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child is not excluded, if lie or she has already had the disease in question.
The danger is not altogether that he may in some way carry the disease
about him and spread it, but that lie may attend school while suffering
from measles or such like in the incipient stage, and so spread it;
if he had already had the disease this danger may be said to be much
less.
TeaehePS' Notifications. Insufficient knowledge of the
existence of infectious diseases leads to their uncontrolled spread and to
regrettable effects on the average attendance, which I wish to see as high as
possible—consisteiit with the health of the scholars and the younger
relations at home. I am glad to be able to report again that our further
experience of the system of notification advised by the Medical Officers
in December, 1909, has been very satisfactory. The teachers and
attendance officers generally have spared no pains to do the work
thoroughly, and therefore well.
It is interesting to note the great variation in the number of
children excluded from the schools during 1912. Total number, 1684;
previous year, 1,748.

Besides the following —Enfield Council Schools, 49; Private Schools, 15* ;
and 5 children not attending (at the time) any school.
*Tottenham School, 1.
Exclusion Notices. In connection with the notifiable
ir.fectious diseases, viz., diphtheria, scarlet and enteric fevers, 621 notices
were issued excluding contacts from attendance for definite periods.
Notices were issued in 1911-10-9 to the number of 396, 778, and 1,776
respectively. These notices are now made out for the individual children,
patients, and contacts, as they are for non-notifiable diseases, and not for
infected houses.
On account of the non-notifiable infectious diseases, notices
excluding 1,684 children as patients or contacts were issued by me, after
enquiries had been made as to the real nature of the illness. The
numbers excluded in 1911-10-9 were 1,748, 1,929 and 355 respectively.