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(i) The Health Department kept a fresh supply of calf
lymph in stock for the use of Medical Practitioners
requiring immediate supplies for the re·vaccination
of contacts—an arrangement which frequently
secured immediate vaccination of persons exposed
to infection.
(j) All children from infected houses were prevented
from attending schools.
(k) The name of the school attended by children of the
house was obtained from the parents, and the head
teacher immediately communicated with. In order
to guard against inaccurate information in this
respect a private circular was despatched daily
to the head teacher of all schools in the district
giving particulars of cases notified.
(1) Contacts were kept under observation for sixteen
days and employers of persons exposed to infection
were informed of the fact.
(m) Information was sent to Medical Officers of other
Districts where any of their residents had been
in contact with infected persons in Lewisham.
Similar action was taken by Medical Officers of
Health with respect to the contact of any resident
of Lewisham in outside districts. On the receipt
of such information the persons mentioned were
advised re·vaccination, and were kept under obser·
, vation.
The necessity of dealing promptly with the first cases is
all important, and I believe the action taken, did, to a great
extent prevent the extension of this disease in the district. I
desire to express my thanks for the great help and courtesy
which I received from the Medical Practitioners of the District •