Schick test on your child, and if this +shows the lack of protection against diphtheria have him give the three +protective injections? + + +PERSONAL AND BEDSIDE HYGIENE. + +1. (_a_) All discharges from the nose and mouth should be gathered in +soft, clean cloths or rags or papers and destroyed by burning. (_b_) The +patient should cover the mouth and nose when coughing or sneezing, for a +cough or sneeze will throw droplets of mucus to a distance of 10 or 12 +feet. + +2. The attendant should wear a washable gown that completely covers her +clothing. It should be put on when entering the room of the patient and +taken off immediately on leaving it. + +3. A basin of water, together with a cake of castile soap (or where +possible an antiseptic solution), should be placed in a convenient +place, so that the doctor and nurse attending the patient may wash their +hands whenever leaving the room, and even _before_ touching the door +handle. + +4. All eating utensils that the patient uses should be washed in boiling +hot water separately from other dishes and used exclusively by the +patient. + +5. All bedclothes and bedding should be boiled in soap and water, or +they should be exposed to the sunshine. _Direct sunshine kills disease +germs._ + +6. The person attending the patient should wear a double layer of gauze +or other soft thin cloth across the mouth and nose as a _face mask_ +whenever near the patient so as to prevent the droplets containing the +germs coming from the patient's mouth from entering and lodging on the +lining of the mouth or throat of the attendant. _Always remember that +even though you may not get the disease if the germs lodge in your +throat they may grow there and you may carry the disease to another +person who may catch it._ + +7. There should be but one attendant wherever possible. + +8. No visitors should be permitted in the sick room--not even during +convalescence. + +9. The one who attends the sick should not prepare or handle the food of +others. Sometimes it is impossible to take this precaution, as very +often it is the mother who must take care of the patient, cook, and do +all the housework. In such cases the one attending the sick must _never +neglect_ whenever near the patient-- + + (1) To wear a face mask. + + (2) To wear a washable gown (which is to be taken off on leaving + the room). + + (3) To wash her hands when leaving the sick room. + +_Every attendant on the sick should know how disease germs are carried +from the sick to the well. This knowledge should make her more careful, +and thus help to prevent the spread of the disease._ + +[Illustration: logo] + + + + +For other instructive Health Leaflets +write to the-- + + UNITED STATES + PUBLIC HEALTH SERVICE + WASHINGTON, D. C. + +[Illustration: medical symbol] + + + * * * * * + + + + + + + + +End of the Project Gutenberg EBook of Diphtheria, by Public Health Service + +*** END OF THIS PROJECT GUTENBERG EBOOK DIPHTHERIA *** + +***** This file should be named 36006.txt or 36006.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/3/6/0/0/36006/ + +Produced by Bryan Ness, Dianna Adair and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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