London's Pulse: Medical Officer of Health reports 1848-1972

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Croydon 1914

[Report of the Medical Officer of Health for Croydon]

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140
Diphtheria and Scarlet Fever.
A letter (shown below) is sent to School Attendance Officer as well
as teachers on notification of two cases of diphtheria or scarlet fever
in any department of a public elementary school.
DIPHTHERIA.
Dear Sir (or Madam),
With reference to the cases of Diphtheria among the children
attending your school, I wish to draw your attention to the fact that
the disease is most commonly spread by slight unrecognised cases,
and especially by children in whom the nose is affected.
I should be obliged if you would draw the attention of your
staff to the following symptoms of Diphtheria, viz. :—
(1) Sore throat, especially when accompanied by white patches
on the tonsils or palate.
(2) Enlarged glands (often mistaken for mumps).
(3) Chronic discharge from nostrils, especially when confined
to one side and causing soreness of the upper lip.
Children suspected to be suffering from Diphtheria should be
reported on Form A. and excluded until you receive Form B. or F.
Yours truly,
R. VEITCH CLARK.
SCARLET FEVER.
Dear Sir (or Madam),
With reference to the cases of Scarlet Fever among the children
attending your school, I wish to draw your attention to the fact
that the disease is most commonly spread by slight unrecognised
cases. I should be obliged under the circumstances if you would
draw the attention of your staff to the importance of temporarily
excluding from school and reporting all cases of sore throat or of
peeling skin. The onset is usually sudden, with head-ache or
vomiting, and any child exhibiting such symptoms should be
promptly sent home.
Yours truly,
R. VEITCH CLARK.
General Co-operation.
The Attendance Officer affords willing assistance in tracing cases
where addresses are changed or where other difficulties arise.
Mental Deficiency.
The Attendance Officers have supplied a large amount of information
as to addresses, etc., of children suspected of this condition.