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have very little means of actively and intelligently directing the
attention of the nurses to their condition and to the sites of the
infection. Cases have occurred where little children have had
diphtheria for many days before the disease was even suspected,
and delay in treating diphtheria means a high mortality. It becomes
necessary, therefore, to pay great attention to babies and
toddlers and to make special and frequent medical examination
of the noses and fauces. It is proposed, in order to safeguard the
children, to give the toddlers toxoid antitoxin immunity, subject
to the consent of the parents. The staff will be offered the Schick
Test, and those that react will be given toxoid antitoxin immunity.
The Claremont Creche is attended by babies and toddlers
from Islington, Finsbury, and St. Pancras.
It is an institution carefully conducted and very well administered.
There is a towel, face flannel, comb and tooth brush, marked
separately and reserved for each child. The knives, forks, spoons,
cups and plates are boiled after every meal. The beds and bedding
are marked for each child. No handkerchiefs are used. Bits of
clean rag are provided instead and are burnt immediately after use.
A separate case card is provided for each child. On one side
are spaces for the dates and appropriate weights of the children.
On the other side are the following items:—
Date of admission.
Occupation of father.
Address of mother's employer.
Reasons for admission.
Legimitate.
Weight on admission.
Feeding before admission.
Vaccination.
Past illnesses.
Abnormalities.
Present condition.
Medical Officer's notes.