View report page

and premises where these measures are necessary. In appropriate
circumstances the head teachers of schools are notified and the
London County Council regulations with regard to exclusion of
both patients and contacts are enforced. There are two exception
to this general arrangement. All cases of tuberculosis are
dealt with directly by means of the Tuberculosis Dispensary
organisation, visits being paid at regular intervals to the homes of
all notified patients, and in the case of measles and whooping
cough, since so many of the patients are children, the visiting is
done by the Health Visitors and not by the Sanitary Inspectors.
Special enquiries of any kind in connection with infectious diseases
are made by the Sanitary Inspector, and the body of a person who
has died from any infectious disease is not allowed to remain at
home or to return home from hospital, unless the Sanitary Inspector
is able to satisfy me that this procedure would be absolutely
safe and reasonable. In view of the fact that so many
children are found on entry to school to be suffering from physical
defects more or less serious in nature, a scheme was worked out
in the Department for the examination of all children following
an attack of infectious disease. Unfortunately it was not possible
to put this scheme into operation until comparatively late in the
year, and so I am not in a position to make any report upon the
subject this year, but I hope to be able to include full details in
subsequent annual reports.
SCHEME FOR THE MEDICAL EXAMINATION OF
CHILDREN AFTER INFECTIOUS DISEASE.
All cases of scarlet fever, diphtheria, acute primary and
acute influenzal pneumonia, measles and whooping cough, of
and below school age, will be visited by the Health Visitor
three months after the date of notification, and if she finds
any case in which, in her opinion, medical examination is
desirable and the child is not already under a doctor or
hospital, she will endeavour to obtain the parents' consent
for an appointment to be made for the child to be examined.
(19)