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In one ward the cases subject to mucous discharges from
nose or ear be rigorously excluded; that immediately
on the appearance of any such discharge the patient
should be removed from it; and that all nozzles of
syringes should be kept in antiseptic solutions. In the
other ward no special attention should be paid to these
discharges other than that hitherto adopted. The
incidence of either rhinorrhoea or ottorrhoea should be
compared. Cases of " septic scarlet fever " should be
excluded from both.
II. That, if possible, in certain hospitals, with the approval
of the Medical Superintendents, two or more rooms,
previously disinfected, be reserved for the isolation,
after six or eight weeks' detention, of single patients
who are suffering from rhinorrhoea or ottorrhoea, but
whose desquamation is completed. Each patient so
secluded should be kept for ten days or a fortnight
before returning home. During this period of detention
the affected parts should be regularly irrigated or
syringed with some reliable antiseptic, and great care
be taken that the nozzle of the apparatus be kept in a
germicidal solution. That on the expiration of the
quarantine the patient should be sent home whether
the discharge has ceased or not, and that the room
should be disinfected prior to the reception of another
patient. The subsequent history of the case should be
investigated.
III. That the inquiry into the facts connected with the
incidence of the return cases at the Managers' Hospitals
should be continued for a further period of twelve
months, and that the scope of the inquiry should include
the history of the cases discharged under the conditions
mentioned.
July 19 th, 1900.