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Appendix IV.
Duties of the Clerks and Sanitary Inspectors re Infectious
Diseases.
1. On receipt of notification of an infectious disease, the case is
to be entered by the responsible Clerk in the proper register.
2. The Clerk will also arrange for removal to Hospital of such
cases as are received by the Asylums Board, and whose removal is
desired.
3. The Inspector of the district, or any other Inspector available
will take a copy of the certificate to the home, and find out if removal
is desired.
4. The Inspector will at the same time obtain full particulars
as to the patient, family, house, and source of infection, on the
special form provided, and at once give them to the Clerk for entry
in the register.
5. In such cases as are removed to Hospital, the Clerk will see
that the necessary directions are at once given for disinfection.
6. The responsible Clerk will send copies of the notification
certificate to the Asylums Board, to the Head Teachers of the Schools
affected, and to the P.M.O. of the Royal Arsenal, when Arsenal
employees live in the home of the patient.
7. After disinfection the Clerk will give a certificate to Arsenal
employees stating that the rooms affected with Scarlet Fever or
Diphtheria have been disinfected. A disinfection certificate will
also be issued to be presented by children, from a house infected
with Scarlet Fever, stating that they may attend school after the
lapse of one week. In cases of Diphtheria the Medical Officer of
Health will give a special certificate of freedom from infection to
children returning to school from infected houses.
8. As soon as intimation is received from the Isolation Hospital
as to the return of a patient, the Clerk will send a copy of
instructions as to precautions to be taken with respect to children
returning from Hospital. He will also send word to the Head
Teacher of the School affected, stating that the child may return to
school a fortnight after return from Hospital.
9. When patients are not removed to Hospital, disinfection will
not be performed until a certificate has been received from the
medical practitioner in attendance that the patient is free from
infection. After such certificate has been received, the Clerk will
intimate to the Head Teacher of any school affected that the child
may return a fortnight after disinfection has been performed.