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(f) Each dose of the prophylactic must be contained in a separate sealed
glass ampoule. In no circumstances will the Council pay a fee in respect of the
immunisation of a child by a preparation from a container holding more than
one dose.
(g) The medical practitioner will enter the particulars of each immunising
dose on a record card provided by the Council. When this record card is
completed and returned to the Public Health Department, the Medical Officer
of Health will, in appropriate cases, forward particulars of the case to the Borough
Treasurer, in order that the fees due may be paid each quarter.
(h) In every case the medical practitioner must place before the parent or
guardian the significance of the Schick test and advise that this should be applied
to children over five years of age. If the parent or guardian decides to forego
the Schick test before immunisation, it may be omitted. The medical practitioner
must urge in every case that the Schick test should be applied three
months after the immunising injections have been given.
(i) If the parent or guardian desires the Schick test to be performed before
immunisation the medical practitioner must refer the child to the Council's
immunisation expert. The medical practitioner will also endeavour to arrange
for every child to visit the immunisation expert three months after the last
injection.
(j) The technique to be employed in connection with diphtheria immunisation
work must be that prescribed by the Council's immunisation expert.
(k) The fee of ten shillings to be paid by the Council in respect of each child
immunised in accordance with these rules will be the limit of the Councils
liability in connection with diphtheria immunisation, and the cost of purchasing
the diphtheria prophylactic must be borne by the medical practitioner, who
will also be responsible for any subsequent medical attention necessary and for
any other liability which may result.
(I) A fee of 2s. 6d. will be paid by the Council in respect of each child over
five years of age referred to the Council's immunisation expert and found to
be Schick negative and therefore not requiring immunisation.
(m) The Medical Officer of Health may examine any child before, during or
after the administration of the immunising doses, and all records kept by the
medical practitioner in respect of diphtheria immunisation must be open to
his inspection.
The Council have appointed an expert in diphtheria immunisation work
who will prescribe the technique to be followed in respect of these cases for which