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Recommendations
(1) The adult staff will be offered the Schick test, and those
who re-act will be advised to accept toxoid antitoxin immunity.
(2) The toddlers will be given toxoid antitoxin immunity,
subject to the consent of the parents.
(3) The probationers should be offered the opportunity of
having a course of lectures on the commoner infectious diseases.
The London Fever Hospital, Liverpool Road, is quite handy and
convenient for this purpose.
(4) Occasional fire practice should be given to the staff. Written
notes should be circulated as to the exact duty to be performed
by each member and the station allotted to her. The Daily
Register of the patients should always be on the table, and it
should be the duty of some definite member of the staff to secure
its safety so that the register may be called quickly after an
alarm.
(5) Steps should be taken to improve the lighting and ventilation
of the toddlers' room.
A copy of this report was sent to the Ministry of Health.
Diphtheria:—The Schick Reaction—Toxiod Antitoxin Immunity.
The Schick Test or Schick Reaction is a method of testing
whether a patient is susceptible to diphtheria, or, in other words,
whether a person exposed to the risk of catching diphtheria is
likely to contract the disease.
The test is performed by injecting into the skin of the left
forearm a very minute measured quantity of diluted diphtheria
toxin or poison. If the person injected is susceptible to diphtheria
then within 24 to 48 hours of the injection there appears at the
place of injection a red inflamed swollen area one half of an inch
to one inch across.
If the patient is not susceptible to diphtheria, then no such
swollen area appears. The test, therefore, is one which is now
used to distinguish between those persons who are liable to catch