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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45
(6) If the eyes be attacked the secretion from them is
either profuse in matter or the lids are very red and swollen
and stiffened or tightly closed.
INSTRUCTIONS.
(a) The doctor will determine the nature of the illness,
and he must be sent for at once, because if the disease be
Diphtheria the sooner the remedy is applied the greater are
the chances of recovery. But in the meantime—
(b) When in doubt isolate the sick person at once and
keep the other children, if any, from school until the complaint
is known.
(c) When the illness is detected the following health precautions
must be adopted :—
(d) If the child's removal to hospital be directed the
mother and relatives must abstain from kissing the patient.
No time should be lost in leaving the doctor's notification
at the Public Health Office.
In regard to such notices they must be delivered to the
person in charge at the Office and not be deposited in the letter
box, as it is only by this means that prompt removal can be
assured. The office is open from 9 a.m. to 5 p.m. week days,
except on Saturday, when it is open from 9 a.m. to 1 p.m. After
the above hours and on Sundays communications must be made
to the officer in charge at the Fire Station.
(e) Contacts will be allowed to go to school or adults
return to their work, e.g., teachers, salespeople and food distributors,
provided that they (a); obtain a medical certificate
to the effect that they show no signs of Diphtheria, (b) that
they were promptly isolated from the sick, and (c) that they
have received a protecting injection of the Diphtheria antidote.
PATIENTS NURSED AT HOME.
The patient should go to hospital, but where home treatment
is admissible, and that is at the discretion of the
Medical Officer of Health and only permitted in cases where
(1) the Public Health will not suffer, (2) when the patient will