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39
Hoffman's bacillus was found in 7, or 26 per cent of cases with
symptoms, and in 20, or 14 per cent of cases with no symptoms.
The following new directions were issued for use at houses
where a case of Scarlet Fever or Diphtheria had occurred:—
"METROPOLITAN BOROUGH OF WOOLWICH.
Scarlet Fever and Diphtheria.
School Attendance.—Children from this house should not
attend day school or Sunday school or other place of meeting
until permission is given by the Medical Officer of Health.
Library Books.—Public Library Books must be delivered to the
Disinfecting Officer when he calls, and no books borrowed
until the house has been disinfected.
If the patient is treated at home, the following precautions
should be carefully observed to prevent the spread
of the disease and hasten the recovery of the patient:—
1. Isolation.—The patient must be confined to one room, and
no one, except the person in charge and the doctor, allowed
to enter the room. A notice should be fixed outside the
door saying "No admission." All carpets, curtains, and
unnecessary furniture and clothing should be removed from
the room at once, and the floor and furniture frequently
wiped with a damp cloth.
Do not allow dogs or cats to enter—they may carry
infection.
The cups, spoons, and other articles used by the patient
should be kept and washed in the sick room; books, toys,
&c., must be kept in the room until they are disinfected or
destroyed.
2. Nursing. It is advisable that the person acting as nurse
should, whilst in the sick room, wear a loose cotton gown
or overall over her dress; this must be removed and her
hands washed every time before leaving the room. She