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The choice between these courses must depend on the
preference of the medical practitioner, and special circumstances
may indicate, for example, smaller doses than the above.
(3) Children under one year not to be given immunisationtreatment,
nor to be Schick-tested.
For children between the ages of one and eight years a
pre-Schick test to be omitted.
For persons over eight years a pre-Schick test should be
considered.
In all cases a Schick test to be advised by the medical
practitioner three months after the immunisation course.
(4) The immunisation and test-fluids will be as supplied to
the medical practitioner, free of charge, by the public health
department.
Notice is drawn to the “ Directions for Using” supplied
with each package, for example, the warning that, notwithstanding
immunisation, a sore throat should always be seen by
a doctor in order to avoid error in a certain percentage of
“immunised” persons whose immunity does not persist at a
sufficiently high level always to prevent diphtheria.
Under no circumstances may the contents of any one
container be used for more than one person.
While the prophylactic should be kept in a cool, dark place,
storage below freezing point is dangerous. The optimum
temperature is between 32 deg. and 40 deg. F.
(5) At the doctor's request for immunisation- or test-fluids
at the public health department, a card will be supplied, the
return of which, in due course, duly completed will be the only
necessity as regards the doctor's account.
(6) With regard to persons whose income (or the family
income) is without the scale of the National Health Insurance
Acts, the Borough Council will supply on request to the family
medical practitioner the immunisation- and test-fluids free of
charge but will not make any payment to the doctor giving
the treatment or making the test. The family doctor, however,
is expected, as in (5), to return the details of the treatment
given and the tests made on the card, so that the Borough
Council may have some information as to the value of their
scheme.
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