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72
ADMINISTRATIVE WORK.
"Unprotected" Children Excluded: Measles.
Exclusion, Exclusion,
School Class-room. Date of. Duration of. School Class-room. Date of. Duration of
(.Infants' Department). (Infants' Department).
Beethoven Street A and F Jan. 19 5 days Kilburn Lane FandF1 Mar. 16 16 days
„ B Mar. 28 4 „ „ D 17 15 „
„ A Apr. 6 18 „ „ E „ 31 24 „
St. Augustine E Jan. 27 15 „ „ F June 12 5 „
„ F Feb. 7 17 „ Desborough St. (R.C.) All < 5 Mar. 16 16 „
„ E Nov. 10 6 „ St. Mary of the Angels C „ 20 16 „
St. Luke B Jan. 26 6 „ „ C May 18 8 „
„ C May 17 6 „ Bayswater Jewish F Mar. 24 14 „
Droop Street All < 5* Feb. 7 18 „ „ E „ 29 26 „
„ A May 4 5 „ „ E May 16 4 „
„ C and E „ 9 4 „ St. James H „ 30 10 „
„ D „ 18 15 „ „ G June 19 2 „
St. Michael, Star Street C Feb. 10 8 „ Holy Trinity All < 5 Apr. 3 21 „
Essendine Road E „ 20 5 „ ,, M „ 10 14 „
„ I ,, 21 4 ,, ,, A „ 24 2 ,,
„ G Mar. 15 17 „ „ L May 19 7 „
„ A „ 20 12 „ „ K June 9 18 „
„ D „ 28 28 „ St. Peter's All < 5 Apr. 10 14 „
„ All < 5 Apr. 3 21 „ „ C May 15 5 „
B May 1 12 „ „ A „ 18 5 „
,, ••• D „ 5 7 „ „ D Sep. 22 7 „
„ EandC „ 8 5 „ St. Matthew'sAll < 5 May 3 16 „
„ J June 1 2 „ Harrow Road Ba „ 5 7 „
„ A and D ,,12 5 „ „ B Sept. 20 14 „
F „ 19 6 „ „ All < 5 „ 27 17 „
„ F Sept. 7 5 „ „ E Nov. 23 16 „
„ All < 5 Oct. 5 16 ., „ F Dec. 5 Until
„ D Nov. 13 12 „ Christmas
St. John, Titchborne St. B Feb. 17 8 „ Holidays
St. Stephen B Mar. 1 18 „ St. Saviour'sAll < 5 June 8 21 days
St. John, Kilburn Lane A „ 6 12 „ „ C „ 8 6 „
Amberley Road E Feb. 27 4 „ „ B „ 19 2 „
„ All < 5 Mar. 31 24 „ „ A July 6 Until
„ „ Nov. 8 17 „ Summer
„ I Dec. 6 Until Holidays
Christmas
Holidays
* To be read: "All under 5 years of age."
The aim of " exclusions " is to secure the absence from school of possibly infected children
at the time when the disease may be expected to develop. The success of the practice depends
on the promptness with which parents inform the school teacher of the illness and the school
teacher reports to the School Medical Officer and the Department. When the first case in a
class is known within (say) a week of its onset, exclusion from school of the unprotected
children from the ninth to the fourteenth or fifteenth day after last attendance at school of the
patient should serve to prevent such unprotected children who have been infected from attending
school in the early days (when the disease is most infectious) of their own attacks. Unfortunately
there are two difficulties militating against success—apart from the too frequent delay on the
part of the parents in declaring the disease. The first is that the " O.M. Register " (children
who have not had the disease) is not absolutely reliable, and the second, the frequent occurrence
of second attacks in the same child. An attack of measles does not apparently confer anything
like complete immunity against subsequent infection. Judging by the experience of the past
four or five years, exclusion of the " O.M." children is not sufficient to check the spread of the
disease. The best course, it is believed, is to close the whole class from about the tenth to the
fifteenth day after the last attendance of the first patient.