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86
Practically all the throats examined showed the presence of
streptococci and Hoffman's Bacillus.
Suggested procedure for dealing with the state of affairs.
1. Cases to be notified—
(a) All those in which a true diphtheria bacillus is present;
(b) All cases in which a membrane and diphtheroid bacilli are
present;
(c) All cases showing diphtheroid bacilli and constitutional
symptoms.
2. Cases for isolation—
(a) All cases showing the diphtheroid bacilli not given under
the previous heading.
3. The remaining cases.
Showing Hoffman and streptococci are to have vigorous
antiseptic treatment of the throats.
The isolated cases are not to be allowed to mix with the other
inmates of the school until their throats have been declared free from
the infecting organisms after a thorough bacteriological examination.
Dennis Emhleton, M.A., M.B.
The total number of cases that were notified as the result of this
swabbing was twenty-seven. In addition, the Bacteriologist's report
classed forty girls as suspicious. These cases were dealt with by sending
the twenty-seven notified cases to the Metropolitan Asylum Board's
Hospital, and the forty suspicious cases were isolated in the School
buildings of the Home for observation and for anti-toxin treatment.
None of these latter forty cases showed any sign of ill-health. From
that time onward until 10th March the disease was represented by one
case only. Two cases occurred on the 12th, one on the 18th, two on
the 20th, and one on the 21st. The Committee decided to empty the
building as soon as possible, and endeavours were made to secure a
building elsewhere in order that the inmates might be transferred for
such time as was necessary to permit of the renovations to the building
which had already been agreed upon.
The authorities of the Home having negotiated for a temporary
residence elsewhere, and arrangements having been made for the use of
an unused school building in the south-west of London, I again