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Hygienic Physiology : With Special Reference to the Use of Alcoholic Drinks and Narcotics · Joel Dorman Steele — chapter 16 of 64 · ~2,657 words · public domain

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Instead of six hundred feet of space being allowed for each pupil, as perfect ventilation demands--the lowest estimate being two hundred and fifty feet--often not over one hundred feet are afforded. Instead of two thousand cubic feet of fresh air being supplied every hour for each person, and as much foul air removed, which, all physiologists assert, is needed for perfect health, perhaps no means of ventilation at all are provided, and none is secured except what an occasionally opened door, or the benevolent cracks and chinks in the building furnish the suffering lungs. [Footnote: Imagine fifty pupils put into a class room thirty feet long, twenty-five feet wide, and ten feet high. This would generally be considered a very liberal provision. Such a room contains seven thousand five hundred cubic feet of air. But it furnishes only one hundred and fifty feet of space for each pupil. Allowing ten cubic feet of air per pupil each minute, in fifteen minutes after assembling, the entire atmosphere of the room is tainted, and unfit to be rebreathed. The demand of health is that at least one thousand five hundred cubic feet of pure air should be admitted into this room every minute, and as much be removed.]

HOW SHALL WE VENTILATE?--The usual method of ventilation depends upon the fact that hot air is lighter than cold air, and so the cold air tends, by the force of gravity, to fall and compel the warm air to rise. Thus, if we open the door of a heated room, and hold a lighted candle first at the top, and then at the bottom, we can see, by the deflection of the flame, that there is a current of air setting outward at the top, and another setting inward at the bottom of the opening. A handkerchief held loosely, or the smoke of a smoldering match, in front of a fireplace will show a current of air passing up the chimney; this is caused by the difference of temperature between the air in the room and the outside atmosphere. Upon this difference of temperature, all ordinary ventilation is based. [Footnote: Public buildings are sometimes ventilated by mechanical means, i. e., immense fans which are turned by machinery, and thus set the air in motion. Such methods are, however, expensive, and rarely adopted, except where power is also used for other purposes.] A proper treatment of this subject and its practical applications, would require a book by itself. There is room here for only a few general statements and suggestions.

1. Two openings are always necessary to produce a thorough change of air. (See "Popular Chemistry," p. 70.) Put a lighted candle in a bottle. The flame will soon be extinguished. The oxygen of the little air in the bottle is burned out, and carbonic acid has taken its place. Now place over the mouth of the bottle a lamp chimney, and insert in the chimney a strip of cardboard, thus dividing the passage. On relighting the candle, it will burn freely. The smoke of a bit of smoldering paper will show that two opposite currents of air are established, one setting into the bottle, the other outward.

2. In the winter, when our schoolrooms, churches, public halls, etc., are heated artificially, ventilation is comparatively easy if properly arranged. [Footnote: For the escape of bad air, Dr. Bell suggests that an efficient foul-air shaft may be fitted to the commonest of stoves by simply inclosing the stovepipe in a jacket--that is, in a pipe two or three inches greater in diameter. This should be braced round the stovepipe and left open at the end next the stove. At its entrance into the chimney, a perforated collar should separate it from the stovepipe.] The required difference of temperature is kept up with little difficulty. The fresh air admitted to the room should then be heated [Footnote: Ventilation is change of air, and, unless scientifically arranged, and especially unless the incoming volume of air be warmed in cold weather, such change of atmosphere means cold currents, with their attendant train of catarrhs, bronchitis, neuralgia, rheumatism, and all the evils that spring from these diseases. The raw, damp, frosty air of our ever-changing winter temperature ought not to have uncontrolled and constant ingress to our dwellings. Air out of doors is suited to out of door habits. It is healthy and bracing when the body is coated and wrapped, and prepared to meet it, and when exercise can be taken to keep up the circulation; but to live under cover is to live artificially, and such essential conditions must be observed as suit an abnormal state. All the evils attaching to ventilation, as it is generally effected, spring from the neglect of this consistency.--Westminster Review.] either by a furnace, or by passing over a stove, or through a coil of steam pipes. This cold air should always be taken directly from out of doors, and not from a cellar, or from under a piazza, where contamination is possible.

3. In order to remove the impure air, there should be ventilators provided at or near the floor, opening into air shafts, or pipes leading upward through the roof, with proper orifices at the top. These ventilating pipes should be heated artificially so as to produce a draught. They may form one of the flues of a chimney in which there is a constant fire; or be carried upward in a large flue through the center of which runs the smoke pipe of the furnace or stove; [Footnote: This plan has been adopted in the newer school buildings of Elmira, N. Y. The older buildings were provided with ventilating pipes, not heated artificially, and hence of no service. These pipes are rendered effective, however, by conducting them into a small room in the garret, heated by a coal stove. From this room, a large exit pipe leads to the roof, where it terminates in an Emerson's ventilator. So strong a draught is thus established that throughout the building air is taken from the floors, and consequently the cooler portion of the rooms, at a velocity of three to five feet per second or one hundred and eighty to three hundred cubic feet per minute for each square foot of flue opening. In perpendicular flues, heated throughout with a smoke flue from the furnace, ten feet per second is attained.] or the ventilating pipe be itself conveyed through the center of the larger chimney flue. If the register for hot air be on the floor at one side of the room, two or more ventilators may be placed near the floor on the opposite side. The warm air will thus make the complete circuit of the room, and thoroughly warm it before passing out.

If the ventilating shaft be not heated artificially; the ventilator must be placed at the top of the room in order that the hot air may escape through it, thus producing an upward draught. But the objection to this method is that it allows the warmer air to escape, while economy requires that the cooler air at the bottom of the room should be removed and the warm air be made to descend, thus securing uniformity of temperature.

4. In the summer, ventilation may be commonly provided for by opening windows at the top and the bottom, on the sheltered side of the building, so as to avoid draughts of air injurious to the occupants. On a dull, still, hot day, when there is little difference of temperature between the inner and the outer air, ventilation can be secured only by having a fire provided in the ventilating shaft; this, by exhausting the air from the room, will cause a fresh current to pour in through the open windows. At recess, all the children should, if the weather permit, be sent out of doors, to allow their clothing to be exposed to the purifying influence of the open air; meantime, the windows should be thrown wide open, that the room may be thoroughly ventilated during their absence. In bad weather, rapid marching or calisthenic exercises will furnish exercise, and also permit the airing of the room.

5. The school and the church are the centers for spreading contagious diseases. The former offers especially dangerous facilities for scattering disease germs. Great pains, therefore, should be taken to exclude pupils attacked by or recovering from diphtheria, scarlet fever, whooping cough, etc., and even those who live in houses where such sickness exists.

6. In our houses [Footnote: The air of our homes is often contaminated by decaying vegetables and other filth in the cellar; by bad air drawn up from the soil into the cellar, by the powerful draughts that our fires create; by defective gas and waste pipes that let the foul air from cesspool or sewer spread through the house; and by piles of refuse, or puddles of slops emptied at the back door. Too often, also, the water in our wells, or in the streams that supply our towns and cities, receives the drainage from outhouses and barnyards, and so introduces into our systems, in the liquid--and thus easily assimilated--form, the most dangerous poisons. The question of sanitary precautions is one that presses upon every observant mind, and demands constant and thoughtful attention. (See p. 305.)] open fireplaces are efficient ventilators, and they should never be closed for any cause. Fresh air admitted by a hot-air register and impure air passed out by a chimney, form a simple and thorough system. Our sleeping apartments demand especial care. As soon as the occupants leave the room, the bedclothes should be removed, and laid on the backs of chairs to air; the bed be shaken up; and the windows thrown open. In the summer, the windows may be closed before the sun is high; the house is then left filled with the cool morning air. In damp and cold weather, a fire should be lighted in sleeping apartments, particularly if used by children [Footnote: In winter, children should always be given a moderately warm, well-ventilated bedroom, with light, fleecy bed coverings. Says a recent English writer: "The loving care which prescribes for children a cold bedroom and a hot, sweltering bed is of the nature that kills. Buried in blankets, their delicate skins become overheated and relaxed, while they are irritated by perspiration; at the same time, the most delicate tissues of all, in the lungs, are dealing with air abnormally frigid. The poor little victims of combined ignorance and kindness thus toss and dream, feverish and troubled, under a mass of bedclothes, while the well-meaning mother, soothed by a bedroom fire, slumbers peacefully through this working out of the sad process of the 'survival of the fittest.'"] or delicate persons, to dry the bedclothing, and also to prevent a chill on the part of the occupants. It is not necessary to go shivering to bed in order to harden one's constitution.

WONDERS OF RESPIRATION.--The perfection of the organs of respiration challenges our admiration. So delicate are they that the least pressure would cause exquisite pain, yet tons of air surge to and fro through their intricate passages, and bathe their innermost cells. We yearly perform at least seven million acts of breathing, inhaling one hundred thousand cubic feet of air, and purifying over three thousand five hundred tons of blood. This gigantic process goes on constantly, never wearies or worries us, and we wonder at it only when science reveals to us its magnitude. In addition, by a wise economy, the process of respiration is made to subserve a second use no less important, and the air we exhale, passing through the organs of voice, is transformed into prayers of faith, songs of hope, and words of social cheer.

FIG. 33.

DISEASES, ETC.--1. Constriction of the Lungs is produced by tight clothing. The ribs are thus forced inward, the size of the chest is diminished, and the amount of inhaled air decreased. Stiff clothing, and especially a garment that will not admit of a full breath without inconvenience, will prevent that free movement of the ribs so essential to health. Any infraction of the laws of respiration, even though it be fashionable, will result in diminished vitality and vigor, and will be fearfully punished by sickness and weakness through the whole life.

2. Bronchitis (bron-ki'-tis) is an inflammation (see Inflammation) of the mucous membrane of the bronchial tubes. It is accompanied by an increased secretion of mucus, and consequent coughing.

3. Pleurisy is an inflammation of the pleura. It is sometimes caused by an injury to the ribs, and results in a secretion of water within the membrane.

4. Pneumonia (pneuma, breath) is an inflammation of the lungs, affecting chiefly the air cells.

5. Consumption is a disease which destroys the substance of the lungs. Like other lung difficulties, it is caused largely by a want of pure air, a liberal supply of which is the best treatment that can be prescribed for it. [Footnote: If I were seriously ill of consumption, I would live outdoors day and night, except in rainy weather or midwinter; then I would sleep in an unplastered log house. Physic has no nutriment, gaspings for air can not cure you, monkey capers in a gymnasium can not cure you, stimulants can not cure you. What consumptives want is pure air, not physic, plenty of meat and plenty of bread.--DR. MARSHALL HALL.]

6. Asphyxia (as-fix'-i-a).--When a person is drowned, strangled, or choked in any way, what is called asphyxia occurs. The face turns black; the veins become turgid; insensibility and often convulsions ensue. If relief is not secured within a few minutes, death will be inevitable. [Footnote: The lack of oxygen, and the presence of carbonic-acid gas, are the combined causes. Oxygen starvation and carbonic-acid poisoning, each fatal in itself, work together to destroy life.] (See p. 264.)

7. Diphtheria (diphthera, a membrane) is characterized by fever, debility, and a peculiar sore throat, in which exuding fibrinous matter forms a grayish white membrane, which afterward decomposes with a fetid odor. Its sudden and insidious approach, contagious character, and frequent fatality, render it an exceedingly dreaded disease. A diphtheritic patient should be quarantined, and everything connected with the sick room thoroughly disinfected.

8. Croup, which often attacks young children, is an inflammation of the mucous membrane of the larynx and trachea. It is commonly preceded by a cold. The child sneezes, coughs, and is hoarse, but the attack frequently comes on suddenly, and usually in the night. It is accompanied by a peculiar "brassy," ringing cough, which, once heard, can never be mistaken. It may prove fatal within a few hours. (See p. 260.)

9. Stammering depends, not on defects of the muscles, but on a want of due control of the mind. When a stammerer is not too conscious of his lack, and tries to form his words slowly, he speaks plainly, and may sing well, for then his words must follow one another in rhythmic time. Many persons who stammer in common conversation can talk with fluency when making a speech. The stammerer should seek to discover the cause of his difficulty, and to overcome it by vocal and respiratory exercise, especially by speaking only after a full inspiration, and during a long, slow expiration.

PRACTICAL QUESTIONS.

1. What is the philosophy of "the change of voice" in a boy?

2. Why can we see our breath on a frosty morning?

3. When a law of health and a law of fashion conflict, which should we obey?

4. If we use a "bunk" bed, should we pack away the clothes when we first rise in the morning?

5. Why should a clothespress be well ventilated?

6. Should the weight of our clothing hang from the waist, or the shoulder?

7. Describe the effects of living in an overheated room.

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