Annual report on the health of the Metropolitan Borough of Deptford page 76

Deptford 1913

Annual report on the health of the Metropolitan Borough of Deptford

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Table: which school children are known to reside, the following procedure is adopted :—

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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.	Wules in regard to flats and tenement houses. 4.
Smallpox Diphtheria Membranous croup Scarlet fever or scarlatina	(1) Until the medical attendant certifies, if the case is treated at home. (2) Until after discharge from hospital. (1) Until a fortnight after disinfection of premises, if the case is treated at home. (2) Until a fortnight after date of discharge from hospital. (1) Until a fortnight after disinfection of premises if the case is treated at home. (2) Until a fortnight after date of discharge from hospital.	(1) If patient is removed to hospital, until 14 days, and in case of smallpox 16 days, following date when case was certified (vide notice from V. local medical officer of health) (2) If patient is treated at home until the expiration of 14 days from date of disinfection of premises. If no disinfection notice is received it should be procured without delay from the offices of the local ' sanitary authority.	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 self-contained tenement) as that in which the case of infection exists.
Erysipelas Typhoid fever or Enteric fever Cerebro-spinalmeningitisPolio-myelitis Consumption	(1) Until the medical attendant certifies, if the case is treated at home. (2) Until after discharge from hospital. When accompanied by coughing or spitting	\ Not to be excluded. No pro\| ceedings to be taken to enforce - attendance if medical officer of I health specially orders ex' elusion. May attend school.	(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.
Measles German measles Mumps Whooping-cough Ch cken-pox Ringworm, favus. ophthal-mia (" blight ") or purulent conjunctivitis, trachoma, scabies (itch), impetigo or purulent eczema	At least four weeks 14 days from date of rash One week from the subsidence of all swelling. As long as cough continues, but not to be readmitted until at least five weeks from the com-mencement of the illness. Two weeks or until every scab is off scalp or body. 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 scalp to be notified to the school nurse.	Infants — All infants to be excluded until Monday following 14 days from the commencement of the illness of last case in the house. Seniors—If child has had 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 last case in the house. Same rules as for ordinary measles, Infants and seniors—Not to be excluded. Teachers to keep a list of the children in same family or house in which case has occurred. These children to be kept under observation. Any child showing symptoms to be immediately excluded. Mumps generally develops between 20 and 30 days following exposure to infection. Infants—Three weeks' exclusion from the commencement of the illness of last case in house. Seniors—If child has had the disease, may attend school. If child has not had the disease, three weeks' exclusion from the commencement of the illness of last case in house. Same exclusion periods as for whooping-cough, both infants and seniors. May attend school.	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 self-contained 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
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 absence 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.