London's Pulse: Medical Officer of Health reports 1848-1972

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Beckenham 1908

[Report of the Medical Officer of Health for Beckenham]

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37
COMMON CHARACTERISTICS OF AND INSTRUCTIONS
REGARDING THE MANAGEMENT OF
THE PRINCIPAL NOTIFIABLE DISEASES.
To better safeguard the Public Health I have drawn up
the following memoranda in regard to these diseases together
with instructions to householders and others as to the measures
which must be adopted in regard to their management. It
would be advantageous to the Public Health if copies of the
Annual Report were sent to all medical practitioners residing
or practising in the District.
Scarlet Fever.
The onset is very sudden. Vomiting, fever, a burning
skin, sore throat, and a red rash within 24 hours which first
appears on the body and quickly extends to the limbs. The
mouth is pale, the cheeks are red and swollen.
Take the following steps : —
Place the sick person in a room alone, and no one must
come in contact except the attendant until the Doctor has seen
the patient.
If there are children in the house.
(1) Keep them from school and Sunday school and from
contact with their school fellows and playmates.
(2) If they remain healthy for a period of 7 clear days
dating from the last contact with the sick person they may
return to school.
(3) If, however, in the meantime a child displays any of
the above symptoms, put it to bed and send for the doctor.
(4) Should any member of the affected premises have
recently suffered from, or subsequent to the removal of the
patient suffer from either sore-throat, sickness, headache, lassitude,
and fever, the doctor should be sent for. Children so
indisposed must on no account be sent to school.