remains above o for a number Christian Louboutin Outlet of days a week or more the disease becomes epidemic; and this no matter how high above o the temperature may go whether it is o or . His conclusions are as follows: First Hot weather either dry or moist is not necessary for the epidemic Coach Outlet Store Online appearance of acute gastrointestinal catarrh; Second Warm weather either dry or moist showing a minimum daily temperature of not less than o brings on the epidemic every year irrespective of the height of the maximum daily temperature; Third The disease loses its epidemic character Nike Air Max as soon as the minimum daily temperature falls below o as in October; Fourth Therefore this disease cannot be brought about by the direct effect of high temperature upon the childs body.Dr. Seibert then went on to say that the lowest temperature of each day was reached during the night; Nike Air Max 90 and it was at this time that the milk which furnished the principal food of so many young children was brought into the city. It was often carried long distances being much jolted about and absorbing impurities from the time it left the cow: it was therefore only a question how far the decomposition of the milk had advanced by the time it reached the child. It was well known that a low temperature retarded decomposition; and Dr. Cyrus Edson of the New York Health Department had informed him that in his experience he had found that milk usually began to turn whenever its temperature reached o or higher. ChiefEngineer Birdsall of the Department of Public Works had also informed him that whenever the temperature of Croton Lake rose to o or above there was a peculiar taste about the water which he attributed to the decomposition of certain matters contained within it.As to the point why there are always so many more cases and deaths in July than in August the difference usually amounting to at least onethird it seemed to him that it might perhaps be explained by the fact that it took a few weeks after the onset of warm weather to fully arouse the tenementhouse population to the danger to which their children were exposed from this disease Christian Louboutin Outlet and to the necessity of taking suitable precautions as regards fresh air and diet for its prevention.In the discussion which followed the reading of the paper Dr. L. Emmett Holt referred to some statistics of Liverpool which tended to confirm some of Dr. Seiberts conclusions. In one yeardeaths occurred from cholerainfantum in July the average temperature being . F while in August when the temperature was .F there weredeaths. Dr. Holt said that in summer Coach Outlet Store Online there were different forms of diarrhoeal disease in growing children and that he thought it was advisable that some distinction should be made between them. In the production of what is ordinarily known as summercomplaint he believed that there were four principal factors concernednamely heat feeding sanitary conditions and constitutionand that the most important of these features was heat.Dr. J. Lewis Smith thought that there was perhaps a fallacy in comparing summer diarrhoea with that of winter; the two being in his opinion Nike Shoes Australia very different diseases. He believed that summercomplaint was due to heat but just how this acted was not yet known. Heat alone is not sufficient else the disease would be prevalent in the country as well as in the city. How much gaseous exhalation had to do with its production was not ascertained. The opinion is gaining ground that summer diarrhoea is a microbic disease. It was well known that milk which had begun to decompose had a tendency to give rise to the affection. In Asiatic cholera the Nike Australia causative agency of Kochs bacillus had been pretty generally accepted and Coach Outlet Store Online it was believed that this microbe was received into the mouth and acted as a source of irritation to the intestines by its actual presence and not by causing decomposition of food. In like manner it did not seem