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remembering the fact that there is no value in taking a second
specimen from a positive case until ten days have elapsed
from the onset of symptoms.
(c) All children from families where any child attends the
Nursery School at Garfield Road, to be excluded from school
until the family has been cleared, it being presumed that these
families represent a potential source of spreading the infection
to other schools.
(d) All families in which a case of Sonne Dysentery has
occurred to be treated in the same way, so far as the exclusion
of children attending school is concerned. In these instances,
however, one negative specimen only will be required from
members of the family who have not shown symptoms of
dysentery. This specimen will be taken when the third
specimen is obtained from the patient, following two
consecutive negatives.
(e) Steps to be taken to deal with adult members of families
in which a case has occurred, where the adult concerned is a
school teacher, a nurse, or a food handler.
(f) Repeat specimens to be obtained from the staff employed
in the Nursery School.
2. Control in School.
(a) Measures already instituted at Garfield Road School to be
intensified. Paper towels to be supplied in adequate quantities
to the school, and the strictest possible measures of
personal hygiene maintained. Disinfectant to be supplied to
the school, to be used in lavatory pans and wash-basins and
on lavatory seats.
(b) Visits to be paid daily to the school by the School Nurse
attached to the school and the District Sanitary Inspector
concerned. These officers to work under the direct supervision
of the Superintendent Health Visitor and Chief Sanitary
Inspector, both of whom will report daily to the Medical
Officer of Health, who is also Area Medical Officer responsible
for day-to-day administration of local School Health Service.
(c) Wherever possible, large classes at the school to be split
up into smaller units.
(d) The washing of children's hands in school to be regarded
as first priority drill.
The Sanitary Inspectors and School Nurses concerned have
been supplied with a detailed memorandum prepared by the
Medical Officer of Health in regard to advice to parents. The
co-operation of parents is being sought in an effort to check
the spread of the disease by the movement of children between
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