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given to the patients, its terms explained, and precautionary
measures are advised. If a child has a discharge from the nose, or
if for any other reason the infection is believed to persist, the
mother is advised to take the child to her own doctor, or if poor, to
bring it to the Public Health Department.
The cases discharged from hospital with nasal discharge, ear
discharge or sore throat were, after their return home, examined
by the Medical Officer of Health, and swabs taken from the throats
and noses. Three such cases occurred in 1927. 25 patients upon
discharge had enlarged neck glands. Three patients had sores on
the nostrils.
Outbreaks of Diphtheria at the Claremont Day Nursery,
White Lion Street, Pentonville, Finsbury.
Cl0aremont Day Nursery, a part of the Claremont Mission,
situated in White Lion Street, Pentonville, N.1, is in two portions
—a toddlers' room on the ground floor, attached to which is a
room containing 10 cots, a reception room, a bathroom, and a
disinfecting cupboard, and a creche on the first floor containing
15 cots, used for babies under 15 months, leading from which is a
room for the preparation of feeds. Other rooms in the building
are used for the staff quarters. On the ground floor are a kitchen
used entirely for the creche, a shed for perambulators, and a lavatory
in which a few perambulators are kept owing to lack of other
accommodation. There is no outdoor accommodation for the
children. The toddlers' room has no windows; it is lighted from
the roof, which is covered by a lantern light. The ventilation is
secured by pivoted windows in the lantern light, which are always
kept open on account of the poor ventilation. There is an open
fireplace, and a door leading to the yard, which assist the
ventilation.
The nursery is a minor portion of a large building devoted
to many other purposes, such as a men's club, a women's club, girl
guides, public baths, and mission activities. The nursery is therefore
in constant contact with the general public mainly on the
ground floor. It is interesting to note that six of the seven recent
cases of diphtheria have occurred amongst the toddlers, whose