Annual report on the health of the Metropolitan Borough of Deptford page 44

Deptford 1919

Annual report on the health of the Metropolitan Borough of Deptford

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Table: Rules and Regulations in Regard to Cnfectious Diseases in School Children, When a notice has been received from the Medical Officer of Health, stating that an infectious disease exists at any premises in which school children are known to reside, the following procedure is adopted:—

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Rules and Regulations in Regard to Cnfectious Diseases in School Children, When a notice has been received from the Medical Officer of Health, stating that an infectious disease exists at any premises in which school children are known to reside, the following procedure is adopted:—

Disease. 1	Period of exclusion of children suffering from the disease. 2	Period of exclusion of children living in houses where the disease exists. 3.	Pules in regard to Hats and tenement houses. 4
Smallpox	Until the medical attendant certifies, if the case is treated at home.	(1) If patient is removed to hospital 14 days, and in case of smallpox 16 days, following date ehen case was certified (vide notice from local medical officer of health)	In cases where children in tenement houses exclude as follows:- (a) In the case of "model dwellings" or "trust buildings," etc., only children from the same flat (or self-contained tenement) as that in which the case of infection exists.
Smallpox	(2) Until after discharge from hospital.
Diphtheria Membranous ' croup	(1) Until a fornight after disinfection of premises, if the case is treated at home.	(2) If patient is treated at home until the expiration of 14 days from date of disinfection of premises. If no disninfection notice ic received it should be procured without delay from the offices of the local sanitary authority.
Diphtheria Membranous ' croup	(2) Until a fortnight after date of discharge from hospital.
Scarlet fever or scarlatina	(1) Until a fortnight after disinfection of premises if the case is treated at home.
Scarlet fever or scarlatina	(2) Until a fortnight after date of discharge from hospital.
Erysipelas Typhoid fever Enteric fever	(1) Until the medical attendant certifies, if case is treated at home.	Not to be excluded. No proceedings to be taken to enforce attendance if medical officer of health specially orders exclusion.	(6) In the case of an ordinary dwelling house sub-let. children from the whole house should be excluded, except in cases where the tenements are absolutely self-contained and each family has its own domestic and sanitary conveniences. in which case rule (a) will apply.
Cerebro-spinal meningitis	(2) Until after discharge from hospital.
Polio-myelitis	(2) Until after discharge from hospital.
Consumption	When accompanied coughing or spitting	May attend school.
Measles	At least four weeks	Infants— All infants to be excluded until Monday following 14 days from the commencement of the illness of last case in the house.	In cases where children live in tenement houses exclude as follows— (a) In the case of “model dwellings" or “ trust buildings.'" etc., only children from the same flat (or selfcontained tenement) as that in which the case of infection exists. (b) In the case of an ordinary dwelling-house sub-let. children from the whole house should be excluded, except in cases where the tenements are absolutely self-contained, and each family has its own domestic and sanitary conveniences, in which cases rule (a) will apply
Measles	At least four weeks	Seniors—If child lias hail the disease may attend school. If child has not had the disease, exclude until Monday following 14 days from the commencement of the illness of lust case in the house.
German measles	14 days from date of rash	Same rules as for ordinary measles,
Mumps	One week from the subsidence of all swelling.	Infants and seniors- Not to be excluded the children in same be kept under observation. Any child showing symptoms to be immediatly excluded.Mumps generally developsbetween 20 and 30 days following exposure to infection.
hooping-cough	As long as cough continues, but not to be readmitted until at least five weeks from the commencement of the illness.	Infants-Three weeks' exclusion from the commenccent of the illness of last case in house.
hooping-cough		Seniors-of child has had the disease may attend school.if child has not had the disease, threeweeks' exclusion from the commencement of the illness of last case in house.
Chicken-pox	Two weeks os until every scab is oft scalp or body.	Same exclusion periods as for whooping-cough, both infants and seniors.
Ringworm. favus. ophthalmia (“blight”) or purulent conjunctivitis. trachoma, scabies (itch) impetigo or purulent eczema	Until the teacher is satisfied that the child is cured or until medical certificate is furnished. The return of all children after absence owing to ringworm of the sclap to be notified to the School nurse.	May attend school.
Sore throat	Sore throat may be indicative of mild scarlet fever or diphtheria. Children suffering from sore throat must be excluded from school, In the abseence of scarlet fever or diphtheria in the school, children affected with sore throat may resume attendance when a satisfactory medical certificate has been submitted or when the teacher is satisfied that they have recovered. When scarlet fever or diphtheria is prevalent special rules are to be observed.