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39
about 10 days after notification of the primary case, for the
purpose of giving certificates to enable pupils to return to County
Council schools Others were examined with the object of
finding possible sources of infection, eg where the first case
notified in a house was a child not attending school
Of the 244, 23 had symptoms, viz, 10 some form of pharyngitis,
12 some form of rhinorrhœa, or rhinitis, and one otorrhœa
Of 12 cases with rhinitis or rhinorrhcea, 5 gave a positive
result, 6 shewed Hoffman's bacillus, and 1 was negative
The 20 contacts found positive on the first examination were
re-examined at intervals of 10 days; 12 were found negative on
the second examination; in 4 Hoffman's bacillus was found, in
1 a positive result occurred twice, then Hoffman's was found, and
on the fifth examination a negative result was obtained 3
were notified as having some symptoms One negative result
is usually regarded as sufficient, and Hoffman's is treated as
a negative unless in special circumstances, as after a positive
result In one case diphtheria bacilli persisted for six examinations
and was succeeded by Hoffman's,
Positive cases with any symptoms were notified and sent to
hospital, or strictly isolated; positive cases without any
symptoms were excluded from school and from mixing with
other children outside the house
57 Infectious Disease Local Government Board Memorandum
on closure of, and exclusion from, School A report on
this important memorandum by Dr Newsholme, Medical Officer
of the Local Government Board, and Dr Newman, Medical
Adviser to the Board of Education, was presented and printed
in the Council's Minutes of December 2nd, 1909.